Description/Overview: There is a natural flow from self to role to system that is intended to help us look deeper than we do when we stop exploring by only looking at competencies (clinical/ technical, relationships, critical/creative thinking). So, when we wonder about organizations that have had the courage to challenge the status quo, and we move up to the “Five C’s”, we see evidence and attention to Commitment (to do what is right for patients and each other), Collaboration, because there is Confidence … because there is not only Competence, but also Clarity, and if self clarity is accompanied by role clarity and system clarity, we have the trifecta!! This first section of the trifecta, Clarity of Self, explores the influence intentional use of self has in the care of others. At the heart of caring there is a self-awareness that includes a sense of purposefulness, and intentional use of self in service to others (patients, families, and colleagues). Reflective practice is the norm, as is a healthy self-care so resiliency and hardiness is evident. When the caregiver is whole, there is a personal strength that enhances the care giving/receiving dynamic. Clarity of Self will be examined in three different studies of self-discovery. First, a study exploring ten concepts of health and well-being, based on Barbara Dossey’s Theory of Integral Nursing. The second study of Clarity of Self will look at how self care, using Watson’s 10 concepts of Caritas, was examined in the internal and external environment of every discipline in a 2-hospital system. Finally, a third study will look at how self care varies in six different countries and cultures. Watson’s theory of Caritas was tested in relationship to self in Botswana, Israel, Ireland, New Zealand, Spain, and the USA. Cultural considerations of self will be discussed.

Learner Objective #1: Identify organizational interventions used for self-discovery.

Learner Objective #2: Specify how countries differ and are similar in relationship to how nurses care for self.