Nursing and professionalism: perception of cardiac care unit nurses

Authors

Abstract

Introduction: Professionalism is a fundamental and elementary concept in nursing. This phenomenon is the result of an interaction among individual-occupational environment and interpersonal communication as well as the basis for professionalism and its values. The aim of this study was to clarify the concept of professionalism in the perception of nurses working in cardiac care units. Method: A qualitative research method was selected for the present study. Due to the multidimensional nature of professionalism, the researchers used content analysis to determine this concept. Data collection was performed through semi-structured interviews with 14 participants. Participants were selected through purposive sampling and the data were analyzed. Results: In this study, a total of 7 main themes and 5 subthemes were extracted. In general, professionalism in nurses’ perception is synonymous with community service, nursing knowledge and skills, support organization, professional autonomy, interpersonal relationships, commitment to and observance of ethics, and attention to vulnerability. Conclusion: Professionalism of nursing is the major challenge for the present and future of this field. Knowledge and experience of professionalism is one of the issues which require more attention in confronting and solving professional problems.

Keywords


1. Noordegraaf M. From “Pure” to “Hybrid” professionalism Present - day professionalism in Ambiguous public Domains. Administration & Society . 2007, 39 (6), 761-785. 2. Van Mook WN, Gorter SL, de Grave WS, van Luijk SJ, O'Sullivan H, Wass V, and et al. The educational continuum: professionalism in and beyond medical school. Eur J Int Med. 2009, 20: 148-52. 3. Hickson GB, Pichert JW, Webb LE, Gabbe SG. A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. Acad Med. 2007, 82:1040-8. 4. Van Mook WN, Van Luijk SJ, O'Sullivan H, Wass V, Harm Zwaveling J, Schuwirth LW, and et al. The concepts of professionalism and professional behaviour: Conflicts in both definition and learning outcomes. Eur J Int Med 2009, 20: 85-89. 5. Van Mook WN, Van Luijk SJ, O'Sullivan H, Wass V, Schuwirth LW, Van der Vleuten CP. General considerations regarding assessment of professional behaviour. Eur J Int Med.2009;20: 90-95 6. Viggiano TR, Pawlina W, Lindor KD, Olsen KD, Cortese DA. Putting the needs of the patient first: Mayo Clinic's core value, institutional culture, and professionalism covenant. Acad Med; 2007;82:1089-93. 7. Smith KL, Saavedra R, Raeke JL, O'Donell AA. The journey to creating a campus-wide culture of professionalism. Acad Med; 2007,82:1015-21. 8. Van Luijk SJ, Smeets SGE, Smits J, Wolfhagen IH, Perquin MLF. Assessing professional behaviour and the role of academic advice at the Maastricht Medical School. Medical Teacher; 2000,22:168- 72. 9. Thistlethwaite JE, Spencer Je. Professionalism in medicine. Radcliffe Publishing Ltd, Abingdon, UK; 2008. 10. Stephenson AE, Adshead LE, Higgs RH. The teaching of professional attitudes within UK medical schools: reported difficulties and good practice. Med Educ; 2006,40:1072-80. 11. Lee AG, Beaver HA, Boldt HC, Olson R, Oetting TA, Abramoff M, Carter K. Teaching and assessing professionalism in ophthalmology residency training programs. Surv Ophthalmol; 2007,52:300-14. 12. Shaw H.K., Degazon C. Integrating the core professional values of nursing:a profession, not just a career. Journal of Cultural Diversity; 2008, 15 (1), 44-50. 13. Chitty KK. Professional Nursing Concepts & Challenges. 4th edition. St. Louis: Elsevier Inc; 2005. 14. Huston CJ. Professional Issues in Nursing Challenges& Opportunities. 2nd edition. Philadelphia. Lippincott Co.; 2010. 15. Adib Hajj Bagheri M, Salsaly R.M, Ahmadi F. Qualitative research on the concept of professional empowerment in the nursing. Iranian Journal of Medical Education, 2004; 29, 18. 16. Wynd CA. Current factors contributing to professionalism in nursing. Journal of Professional Nursing; 2003, 19 (5), 251-261. 17. Carryer J , Gardner G , Dunn S , Gardner A. The core role of the nurse practitioner: practice, professionalism and clinical leadership. Journal of Clinical Nursing; 2007, 16, 1818-1825. 18. Adams D , Miller B. Professionalism in nursing behaviors of nurse practitioners. Journal of Professional Nursing; 2001,17, 203–210. 19. Manojlovich M , Ketefian S. The effects of organizational culture on nursing professionalism: Implications for health resources planning. Canadian Journal of Nursing Research; 2002,33, 15–34. 20. Van Mook WN, De Grave WS, Van Luijk SJ, O'Sullivan H, Wass V, Schuwirth LW, and et al. Training and learning professionalism in the medical school curriculum: Current considerations. Eur J Int Med; 2009;20: 96-100. 21. Matthews J. Role of Professional Organizations in Advocating for the Nursing Profession. OJIN: The Online Journal of Issues in Nursing; 2012, Vol. 17(1). 22. Gunter M , Alligood MR. A discipline-specific determination of high quality nursing care. Journal of Advanced Nursing; 2001, 38, 353–359. 23. Tabari-Khomeiran R, Kiger A, Parsa-Yekta Z, et al. Professional Competence: factor described by nurses as influencing their development. International council of nurses. International council of nurses, Int Nurs Rev; 2006; 53:66-72. 24. Adib hagbaghery M, Salsali M, Ahmadi F. A Qualitative study of Iranian nurses understanding and experiences of professional power. Hum Resour Health; 2004;2:9. 25. Habibzadeh H, Ahmadi F, Vanaki Z. Facilitators and Barriers to the Professionalization of Nursing in Iran. IJCBNM January; 2013; Vol 1(1). 26. Tabari-Khomeiran R, Kiger A, Parsa-Yekta Z, et al. Competence development among nurses: the process of constant interaction. J Contin Educ Nurs; 2007; 38:211-8. 27. American Nurses Association. Nursing's social policy statement: The essence of the profession (3rd ed.). Silver Spring, Nurse books; 2010 28. Adib Hajbagheri M, Salsali M, Ahmadi F. The factors facilitating and inhibiting effective clinical decision making, A qualitative study. Education in Medical Science Iranian Magazin; 2003; 1(1), 5-13. 29. Nikbakhtnasrabadi A, Parsa Yekta Z, Seif H, Rasoolzadeh N. Professionalization experiences of newely employed nurses in clinical settings in Iran. HAYAT; 2005;11(3-4) : 5-18 30. Mohammadi Gh. R. , Ebrahimian A.A. , Mahmoudi H. Evaluating the knowledge of intensive care unit nursing staffs. IJCCN. 2009; 2 (1): 41-46 31. Norozi Koshali A, Haji Amini Z, Ebadi A. A comparison between the attitudes of nurses in Critical Care Units and other wards towards the nursing profession. IJCCN. 2012; 5 (2) :63-70 32. Streubert HJ. Carpenter DR. Qualitative Research in Nursing: Advancing the Humanistic Imperative. Fifth Edition. Philadelphia, Lippincott Co.2010. 33. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Edu to day. 2004; 24(2):105-12 34. Pask, E.J. Self-sacrifice, self-transcendence and nurses’ professional self. Nursing Philosophy.2005; 6 (4), 247-254. 35. Brook I,Swails S. Analysis of the relationship between nurse influence over flexible working and commitment to nursing. J Adu Nurs 2002; 38(2):117-126 36. Apker J, Propp KM, Zabava Ford WS, et al. Collaboration, Credibility, Compassion, and Coordination: Professional Nurse Communication Skill Sets in Health Care Team Interactions. J Prof Nurs. 2006;22:180-9.