Kontakt 2024, 26(1):2-8 | DOI: 10.32725/kont.2024.001
Professionalism from the perspective of nurses with advanced practiceNursing - Original article
- Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Nursing, Martin, Slovak Republic
Introduction: Professionalism is a multidimensional and dynamic concept that can be understood and interpreted differently depending on time, job position, or culture context.
Objective: To investigate how nurses with advanced practice interpret and understand professionalism in the Slovak sociocultural context.
Methods: This qualitative study adopted an interpretative design. The sample consisted of seven advanced practice nurses (APNs). Data were collected between November 2021 and December 2022 using semi-structured interviews. Data were analyzed using reflexive thematic analysis.
Results: Professionalism was interpreted through five meaningful themes: Management support; Professional socialization; Nurse professional; Challenges and problems of professionalism in nursing; Relationships. Advanced practice nurses interpreted professionalism as a multidimensional concept that encompasses several interconnected attributes. Nurses highlighted the role of professional organization, the importance of professional socialization, education, and lifelong learning as important attributes in building and maintaining professionalism - and considered the nurse shortage to be one of the biggest challenges that threatens professionalism.
Conclusion: Advanced practice nurses contribute to the sustainability of the health system. Their understanding and interpretation of professionalism may support the nursing profession in general.
Keywords: Advanced practice nurse; Hospital care; Professionalism reflexive thematic analysis; Qualitative study
Grants and funding:
This work was supported by the Cultural and Educational Grant Agency of the Ministry of Education, Science, Research and Sport of the Slovak Republic [the project of the KEGA project no. 008UK-4/2021 Professionalism and Ethics in Nursing].
Conflicts of interest:
The authors have no conflict of interest to declare.
Received: July 6, 2023; Revised: September 27, 2023; Accepted: October 18, 2023; Prepublished online: January 11, 2024; Published: March 15, 2024 Show citation
References
- Al-Eraky MM (2015). Twelve Tips for teaching medical professionalism at all levels of medical education. Med Teach 37(11): 1018-1025. DOI: 10.3109/0142159X.2015.1020288
Go to original source...
Go to PubMed...
- ANA - American Nurses Association (2012). About ANA. [online] [cit. 2023-05-13]. Available from: http://www.nursingworld.org/FunctionalMenuCategories/ AboutANA
- Boswell C, Cannon S, Miller J (2005). Nurses' political involvement: responsibility versus privilege. J Prof Nurs 21(1): 5-8. DOI: 10.1016/j.profnurs.2004.11.005.
Go to original source...
Go to PubMed...
- Braun V, Clarke V (2022). Thematic analysis: A practical guide. London: Sage Publications, 376 p.
- Canadian Nurses Association (2012). Nursing and the political agenda. [online] [cit. 2023-05-13]. Available from: http://www. Cnaaiic.ca/en/advocacy/nursing-and-the-political-agenda
- Cao H, Song Y, Wu Y, Du Y, He X, Chen Y, et al. (2023). What is nursing professionalism? a concept analysis. BMC Nurs 22(1): 34. DOI: 10.1186/s12912-022-01161-0.
Go to original source...
Go to PubMed...
- Chan ZC, Tam WS, Lung MK, Wong WY, Chau CW (2013). A systematic literature review of nurse shortage and the intention to leave. J Nurs Manag 21(4): 605-613. DOI: 10.1111/j.1365-2834.2012.01437.x.
Go to original source...
Go to PubMed...
- Cramer ME (2002). Factors influencing organized political participation in nursing. Policy Polit Nurs Pract 3: 97-107. DOI: 10.1177/152715440200300203.
Go to original source...
- Dingwall R, Allen D (2001). The implications of healthcare reforms for the profession of nursing. Nurs Inq 8(2): 64-74. DOI: 10.1046/j.1440-1800.2001.00100.x.
Go to original source...
Go to PubMed...
- European Federation of Nurses Associations (2022). EFN Policy Statement on EU Advanced Practice Nursing [online] [cit. 2023-05-18]. Available from: https://efn.eu/wp-content/uploads/2022/04/EFN-Policy-Statement-on-APN-April-2022.pdf
- Fatemi NL, Moonaghi HK, Heydari A (2018). Exploration of nurses' perception about professionalism in home care nursing in Iran: a qualitative study. Electron Physician 10(5): 6803-6811. DOI: 10.19082/6803.
Go to original source...
Go to PubMed...
- Ghadirian F, Salsali M, Cheraghi MA (2014). Nursing professionalism: An evolutionary concept analysis. Iran J Nurs Midwifery Res 19(1): 1-10.
- Hall RH (1967). Some organizational considerations in the professional-organizational relationship. Adm Sci Q 12(3): 461-478. DOI: 10.2307/2391315.
Go to original source...
- Hall RH (1968). Professionalization and Bureaucratization. Am Sociol Rev 33(1): 92-104. DOI: 10.2307/2092242.
Go to original source...
- Hamric AB, Tracy MF (2019). A definition of Advanced Practice Nursing. In: Tracy MF, O'Grady ET (Eds.) Advanced Practice Nursing: An integrative approach. St. Louis: Elsevier, pp. 61-79.
- ICN - International Council of Nurses (2005). The scope of practice, standards and competencies of the Advanced Practice Nurse. [online] [cit. 2023-05-18]. Available from: http://cambodiancouncilofnurse.com/wp-content/uploads/2017/05/Scope-and-Standards-of-nurse-practitioner_ICN.pdf
- ICN - International Council of Nursing (2020). Guidelines on advanced practice nursing. [online] [cit. 2023-05-18]. Available from: https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf
- ICN - International Council of Nursing (2023). Recover to rebuild: investing in the nursing workforce for health system effectiveness. [online] [cit. 2023-05-21]. Available from: https://www.icn.ch/news/icn-report-says-shortage-nurses-global-health-emergency
- Johnson JA (2015). Nursing professionalism: innate, taught, or caught? J Nurs Prof Dev 31(2): 114-115. DOI: 10.1097/NND.0000000000000149.
Go to original source...
Go to PubMed...
- Kelly SH (2020). The hidden curriculum: Undergraduate nursing students' perspectives of socialization and professionalism. Nurs Ethics 27(5): 1250-1260. DOI: 10.1177/0969733019881714.
Go to original source...
Go to PubMed...
- Kim-Godwin YS, Baek HC, Wynd CA (2010). Factors influencing professionalism in nursing among Korean American registered nurses. J Prof Nurs 26(4): 242-249. DOI: 10.1016/j.profnurs.2009.12.007.
Go to original source...
Go to PubMed...
- Kramer M, Maguire P, Schmalenberg CE (2006). Excellence through evidence: the what, when, and where of clinical autonomy. J Nurs Adm 36(10): 479-491. DOI: 10.1097/00005110-200610000-00009.
Go to original source...
Go to PubMed...
- Marcinowicz L, Shpakou A, Piatrou S, Fejfer-Wirbal E, Dudzik A, Kalinowska P, et al. (2020). Behavioural categories of professionalism of nurses in Poland and Belarus: A comparativesurvey. J Clin Nurs 29(9-10): 1635-1642. DOI: 10.1111/jocn.15226.
Go to original source...
Go to PubMed...
- Miller BK (1988). A model for professionalism in nursing. Today's OR nurse 10(9): 18-23.
Go to original source...
Go to PubMed...
- Ministry of Health of the Slovak Republic (2018). Regulation No 95/2018. [online] [cit. 2023-05-21]. Available from: http://www.epi.sk/zz/2018-95/znenie-20180401#Share
- Moradi Y, Mollazadeh F, Jamshidi H, Tayefeh T, Zaker MR, Karbasi F (2017). Outcomes of professional socialisation in nursing: A systematic review. J Pharm Sci Res 9(12): 2468-2472.
- Papathanassoglou ED, Karanikola MN, Kalafati M, Giannakopoulou M, Lemonidou C, Albarran JW (2012). Professional autonomy, collaboration with physicians, and moral distress among European intensive care nurses. Am J Crit Care 21(2): e41-e52. DOI: 10.4037/ajcc2012205.
Go to original source...
Go to PubMed...
- Schober M (2016). Introduction to Advanced Nursing Practice. An International Focus. Cham: Springer International Publishing, 178 p.
Go to original source...
- Skela-Savič B, Kiger A (2015). Self-assessment of clinical nurse mentors as dimensions of professional development and the capability of developing ethical values at nursing students: A correlational research study. Nurse Educ Today 35(10): 1044-1051. DOI: 10.1016/j.nedt.2015.04.003.
Go to original source...
Go to PubMed...
- Tong A, Sainsbury P, Craig J (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual 19(6): 349-357. DOI: 10.1093/intqhc/mzm042.
Go to original source...
Go to PubMed...
- Vandenhouten CL, Malakar CL, Kubsch S, Block DE, Gallagher-Lepak S (2011). Political Participation of Registered Nurses. Policy Polit Nurs Pract 12(3): 159-167. DOI: 10.1177/1527154411425189.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.