Defining medical professionalism: a qualitative study

Wagner, P. D.; Hendrich, Julia; Moseley, Ginger C.; Hudson, Valera L

doi:10.1111/j.1365-2929.2006.02695.x

Cited by 131 publications

(109 citation statements)

References 15 publications

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“…A professional is someone who can explain why in this case, for this patient, the professional's behaviour or decision was appropriate (Verkerk 2007). Medicine is a calling, not just van occupation (Swick 2000), an identity, not just a set of skills and knowledge (Wagner 2007), and so a definition of professionalism should perhaps be a multi-dimensional concept (Van de camp et al 2004) that evolves to meet the changing needs of the medical profession's contract with society, a continuum that evolves with an individual's growth through medical training and beyond (Woodruff et al 2008). As medical practice has There is a commonly perceived notion within health care, but not well established yet in the literature, that the attributes of professionalism may differ by specialty and individual practitioner (Garfield et al 2009;Rowley et al 2000;Bryden et al 2010;Pryor 2010).…”

Section: Discussionmentioning

confidence: 99%

“…As well, more recent papers have taken a more nuanced approach, focusing on a more complex, nuanced definition that is based on behaviours (Green et al, 2009) or on an ethos (Coulehan 2005;Jha et al 2006;Swick 2007;Wagner et al 2007) rather than a fixed set of attributes. These approaches more accurately portray the complex, contextual nature of desirable approaches to medicine, and behaviours are more readily measured, so aiding in assessment.…”

Section: Discussionmentioning

confidence: 99%

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Defining professionalism in medical education: A systematic review

et al. 2013

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Introduction: We undertook a systematic review and narrative synthesis of the literature to identify how professionalism is defined in the medical education literature. Methods: Eligible studies included any articles published between 1999 and 2009 inclusive presenting viewpoints, opinions, or empirical research on defining medical professionalism. Results: We identified 195 papers on the topic of definition of professionalism in medicine. Of these, we rated 26 as high quality and included these in the narrative synthesis. Conclusion: As yet there is no overarching conceptual context of medical professionalism that is universally agreed upon. The continually shifting nature of the organizational and social milieu in which medicine operates creates a dynamic situation where no definition has yet taken hold as definitive.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Defining professionalism in medical education: A systematic review

et al. 2013

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“…Although several studies have analyzed medical professionalism from the perspectives of medical educators, physicians, and medical students over the past two decades (Swick 2000;Wagner et al 2007;Miles & Leinster 2010), most of these studies lack input from allied health professionals, patients, and public health experts. Moreover, only a few have characterized medical professionalism in Asian countries Cui & Yuan 2012;Leung et al 2012).…”

Section: Discussionmentioning

confidence: 99%

Building a professionalism framework for healthcare providers in China: A nominal group technique study

et al. 2013

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Background: Medical professionalism is valued globally. However, Western frameworks of medical professionalism may not resonate with the cultural values of non-Western countries. Aims: This study aims to formulate a professionalism framework for healthcare providers at Peking Union Medical College (PUMC) in China. Methods: This study was conducted using nominal group technique (NGT) in a convenient sample of 97 participants at PUMC in November and December, 2011. Participants were sorted into 13 occupational groups, each discussing and ranking categories of medical professionalism. The authors compared the results of each group's ranked categories and analyzed meeting transcripts. Results: A pre-existing framework provided eight categories: clinical competence, communication, ethics, humanism, excellence, accountability, altruism, and integrity. Participants created four categories: teamwork, self-management, health promotion, and economic considerations. Clinical competence and communication ranked highly among most groups. Only hospital volunteers and resident physicians included self-management in their top-ranked items. Only public health experts prioritized health promotion. Standardized patients were unique in mentioning ''economic considerations.'' Medical students and attending physicians both referenced Chinese traditional values. Conclusions: Our study was able to document effects of East Asian cultural influences and conflicts between Western ideologies and Asian traditions that led to divergent interpretations of medical professionalism.

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“…Different governments use this model to meet long-term needs in standards development. The use of temporary or permanent committees in line units is also the other features of attention in selecting a nursing manager in the study countries (48,49).…”

Section: Discussionmentioning

confidence: 99%

Selection, Recruitment and Training of Nursing Managers in Hospitals: A Comparative Study

2018

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Background: Today, nursing is getting more complex and specialized and nursing management is of great significance. Nursing managers play an essential role in organizing, providing services, and enhancing the quality of nursing care. For this reason, this study aimed at determining the framework, dimensions, and requirements for selection, training, and recruitment of nursing managers in selected hospitals of different countries to provide a review and comparison of experiences. Methods: A mixed-method design was used to provide a model for selection, recruitment, and training of nursing managers in Iran, 2017. With a comparative study, the variables were identified. A data extraction form was used to collect data and content analysis was used to analyze data in the comparative phase. Finally, the initial questionnaire was compiled and approved by the experts. The final questionnaire was then given to 250 individuals and data were analyzed using factor analysis in Amos software. Results: 50 main items were extracted based on comparative findings in the three main dimensions: selection, training, and recruitment. 17 items were related to selection, 12 to training, and 21 to recruitment. Selection based on human skills of qualified people, teaching specialized principles of nursing management in the nursing university curriculum, and the existence of a planning committee for job analysis had the most impact on the selection, training, and recruitment of nursing managers in hospitals. Conclusions: Professional associations under the supervision of the ministry of health and paying attention to human skills of qualified individuals can play an important role in selecting nursing managers. Therefore, these associations should be used more. Recruitment standards and criteria in the field of nursing management requires more information clarification and factors such as education, organization, and institutionalization should be discussed and localized according to the conditions of different countries.

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Defining medical professionalism: a qualitative study

Cited by 131 publications

References 15 publications

Defining professionalism in medical education: A systematic review

Defining professionalism in medical education: A systematic review

Building a professionalism framework for healthcare providers in China: A nominal group technique study

Selection, Recruitment and Training of Nursing Managers in Hospitals: A Comparative Study

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