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Background Nursing education combines theoretical knowledge and clinical practice to prepare nursing students to meet the evolving demands of healthcare services. Understanding nursing students’ metaphorical perceptions of the nursing profession and professional communication during their first clinical experiences can provide valuable insights into their professional identity and communication skills, as well as giving information about necessary improvements in nursing education. This study aimed to reveal the metaphorical perceptions of nursing students regarding the concepts of professional communication and nursing during their first clinical practices. Methods The study was conducted using a phenomenological design, a qualitative research method. A “student information form” and a “metaphor form,” developed by the researchers, were used as data collection tools. Participants’ sociodemographic data were analyzed on the Statistical Package for Social Sciences (SPSS). The analysis and evaluation of the metaphors used by nursing students for the concepts of nursing and professional communication were carried out in five stages by following the characteristics outlined in the qualitative data analysis approach called Metaphor Analysis. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed in the study. Results All 45 participants in the study were first-year nursing students, with 81.0% being female and the average age being 19.88 ± 0.96 years. Of the participants, 66.7% had chosen the nursing department willingly, and 57.1% had preferred it due to job opportunities. Participants generated 35 metaphors for the nursing profession, which were categorized into four groups, and 32 metaphors related to professional communication, which were classified into six groups. Conclusion The metaphorical perceptions of nursing students during their first clinical practices provided profound insights into how they experienced professional communication and the nursing profession. These metaphors are of great importance in understanding the challenges, the skills gained, and the emotional responses encountered during the students’ professional development processes. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-024-02590-9.
Background Nursing education combines theoretical knowledge and clinical practice to prepare nursing students to meet the evolving demands of healthcare services. Understanding nursing students’ metaphorical perceptions of the nursing profession and professional communication during their first clinical experiences can provide valuable insights into their professional identity and communication skills, as well as giving information about necessary improvements in nursing education. This study aimed to reveal the metaphorical perceptions of nursing students regarding the concepts of professional communication and nursing during their first clinical practices. Methods The study was conducted using a phenomenological design, a qualitative research method. A “student information form” and a “metaphor form,” developed by the researchers, were used as data collection tools. Participants’ sociodemographic data were analyzed on the Statistical Package for Social Sciences (SPSS). The analysis and evaluation of the metaphors used by nursing students for the concepts of nursing and professional communication were carried out in five stages by following the characteristics outlined in the qualitative data analysis approach called Metaphor Analysis. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed in the study. Results All 45 participants in the study were first-year nursing students, with 81.0% being female and the average age being 19.88 ± 0.96 years. Of the participants, 66.7% had chosen the nursing department willingly, and 57.1% had preferred it due to job opportunities. Participants generated 35 metaphors for the nursing profession, which were categorized into four groups, and 32 metaphors related to professional communication, which were classified into six groups. Conclusion The metaphorical perceptions of nursing students during their first clinical practices provided profound insights into how they experienced professional communication and the nursing profession. These metaphors are of great importance in understanding the challenges, the skills gained, and the emotional responses encountered during the students’ professional development processes. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-024-02590-9.
The onset of the COVID-19 pandemic has dramatically highlighted the critical role of nursing in healthcare, transforming the traditional image of nurses from "sisters" or "white angels" to a more esteemed and academic profession. This study aims to evaluate nurses' perspectives on how the media influences the perception of the nursing profession during the COVID-19 crisis and its impact on their professional image. The study seeks to assess nurses' views on the media's role in shaping public perception of nursing during the COVID-19 pandemic and its implications for professional identity. A total of 208 nurses employed in a hospital setting between January 2022 – March 2022 participated in this research, with institutional approval. Data were collected using a researcher-designed questionnaire and the Nursing Profession Image Scale. Statistical analysis was performed using SPSS 22.0, employing descriptive statistics, Pearson correlation, and Student t-tests, with a significance level set at p<0.05. The average age of the nurses was 35.02±7.80 years, with 81.7% being female. Only 7.3% were affiliated with a professional association. A notable 26.0% believed there were positive shifts in the nursing profession's image during the pandemic, while 80.3% observed increased discourse around nursing due to the pandemic. Moreover, 41.8% felt the media adequately portrayed nurses and their professional challenges. The mean score on the Nurses' Image Scale was 112.00±9.67. According to gender, affiliation with a professional organization, and perceptions of media coverage, the perception of the nursing profession's image has varied. However, no significant correlations were found between age, education, professional experience, and perception of the nursing profession. Nurses' perceptions of their professional image are moderately positive. Efforts to enhance the profession's public perception, particularly through media representation, are deemed imperative.
Introduction: The image of a nurse is a source of concern due to its impact on recruitment into the profession, political decisions about the profession, and how the image affects nursing practice. For these reasons, one of the long-term challenges is to assess and maintain a favorable public image that respects the utility and value of the nursing profession. Aim: This study aims to validate an instrument for assessing the image of the nurse as perceived by Italian citizens. Methods: A non-probabilistic sample of 564 people participated in the study between 2022 and 2023. Sociodemographic information of the Italian citizens was collected, and the instrument used to evaluate the perceived public image was the Nursing Attitudes Questionnaire (NAQ). The psychometric properties of the Italian version of the NAQ (NAQ-IV) were calculated using Cronbach’s alpha, item–total correlations, skewness, and kurtosis. Factor analysis was performed using principal axis factoring and the varimax rotation method. Results: Factor analysis revealed a four-factor model explaining more than 60.52% of the variance, with the largest variance explained by the “Role and Professionalism” factor (34.08%). The internal consistency calculation showed a Cronbach’s alpha of 0.89 for the scale and between 0.88 and 0.89 among the factors; all the items verified the item–total correlation and response variability criteria. Conclusions: The NAQ-IV could be a valid tool for assessing the perception of Italian citizens. However, further studies are recommended to evaluate the reliability of the instrument, especially in the evolving professional profile and social health welfare.
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