What makes a nurse today? A debate on the nursing professional identity and its need for change

Cingel, Margreet van der; Brouwer, Jasperina

doi:10.1111/nup.12343

Cited by 99 publications

(53 citation statements)

References 31 publications

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“…Professional identity among nurses refers to the individuals’ positive attitude towards the nursing profession with the intention to fully practice the nursing skills and responsibilities learned from professional training ( Hao, 2011 ). Public image and self-concept significantly contribute to the development of professional identity among nurses ( Cingel and Brouwer, 2021 ). Due to the low public image and self-concept of nursing, professional identity among Chinese nursing students is often reduced.…”

Section: Introductionmentioning

confidence: 99%

Professional identity of Chinese nursing students during the COVID-19 pandemic outbreak: A nation-wide cross-sectional study

Zhang

Tian

et al. 2021

Nurse Education in Practice

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Section: Introductionmentioning

confidence: 99%

Professional identity of Chinese nursing students during the COVID-19 pandemic outbreak: A nation-wide cross-sectional study

Zhang

Tian

et al. 2021

Nurse Education in Practice

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“…Recent studies have shown that nurses have described disrespect from their organizations and society, such as belittling comments, commands (Laminchhane & Bae, 2020), empty promises (Donahue, 2020) and comments on social media. Low salaries have been seen as discrimination and nurses have stated that one reason for this has been that people assume that nurses enter the profession because they have a calling for it (England, 2005; van der Cingel & Brouwer, 2021).…”

Section: Discussionmentioning

confidence: 99%

Registered nurses' perceptions of having a calling to nursing: A mixed‐method study

Kallio

Kangasniemi

Hult

2022

Journal of Advanced Nursing

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Aim: To explore how nurses perceived having a calling to nursing.Design: A mixed-method study.Methods: Survey data collected in autumn 2020 and semi-structured individual interview data collected in spring 2021. The 7925 survey respondents were care professionals and 414 of them were registered nurses. The 23 interview participants were registered nurses who responded to the survey. We examined the survey results using analysis of variance and t-tests and the interview data with qualitative thematic analysis.Results: Registered nurses had a lower calling than other care professionals. Based on the interviews, having a calling to nursing produce four key findings. Nurses with a calling experienced their work as meaningful. They also adopted a humane and holistic approach to their work. However, their calling could change during their professional career. Due to its historical roots, having a calling was seen as a risk for the nursing profession, as it meant nurses had an oppressed position in society and nurses associated it with poor working conditions and low pay. Conclusion:Our study showed that having a calling to nursing had multidimensional benefits for the individual nurse, their patient, colleagues, organization and society, but showed strong association between calling and nurses' poor working conditions and low pay. Impact:We found that nurses had a lower calling than other care professionals. Calling still exists, but it can produce tension in modern nursing. Organizations and society need to focus on how calling can be seen as a more positive attribute of nursing and improve nurses' working conditions and pay. K E Y W O R D S calling, care, mixed methods, nursing, registered nurses, working life 1 | INTRODUC TI ON Nurses' work engagement has become increasingly topical in recent years. Discussions have focused on their working conditions (McDermid et al., 2020) and, in particular, their workload (McHugh & Ma, 2014; Racy et al., 2021). Care has increased due to the rapid ageing of the general public (United Nations, 2019) and the increasing health hazards caused by climate change (Catton, 2020). At the same time, the number of nurses has decreased (Drennan & Ross, 2019) due to retention issues and the fact that the profession

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“…Leaders put aside ego to strive towards the collective good, creating a culture where power and hierarchy can be challenged, a key facet of transformational leadership as outlined below. However, nursing leaders may also have to address the tension between exemplifying the moral characteristics of nursing, which shape professional identity, including values like compassion and caring (van der Cingel & Brouwer, 2021), and addressing corporate institutional issues, such as trying to achieve tangible improvements in resourcing and addressing power differentials. These might include challenging the power differentials in interdisciplinary management and comparatively poorer resourcing for nursing.…”

Section: Leadership Stylesmentioning

confidence: 99%

Compassionate, collective or transformational nursing leadership to ensure fundamentals of care are achieved: A new challenge ornon‐sequitur?

Pattison

Corser

2022

Journal of Advanced Nursing

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Aims This discursive paper draws on three key leadership theories with the aim of outlining how styles of leadership impact the provision of fundamentals of care. Design Discussion paper. Data sources key leadership theories, leadership and fundamentals of care literature. Implications for Nursing The conceptualization of fundamentals of care is viewed through the lens of nursing leadership, and collective, compassionate and transformational leadership theory. The cognitive dissonance that nursing leaders encounter when trying to reconcile organizational, patient and nurses' needs is considered, and the pressure to deliver high‐quality fundamentals of care presents a challenge to nurse leaders. Conclusion Leaders must align nursing and patient outcome data to drive forward and prioritize fundamental care. Focusing on key elements of relational leadership styles will ensure a workforce fit to provide fundamental care, which in the current climate must be an organizational and global nursing priority. Impact This discussion attempts to draw together overlapping leadership theories, emphasizes the importance of relational leadership in ensuring the provision of the fundamentals of care and acknowledged the impact of the COVID‐19 pandemic on nurses and nursing care, with leadership implications outlined, such as a need for role‐modelling, understanding shared values and giving nurses a voice. It will have an impact on nurse leaders, but also on those nurses providing direct care by issuing a challenge for them to confront their own nurse leaders, and to ask that they better resolve competing needs of both the nursing workforce and patients.

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What makes a nurse today? A debate on the nursing professional identity and its need for change

Cited by 99 publications

References 31 publications

Professional identity of Chinese nursing students during the COVID-19 pandemic outbreak: A nation-wide cross-sectional study

Professional identity of Chinese nursing students during the COVID-19 pandemic outbreak: A nation-wide cross-sectional study

Registered nurses' perceptions of having a calling to nursing: A mixed‐method study

Compassionate, collective or transformational nursing leadership to ensure fundamentals of care are achieved: A new challenge ornon‐sequitur?

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