A thematic analysis of professionalism from the perspective of nurse managers
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Abstract
Background & Aim: Professionalism is a multidimensional and dynamic concept that can be understood and interpreted differently in time, job position, or culture. Our study investigated how nurse managers interpret and understand professionalism in the Slovak sociocultural context.
Methods & Materials: This qualitative study adopted an interpretive design. The sample consisted of seven nurse managers working in the selected university hospital in Slovakia. Data were collected between November and December 2021 using semi-structured interviews. Data were analyzed using reflexive thematic analysis.
Results: The reflexive thematic analysis resulted in developing six key themes specified in twenty-one sub-themes: Developing and maintaining professionalism; Challenges and problems of professionalism in nursing; Teamwork; Violation of professionalism; Requirements to become a nurse professional; Social status of nurses. These themes represent the perception of nurse managers of professionalism as a complex phenomenon grounded in the background and attitudes of nurses, socialization, quality of teamwork, profession requirements wrestling with the shortage of nurses, dominance of medicine, and lack of respect for the profession of nurses.
Conclusion: Together with other healthcare managers, nurse managers should continuously support and guide novice nurses and nursing students, share knowledge and skills, overcome stereotypes, support teamwork through strengthening nurse-patient collaboration or building collegian relationships, and improve the social status and recognition of nurses in society.
2. Ageiz MH, Elshrief HA, Bakeer HM. Developing a professionalism manual for nurse managers to improve their perception regarding professionalism and professional identity. SAGE Open Nursing. 2021 Jun;7:23779608211026174.
3. De Braganca A, Nirmala R. Professionalism among nurses: A concept analysis. Journal of Business and Management Invention. 2017;6(7):60-6.
4. Miller BK. A model for professionalism in nursing. Todays OR Nurse. 1988 Sep;10(9):18-23.
5. Luengo-Martínez C, Paravic-Klijn T, Burgos-Moreno M. Professionalism in nursing: A literature review. Enfermería Universitaria. 2017 Jun;14(2):131-42.
6. Grinberg K, Sela Y. Expanding nurses’ authority–Physicians’ and nurses’ attitudes. Applied Nursing Research. 2022 Feb 1;63:151550.
7. Kim M, Beehr TA, Prewett MS. Employee responses to empowering leadership: A meta-analysis. Journal of Leadership & Organizational Studies. 2018 Aug;25(3):257-76.
8. Williams M, Christopher R. Moving Shared Governance to the Next Level: Assessing Council Health and Training Council Chairs. JONA: The Journal of Nursing Administration. 2023 Jan 1;53(1):6-11.
9. Rao AD, Kumar A, McHugh M. Better nurse autonomy decreases the odds of 30‐day mortality and failure to rescue. Journal of Nursing Scholarship. 2017 Jan;49(1):73-9.
10. Bartmess MP, Myers CR, Thomas SP. ‘It Would Be Nice to Think We Could Have a Voice’: Exploring RN Involvement in Hospital Staffing Policymaking. AJN The American Journal of Nursing. 2022 Oct 1;122(10):22-31.
11. Roberge V, Boudrias JS. The moderating role of employees’ psychological strain in the empowering leadership—Proactive performance relationship. International Journal of Stress Management. 2021 Aug;28(3):186-96.
12. Porter-O’Grady T. Privileging for nursing: Structural requisites for next-step professional governance. Nurse Leader. 2022 Oct 1;20(5):465-72.
13. Kaya G, Eskin Bacaksiz F. The relationships between nurses’ positive psychological capital, and their employee voice and organizational silence behaviors. Perspectives in Psychiatric Care. 2022 Oct;58(4):1793-800.
14. Braun V, Clarke V. Thematic analysis: A practical guide. Sage Publications; 2022.
15. Allobaney NF, Eshah NF, Abujaber AA, Nashwan AJ. Professional self-concept and self-confidence for nurses dealing with COVID-19 patients. Journal of Personalized Medicine. 2022 Jan 20;12(2):134.
16. International Council of Nurses. The ICN code of ethics for nurses. Geneva: ICN; 2006.
17. Rchaidia L, Dierckx de Casterlé B, De Blaeser L, Gastmans C. Cancer patients’ perceptions of the good nurse: a literature review. Nursing Ethics. 2009 Sep;16(5):528-42.
18. Gunawan NP, Hariyati RT, Gayatri D. Motivation as a factor affecting nurse performance in Regional General Hospitals: A factors analysis. Enfermeria Clinica. 2019 Sep 1;29:515-20.
19. Tamata AT, Mohammadnezhad M. A systematic review study on the factors affecting shortage of nursing workforce in the hospitals. Nursing Open. 2023 Mar;10(3):1247-57.
20. AllahBakhshian M, Alimohammadi N, Taleghani F, Nik AY, Abbasi S, Gholizadeh L. Barriers to intensive care unit nurses’ autonomy in Iran: A qualitative study. Nursing Outlook. 2017 Jul 1;65(4):392-9.
21. Fatemi NL, Moonaghi HK, Heydari A. Exploration of nurses’ perception about professionalism in home care nursing in Iran: a qualitative study. Electronic physician. 2018 May;10(5):6803-11.
22. Nordström K, Wangmo T. Caring for elder patients: Mutual vulnerabilities in professional ethics. Nursing Ethics. 2018 Dec;25(8):1004-16.
23. Hunter K, Cook C. Role‐modelling and the hidden curriculum: New graduate nurses’ professional socialisation. Journal of Clinical Nursing. 2018 Aug;27(15-16):3157-70.
24. Al-Ruzzieh MA, Ayaad O, Hess Jr RG. The role of participation in and effectiveness of shared governance councils in the nurses’ perception of a professional practice work environment. JONA: The Journal of Nursing Administration. 2022 Jan 1;52(1):51-6.
25. Mlambo M, Silén C, McGrath C. Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC nursing. 2021 Dec;20(62):1-13.
26. Papathanassoglou ED, Karanikola MN, Kalafati M, Giannakopoulou M, Lemonidou C, Albarran JW. Professional autonomy, collaboration with physicians, and moral distress among European intensive care nurses. American Journal of Critical Care. 2012 Mar 1;21(2):e41-52.
27. McCabe TJ, Sambrook S. The antecedents, attributes, and consequences of trust among nurses and nurse managers: A concept analysis. International Journal of Nursing Studies. 2014 May 1;51(5):815-27.
28. Mishra S. Respect for nursing professionals: Silence must be heard. Indian Heart Journal. 2015 Sep 1;67(5):413-5.
Mitchell A, Ahmed A, Szabo C. Workplace violence among nurses, why are we still discussing this? Literature review. Journal of Nursing Education and Practice. 2014;4(4):147-50.
| Files | ||
| Issue | Vol 10 No 4 (2023): Autumn | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v10i4.14080 | |
| Keywords | ||
| professionalism; nurse managers; hospital; qualitative research | ||
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