Professional identity and hospital‐based registered nurses: A phenomenological study

Nursing Forum ◽  
2020 ◽  
Vol 55 (3) ◽  
pp. 389-394 ◽  
Author(s):  
Tullamora T. Landis ◽  
Billie M. Severtsen ◽  
Michele R. Shaw ◽  
Carrie E. Holliday
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zoe Bradfield ◽  
Yvonne Hauck ◽  
Ravani Duggan ◽  
Michelle Kelly

Abstract Background Being ‘with woman’ is a central construct of the midwifery profession however, minimal research has been undertaken to explore the phenomenon from the perspective of midwives. The aim of this study was to describe Western Australian midwives’ perceptions of the phenomenon of being ‘with woman’ during the intrapartum period. Methods Descriptive phenomenology was selected as the methodology for this study. Thirty one midwives working across a variety of care models participated in individual interviews. Giorgi’s four stage phenomenological approach was employed to analyse data. Results Three themes were extracted 1) Essential to professional identity; 2) Partnership with women; and 3) Woman-Centred Practice. Midwives described the importance of being ‘with woman’ to the work and identification of midwifery practice. Developing a connection with the woman and providing woman-centred care inclusive of the woman’s support people was highlighted. Conclusions For the first time, we are able to offer evidence of how midwives understand and perceive the phenomenon of being ‘with woman’ which has theoretical and practical utility. Findings from this study provide evidence that supports expert commentary and confirms that midwives conceptualise the phenomenon of being ‘with woman’ as essential to the identity and practice of the profession. Some previously identified ‘good midwifery practices’ were revealed as practical manifestations of the phenomenon. This new knowledge facilitates clarity and provides evidence to support statements of professional identity, which is useful for the development of educational curricula as well as supporting graduate and professional midwives. The findings emphasise the importance of the development of language around this important philosophical construct which permeates midwifery practice, enhances professional agency and supports the continued emphasis of being ‘with woman’ with new understanding of its applied practices in a variety of care models.


2004 ◽  
Vol 8 (2) ◽  
pp. 49-64 ◽  
Author(s):  
Berit Johannessen

This article discusses professional identity among Norwegian nurses who choose to work with alternative/complementary medicine. Ethnographic fieldwork among nurses who worked with alternative/complementary medicine showed that the nurses still called themselves nurses. They felt that they were “more nurses” as alternative therapists than they were as registered nurses employed in the Norwegian public healthcare service. They argued that increasingly it was possible to meet patients holistically and that they could focus on patients more as persons than medical diagnoses. They emphasized the importance of focusing the patients’ self-healing abilities as stressed by Florence Nightingale. Nurses who work with alternative/complementary medicine have a strong identity as nurses. Some of them felt they had come home to the heart of nursing.


2020 ◽  
Vol 11 (1) ◽  
pp. 92-101
Author(s):  
Ömer Gökhan ULUM

Aim. This phenomenological study probes the experiences of pre-service English as Foreign Language (EFL) teachers in the practicum process. Thus, this paper aims at bringing a light to the effects of practicum experiences of pre-service EFL teachers on their professional identity. Methods. Based upon a narrative identity method, this phenomenological inquiry examines the experiences of pre-service EFL teachers (N= 20) in their practicum. A one-shot question was directed to the informants with the aim of clarifying their personal constructs. Results. Practicum has got a significant role in education faculties all over the world. The theories applied in teaching practicum are quite common and universal. However, the practices utilised in practicum may show variations among education faculties. Further, the practicum content, and the characteristics of teacher candidates and supervisors may cause practicum to be carried out in diverse ways. The practicum aspect of pre-service teacher education is contemporarily given significant emphasis all around the world. Further, the exact theory of practicum and the desired outcomes of the related practices are relatively identical in education faculties throughout the world. Nonetheless, the practicum practices represent diversities among institutions. Yet, the characteristics and experiences of pre-service teachers may lead the practicum to be carried out in diverse ways in dissimilar contexts. Conclusion. The results of the study suggest that teacher candidates developed both positive and negative cognitive constructs during their practicum. Related implications are provided to overcome the problems encountered during practicum, as well as to suggest ways to develop EFL pre-service teachers’ practicum process. Keywords: EFL teachers, pre-service EFL teachers, practicum, narrative identity, professional identity


2013 ◽  
Vol 21 (5) ◽  
pp. 554-564 ◽  
Author(s):  
Quinn Grundy

Background: Ethical issues associated with nurses’ interactions with industry have implications for the safety, quality, and cost of healthcare. To date, little work has explored nurse–industry interactions and their associated ethical issues empirically. Design and participants: A phenomenological study was conducted to explore registered nurses’ interactions with industry in clinical practice. Five registered nurses working in direct patient care were recruited and individual, in-depth interviews were conducted. The University’s Committee on Human Research approved the study. Findings: Nurses frequently interacted with industry in their practice and felt ambivalent about these interactions. Nurses described systemic cuts to multiple “goods” central to nursing practice, including patient support, but paradoxically relied on industry resources to deliver these “goods.” They relied on a particular conception of trust to navigate these interactions but were left to do so individually on the basis of their experience. Conflicts of interest arose as a result of multiple competing interests, and were frequently mediated through nurses’ superiors. Conclusion: Nursing as a profession requires a guiding narrative to aid nurses in interpreting and navigating interactions with industry. A conception of trust that incorporates both the work of caring and attention to social justice could form the basis of these interactions, but would require that nursing take a much more critical stance toward marketing interactions.


2020 ◽  
Author(s):  
◽  
Andrea Subryan

Family law practitioners can potentially experience display rule conflict in the workplace. Such conflicts result when family law practitioners comply with competing display rules from their profession, their organisation, and their clients. Research relating to display rule conflict is in its infancy. The phenomenon of display rule conflict was explored to contribute to knowledge in the literature and to inform family law practitioners of such conflicts and how to cope with them. To this end, a hermeneutic phenomenological study was conducted on family law practitioners' workplace experiences of display rule conflict. Two sociocultural theories, professional identity theory and community of coping theory, underpinned this study. Semi-structured interviews of ten family law practitioners comprising partners, solicitors, and paralegals provided data which were analysed by inductive thematic analysis and qualitative hermeneutic phenomenology. Findings revealed four themes: expectations, professional identity, support by offloading, and learning. Furthermore, all participants experienced emotional complexities, tensions and conflicts when they complied with competing expectations to manage and display appropriate emotions during interactions with stakeholders in accordance with diverse formal and informal display rules. Additionally, family law practitioners formed and participated in communities of coping as a means of dealing with display rule conflict. The theme, learning, threaded through the other themes where incidental learning in communities of coping or intended learning in communities of practice were of significant value to participants in this study. It is through learning that family law practitioners were able to recognise expectations from stakeholders and display rule conflicts in various forms and find ways of coping with such conflicts. Time constraints, identity conflict, and power status factors influenced the extent to which knowledge was shared in communities to negotiate the professional identity of the family law practitioners and to uphold perceived power imbalances in the workplace.


2016 ◽  
Vol 4 (2) ◽  
pp. 148-165 ◽  
Author(s):  
Christine Tapson

In this article, the author discusses findings from an interpretative phenomenological study which explores challenging issues in relation to professionalism for counselling, and illuminates features in need of consideration in relation to organisational contexts. These features include the rapid reconfiguration of professionalism in response to contemporary organisational structures such as policy and managerial driven incentives. Using two individual semi-structured interviews, the meaning of professionalism for counsellors is explored. The author proposes that the rapidly growing disparity between old or occupational professionalism, as opposed to new or organizational professionalism, causes uncertainty for counsellors who may struggle to maintain their professional identity. The counsellor’s sense of professionalism is further disempowered if they feel themselves unheard, causing the counsellor to either resist or disengage from organizational obligations. Findings suggest that a counsellor’s sense of professionalism is more ably communicated if their place in an organisation is enacted rather than imposed. The author discusses the experiences of two counsellors in relation to the literature on professionalism, with focus upon the emotional reactions which were expressed as to organisational changes.


2021 ◽  
Author(s):  
Signe Eekholm ◽  
Karin Samuelsson ◽  
Gerd Ahlström ◽  
Tove Lindhardt

Abstract BackgroundResearch continue to report a high prevalence of low quality and missed care for patients with community aquired pneumonia (CAP). Optimised nursing treatment and care will benefit CAP patients and health economy. Hence, there is a need to describe barriers and facilitators at individual, team, and organisational levels influencing registered nurses’ adherence to evidence-based guideline recommendations for nursing care for older patients admitted with community-acquired pneumonia. MethodsTwo semi-structured focus-group interviews (n=6 registered nurses in each group), field observations (n=14), and individual follow-up interviews (n=10) were conducted in three Danish medical units. Data were analysed using qualitative manifest and latent content analysis. ResultsThe data revealed a main theme: ‘Stolen time’- delivering nursing at the bottom of a hierarchy and three themes: 1) ‘Under the dominance of stronger paradigms’, 2) ‘The loss of professional identity’, and 3) ‘The power of leadership. The themes, each comprising two to three sub-themes, illustrated that registered nurses’ adherence to evidence-based guideline recommendations, was strongly influenced by the individual registered nurses’ professionalism and professional identity, contextual barriers including the interdisciplinary team, organisational structure, culture and valuation of nursing care, and the nurse manager’s leadership skills. ConclusionsTime is stolen from hospital nurses worldwide, leading to haphazard and missed care. This study identified central factors that may help registered nurses understand the underlying dynamics and make them better equipped for changing practice to improve patient outcomes. Barriers for evidence-based nursing practice were found at the individual, team, and organisational levels. Implementation strategies for evidence-based nursing should, therefore, target barriers at all three levels and emphasise facilitating leadership.


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