Professional Values in Guiding Professional Behavior of Nurses: A Phenomenological Study

Introduction: Nurses must have knowledge and awareness concerning professional values as standards to provide safe and high-quality care. Objective: The study aimed to explore the professional’s value in directing nurses’ behavior. Method: A qualitative study design with a phenomenology approach was applied in this study. We involved ten nurses with ten years of working experience and acting as role models in nurse managers. The data analysis used the Colaizzi method. We found the professional nursing values among nurses, including human dignity, integrity, professional practice, altruism, and compassion. Dimensions that underlying the professional values are knowledge, skill, and attitude. Results: The following four themes reflected how to apply nurses value: 1) Competence in facing challenges; 2 Nurses provided services based on knowledge and skills, a sense of help and compassion for love as a form of worship and commitment to the profession; 3) feeling satisfied in undergoing the nurse profession; 4) expectations of professional development. Professional nurses have a positive attitude and a hope for professional development. Conclusion: The hospital could improve nursing education and research by providing evidence-based practices for self-development. Recommendation: Nurse managers also can provide services based on science, skills, and attitudes as a form of worship and commitment to the profession, becoming a role model for the nurse-led

Living nursing values: A collective case study

<p>Distinctive humanistic values are foundational in professional nursing practice, commonly shared by members of the profession and the mainstay of how nurses act. The foundational values of the nursing discipline are balanced with clinical knowledge and technical skill. Nursing values presuppose nurses’ responsibility to nurture and protect, to heal, to cultivate healthy behaviours and attitudes, and to be present (physically and intellectually) during times of vulnerability, illness or injury. The rationale for this study came from the recognition that nursing has changed, so too have the characteristics of patients and the way healthcare is operationalised. Nurses are challenged on a daily basis to negotiate between meeting the complex needs of patients whilst addressing healthcare priorities and attending to their own personal and professional requirements. There is a growing philosophical debate about whether the healthcare climate is dehumanising health care professionals’ encounters with patients, including those of nurses, and creating a culture where enacted values are inconsistent with professionalism. The purpose of the research was to explore the values of professional nurses practicing in medical ward environments and how these values are lived in day-to-day practice. Case Study methodology was used to capture the contextual conditions of nursing values in nurses’ daily practice. Data collection was carried out in three medical wards in New Zealand; data were triangulated using observations, focus groups, interviews, burnout survey and theoretical application. The major theoretical and philosophical influences on the research, which were used to explore the data, were those of Isabel Menzies’ defences against anxiety and Edith Stein’s phenomenological theory of motivation and value. Key findings indicate that healthcare environments obstruct the enactment of humanistic nursing values stimulating value dissonance for nurses between how they want to practice and how they actually practice. Conflict arises from nurses experiencing systems that foster managerialism and cultures of anxiety. In order to cope with value dissonance, nurses enact unconscious defence mechanisms; resulting in constrained nursing practice, exhaustion, cynicism and burnout. This thesis challenges the nursing profession to acknowledge and address the visibility of nursing values in contemporary practice, as well as acknowledge the dissonance that exists between the values of nursing and the values that drive healthcare delivery. Humanistic nursing values remain important to practicing nurses. This study identifies in detail the every-day difficulties nurses face in seeking to enact their values and the managerial challenges that confront them. This information offers a trustworthy analysis of the challenges the nursing profession faces in addressing this problem. It also offers a basis for developing approaches that could strengthen nurses’ ability to enact the humanistic values they are professionally committed to provide. It is critical that any attempt to embed nursing values into clinical nursing practice is founded on a strategy that recognises and mitigates against dysfunctional organisations and organisational constraints. Drawing on findings from this thesis, it is recommended that the articulation and development of nursing values in acute clinical environments is responsive to organisational factors. Through this, the nursing community can develop, articulate and operationalise nursing values.</p>

Treatment and Nursing Values of Cd(II) Complex with Photocatalytic Activity on Bacterial Infection by Inhibiting the Gram-Positive Bacteria Growth

Presented here is a trinuclear cluster-based Cd(II) compound, namely, {[(CH3)2NH2][Cd6K(bdc)6(btz)3(H2O)6]}n (1 H2bdc = terephthalic acid, Hbtz = 1H-benzotriazole), has been solvothermally prepared and structurally determined by the single crystal X-ray diffraction analysis, elemental analysis, powder X-ray diffraction analysis, and thermogravimetric analysis. Notably, compound 1 shows excellent photocatalytic activity for degradation of MV irradiated by UV light. In addition to this, the biological activity of the new compound on bacterial infection was evaluated, and the corresponding mechanism was also studied. The ELISA assay was used to evaluate the TNF-α and IL-1β released into plasma after compound treatment. Then, the relative expression levels of the bacterial survival gene were measured with real-time RT-PCR.

Effects of Self-Esteem, Problem-Solving Ability and Professional Nursing Values on the Career Identity of Nursing College Students in South Korea: A Cross-Sectional Study

In Korea, the number of admissions to nursing colleges has greatly increased over the past 20 years to address the shortage of nurses. However, many nursing students have unclear career identities during college and stop working in healthcare after graduation. This study aimed to examine the effects of self-esteem, problem-solving ability, and professional nursing values on career identity. The participants were 140 third- and fourth-year nursing students recruited from a university in South Korea. Data were collected between September and October 2019 using a self-administered questionnaire. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation, and multiple linear regression. The results showed significant correlations between satisfaction with college life and major subject, subjective academic achievement, self-esteem, problem-solving ability, professional nursing values, and career identity. The factors that significantly affected career identity were self-esteem and professional nursing values. Nursing educators can support the career development of nursing students by enhancing their self-esteem and professionalism, along with efforts to improve satisfaction with their college life and major.

An integrative review to identify how nurses practicing in inpatient specialist palliative care units uphold the values of nursing

Background Caring for individuals and their families with a life-limiting, symptomatic illness and those who are dying has long been an integral role of palliative care nurses. Yet, over the last two decades, the specialty of palliative care has undergone significant changes in technology and medical treatments which have altered both the disease trajectory and the delivery of palliative care. To date, there is little evidence as to the impact of these medical and nursing advancements on the role of nurses working in palliative care and how in clinical practice these nurses continue to uphold their nursing values and the philosophy of palliative care. Methods An integrative review was conducted searching seven academic databases from the time period of January 2010 – December 2019 for studies identifying research relating to the role of the palliative care nurse working in specialist palliative care units and hospices. Research articles identified were screened against the inclusion criteria. Data extraction was completed on all included studies and the Crowe Critical Appraisal Tool was utilized to appraise the methodological quality and thematic analysis was performed guided by Braun and Clarke’s framework. The review was conducted and reported in lines with PRISMA guidelines. Results The search yielded 22,828 articles of which 7 were included for appraisal and review. Four themes were identified: (1) enhancing patient-centred care (2) being there (3) exposure to suffering and death (4) nursing values seen but not heard. The findings highlight that while palliative care nurses do not articulate their nurse values, their actions and behaviors evident within the literature demonstrate care, compassion, and commitment. Conclusion These findings suggest that there is a need for nurses working in specialist palliative care units to articulate, document, and audit how they incorporate the values of nursing into their practice. This is pivotal not only for the future of palliative nursing within hospice and specialist palliative care units but also to the future of palliative care itself. To make visible the values of nursing further practice-based education and research is required.

Hiding in Plain Sight

The incidence of Intimate Partner Violence (IPV) in Australia is rising. Women experiencing IPV seek assistance through Emergency Departments (ED). Women exhibit help-seeking behaviours to nurses who work in emergency over medical or allied health professionals. Nurses’ capacity to recognise the need to care for women experiencing IPV is essential. The aim of this study was to explore nurses’ capacity to care for women who have experienced IPV through outlining inhibiting factors that limit care and create a discourse that contributes to addressing these factors. Pre (n=10) and post (n=6) focus groups (FGs) were undertaken with nurses who work in ED. In between the FGs an intervention was applied to prompt change to caring practices. The discourse generated from the FGs was subjected to a Foucauldian discourse analysis from a poststructural feminist perspective. Participants’ capacity to care was found to be based on the values they formed on IPV, as shaped by their post-registration training. The formation of boundaries was fundamental in inhibiting the participants’ capacity to care. Challenging boundaries through educational inquiry into nursing values can be effective in shifting perspectives of IPV. The raising of awareness of IPV in our communities serves as a vital tool in eliciting cultural behaviour change within EDs and within nursing culture.