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PubMed1985

Nursing theory: a vehicle of professionalization?

Nursing's bid for professional status has been and continues to be a hotly debated issue. Much of the debate rests upon the question of what exactly the word professional implies, for many nurses do in fact consider themselves to be professionals while others would disagree. This paper suggests that nursing is not a profession but it is engaged in the process of professionalizing. A professionalizing occupation utilizes various vehicles to reach its own ends and, for nursing, it is suggested that the development of nursing theory at basic and complex levels is one such vehicle. Selected professional criteria are examined and it is shown that nursing theory development aids in the attainment of these criteria, thereby allowing nursing to become more professionalized.

Ethics, Nursing↗
PubMed1991

The healthcare professional of the future: function based upon competence.

There is an ongoing evolution in healthcare in the U.S., a metamorphosis that may continue indefinitely. The most immediately identifiable change is an economic one that is generally classified as cost containment. Notwithstanding the important financial redirection in healthcare, there should be a functional reevaluation of various professionals as well. This is already ongoing and certainly will continue. In order to preserve authority and economic benefit, enhanced interprofessional boundaries are expected byproducts of a cost-containment approach. Hence, advancement toward the healthcare system of the future is destined to take a convoluted path that is influenced in an infinite number of ways by the professions themselves, the federal government, and society. We should be reminded that patients are best served by the competent performance of a task which is often independent of any given profession.

Clinical Competence↗
PubMed1993

The research challenge for the Professions Allied to Medicine.

The transfer of health care schools into Higher Education, coupled with the universal development of degree programmes has resulted in the need to develop research strategies for the Professions Allied to Medicine (PAMs). While considerable reliance has to be placed on the University sector to lead and encourage research activity, it is essential to recognise the need to maintain and develop links with clinical colleagues and to promote the growth of interdisciplinary research. A variety of areas which could allow early fruition of collaborative work between the professions are proposed.

Allied Health Occupations↗
PubMed2006

The training and development needs of nurses in Indonesia: paper 3 of 3.

BACKGROUND: Indonesia's recent economic and political history has left a legacy of widespread poverty and serious health problems, and has contributed to marked inequalities in health care. One means of responding to these challenges has been through a reconsideration of the professional roles of nurses, to enable them to deal with the range and complexity of health problems. However, there are currently a number of obstacles to achieving these aims: there is a serious shortfall in trained nurses; the majority of nurses have only limited education and preparation for the role; and there is no central registration of nurses, which means that it is impossible to regulate either the profession or the standards of care. This study aimed to establish the occupational profiles of each grade of nurse, identify their training and development needs and ascertain whether any differences existed between nurses working in different regions or within hospital or community settings. METHODS: An established and psychometrically valid questionnaire was administered to 524 nurses, covering three grades and coming from five provinces. RESULTS: Significant differences in job profile were found in nurses from different provinces, suggesting that the nature of the role is determined to some degree by the geographical location of practice. The roles of hospital and community nurses, and the different grades of nurse, were fairly similar. All nurses reported significant training needs for all 40 tasks, although these did not vary greatly between grade of nurse. The training needs of nurses from each of the provinces were quite distinct, while those of hospital nurses were greater than those of community nurses. CONCLUSION: The results suggest that the role of the nurse is not as diverse as might be expected, given the different levels of preparation and training and the diversity of their work environments. This may reflect the lack of a central registration system and quality framework, which would normally regulate clinical activities according to qualifications. The differences in training needs between subsections of the sample highlight the importance of identifying skills deficits and using this information to develop customized post-registration education programmes. Together, these results provide a rigorous and reliable approach to defining the occupational roles and continuing education needs of Indonesian nurses.

Journal Article↗
PubMed1996

Gender differences in managerial characteristics in a female-dominated health profession.

This study examines gender differences in characteristics of managers in terms of leadership roles, use of power, type of supervisory style preferred, career commitment, and work/family conflict for the female profession of physical therapy. A questionnaire sent to all members of the Private Practice and Administration Sections of the American Physical Therapy Association yielded 545 managers, 58 percent of whom were female. Females preferred to use a transformational supervisory style more than the men did but males used more masculine leadership traits. Females were as committed to their careers as males and reported the same work/family conflict as the men. These results raise questions as to why proportionately more males are managers in a female-dominated profession. Have health care executives promoted men over women even when the occupation is mainly female?

Career Mobility↗