An International Comparison of Professional Behaviors among Nurse Leaders in the U.S.A. and Japan

Abstract

Objective: Nursing professionalism is considered an essential component of nursing leadership, however, little is known about the levels of nursing professionalism from the global point of view. This study aimed to compare nursing professionalism among nurse leaders in the United States of America (U.S.A.) and Japan. Methods: This study used a descriptive design with cross-cultural comparative. Wheel of Professionalism in Nursing Model was applied as a theoretical framework and the corresponding inventory, Behavioral Inventory for Professionalism in Nursing, was used to measure the level of professionalism. The sample was 126 nurse leaders from the U.S.A. and 182 nurse leaders from Japan. The 308 respondents' professional scores were compared by intervention groups using t-test. The Chi-square test and Fisher's exact test were performed to evaluate the degree of professional behaviors between the countries. Results:The results revealed that the mean total score of professionalism was significantly high in the U.S.A. The mean scores of professionalism subscales were also significantly high in the U.S.A. in the categories of education preparation, community service, theory development, and self-regulation and autonomy, whereas publication and communication, and research development were significantly high in Japan.

Cross‐national comparison of factors related to stressors, burnout and turnover among nurses in developed and developing countries

“…Total professionalism scores were significantly higher in the United States. Average scores on the professionalism subscale were also significantly higher in the categories of educational preparation, community service, theory development, self‐regulation and autonomy in the United States, whereas publication and communication and research and development were significantly higher in Japan (Tanaka et al., 2015 ). In the United States, it may be possible to reduce burnout and turnover by building support among nurses through more fulfilling communication.…”

The Effect of Problem Based Learning and Self Efficiency for Improving Learning Outcomes in Pshychiatric Nursing Education

“…The process of professionalization is a process of recognition of something that is felt, assessed and accepted spontaneously by the community. The nursing practice act now allows for more expanded nurse roles, and the ANA has worked to enhance the status of professional nurses [4]. Professional values control and validate nursing and are generated from a desire to produce as well as maintain professional standards of competency and efficiency [5].…”

Nurse Professionalism Scale: Development and Psychometric Evaluation

“…Subsequently, Miller et al, 7 developed an evaluative "Behavioral Inventory Form for Professionalism in Nursing" based on the Model which is widely used to evaluate professionalism among nurses. [8][9][10][11] Several other researchers explored professionalism among nurses using RNAO-BPG 6 questionnaire, an adaptation of Registered Nurses Association, Ontario-Best Practice Guidelines, 12,13 and "Hall's Professionalism Inventory" scale. 14…”