Changing culture and deprofessionalisation

Gough, Pippa

doi:10.7748/nm.7.9.8.s3

Cited by 7 publications

(9 citation statements)

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“…Professional roles have and will continue to change, the time is now right for nursing to reassess its identity and modernize the profession (Gough 2001). Howkins (2002) however warns that this reassessment should be a re‐conceptualization and not a dissolving of professional role identity, as this is more likely to result in role confusion and demoralization.…”

Section: New Roles For Nursesmentioning

confidence: 99%

Changes in nursing identities: supporting a successful transition

Ewens

2003

J Nurs Manag

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This article examines the role of nurse managers in delivering the NHS modernization agenda by supporting the development of new and innovative nursing roles as proposed in recent health care policy. A study by Ewens (1998) indicates that nurses will respond positively to new short-term developments because of the ability to re-conceptualize work roles before actually undertaking them, but that long-term success will depend upon whether the workplace provides the scope and flexibility for integration of new identities into the self-concept. It is argued that when nurses find a gap between what they believe their role could be and what in reality it is allowed to be they separate their self-concept from their work role. In this situation the nurse experiences frustration and disappointment and the work role becomes 'untenable', resulting in them either leaving or retreating back into traditional professional identities. A discussion is provided on the role of nurse managers in the prevention of this negative response by supporting innovative work environments that can accommodate the new roles envisaged in the current policy. The paper concludes with consideration of the current direction of nursing and questions whether this move towards the nurse as 'assistant physician' will, in the longer term, be a good thing for patients.

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Section: New Roles For Nursesmentioning

confidence: 99%

Changes in nursing identities: supporting a successful transition

Ewens

2003

J Nurs Manag

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“…A professional identity is fundamental to the assumption of various nursing roles (Heung et al ., 2005). As far as professional roles have changed and will continue to change, the nursing profession is expected to reassess its identity and modernize itself (Gough, 2001). The provision of adequate resources and support for nurses' professional and personal development is needed to ensure high‐quality patient care (Fagerberg, 2004).…”

Section: Introductionmentioning

confidence: 99%

Perspectives of Iranian male nursing students regarding the role of nursing education in developing a professional identity: A content analysis study

Vaismoradi

Salsali

Ahmadi

2010

Japan Journal Nursing Sci

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Aim: The purpose of the present study was to explore the perspectives of Iranian male nursing students regarding the role of nursing education in developing a professional identity. Methods: A qualitative design, based on the content analysis approach, was used to collect the data and analyze the perspectives of 14 Iranian male nursing students who were chosen by using a purposive sampling strategy. After the selection of the participants, semistructured interviews were held in order to collect the data. Results: During the data analysis, three main themes emerged: "reality-expectation incompatibility", "being supported by the educational system", and "nursing image rectification". The second theme consisted of two categories: "feeling trusted" and "being defended". Conclusions: This study will be useful to nurse educators and administrators in relation to what constitutes nursing students' professional identity within the Iranian culture and context and how nursing education can play an effective role in developing their professional identity in order to devise strategies to attract male students to the nursing profession and promote their retention after graduation.

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“…Person-centredness is broader than patient-centredness. The latter concept is reflected in the view that the 'patient is king' (Jones and Redman, 2000;Huq and Martin, 2000;Gough, 2001); treating each patient as an individual person; (Stordeur et al, 2000;Binnie, 2000) and the importance of therapeutic relationships between professionals, patients and others significant to them (Manojlovich and Ketefian, 2002). We use 'person-centredness' rather than patient-centredness because this recognises that the set of values underpinning patient centred approaches are the same as those that underpin good staff relationships.…”

Section: Box 2 the Ten Core Valuesmentioning

confidence: 99%

“…Involvement, participation and collaboration with all stakeholders including service users involves formal systems enabling participation in decision-making processes relevant to each stakeholder group and the implementation of decided changes (Clark, 2002;Gough, 2001;Bevington et al, 2004b;Huq and Martin, 2000). Staff are trusted and valued for their contribution (Haworth, 2000;Shimko et al, 2004;Mulchay and Betts, 2005;Jones and Redman, 2000;Davies et al, 2000;Manley 2001); and there are a diversity of voices (Davies et al, 2000).…”

Section: Box 2 the Ten Core Valuesmentioning

confidence: 99%

“…Extensive business studies have recognised that strong cultures alone do not ensure effectiveness (Anthony, 1994;Kotter and Heskett, 2002). Adaptability is maintained when there is a positive attitude to change with continuous development and flexibility (Manley, 2001;Binnie, 2000;Welford, 2002;Gough, 2001;McMahon et al, 2000). This very notion encourages staff and stakeholders to use creativity (Shimko et al, 2000;Thyer, 2003;Coats, 2006); on-going innovation (Scalzi, 2006;Shimko et al, 2000); innovative problem-solving (Stordeur et al, 2000) and critical thinking (Davies et al, 2000;Newman et al, 2000).…”

Section: Attribute 3: Adaptability Innovation and Creativity Maintain Workplace Effectivenessmentioning

confidence: 99%

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Teamtraining zur Integration ausländischer Mitarbeiter

Tewes¹

2018

Pflegez

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The culture of the healthcare workplace is influential in delivering care that is person-centred, clinically effective and continually improving in response to a changing context. The consequences of ineffective cultures have resulted in highly publicised failings. Since 2000, there has been increasing attention on culture in healthcare particularly organisational and corporate cultures, rather than, the immediate culture experienced by patients and users at the interface of care -the micro-systems level which we term 'workplace culture'. This is the level at which most healthcare is delivered and experienced and we argue it has to be given greater attention if healthcare reforms are to be implemented and sustained. Drawing on expertise with practice development -a complex methodology that aims to achieve effective workplace cultures that are person-centred, in different healthcare settings, the authors, within the context of an international colloquium on theory in practice development, present the findings of a rigorous concept analysis. Informed by data from a variety of sources the concept analysis identifies the attributes, enabling factors and consequences of an 'effective workplace culture'. The emerging framework will help those involved in transforming the culture at the patient and client interface to focus on and critique strategies that will directly and positively impact on patients, users and staff. Implications for practice: The framework presented will enable workplace teams to begin to assess their workplace cultures and determine the areas that require action  Individual clinical leaders may wish to self assess themselves in terms of their own role clarity and their own skill-set as transformational leaders and facilitators of others' effectiveness

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Changing culture and deprofessionalisation

Cited by 7 publications

References 0 publications

Changes in nursing identities: supporting a successful transition

Changes in nursing identities: supporting a successful transition

Perspectives of Iranian male nursing students regarding the role of nursing education in developing a professional identity: A content analysis study

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