DOI QR코드

DOI QR Code

Professionalism of the Nurse: A Concept Analysis

간호사의 전문성에 대한 개념분석

  • 이경미 (대구한의대학교 간호학과) ;
  • 김수현 (경북대학교 간호학과)
  • Received : 2019.08.01
  • Accepted : 2019.09.20
  • Published : 2019.09.27

Abstract

This study was aimed to clarify the concept of professionalism of the nurse. Walker and Avant's concept analysis process was used. The main attributes of professionalism of the nurse were advanced nursing knowledge, excellent nursing skill, person-centered nursing care, ethicality, responsibility, peer cooperation, autonomy, and outstanding situational judgement, and problem solving. The antecedents were a long enough period of nursing education and experience, research activities, personal qualities, and self-directed training. The consequences were improvement of professional identity and low turnover rates of nurses; improvement of nursing satisfaction, health recovery and well-being for patients; improvement of nursing quality, revenue, and reputation for hospital; gaining social recognition and development of nursing profession; obtaining financial benefits in national health care for nation. The findings of the study provide clarification of the concept of professionalism of the nurse and lay the foundation to establish professionalism among nurses to deliver good nursing care.

본 연구는 간호사가 갖추어야 할 전문성이 구체적 속성에 대해 파악하기 위해 Walker와 Avant의 개념분석 방법에 따라 간호사의 전문성의 개념을 분석하였다. 연구결과, 간호사의 전문성의 속성은 고도의 간호지식 탁월한 간호기술, 인간 중심 간호 수행, 윤리성, 책임감, 동료 간 협력, 자율성, 탁월한 상황판단 및 문제해결력으로 파악되었다. 선행요인으로는 충분한 기간에 걸친 간호교육과 경험, 연구 활동, 개인적 자질, 자기주도적 훈련이었으며, 간호사의 전문성의 결과는 전문직 정체성 향상, 이직의도 감소, 간호만족도 향상, 건강회복과 안녕의 증진, 간호의 질 향상, 병원의 평판과 수익 증대, 사회적 인정 획득, 간호전문직 발전, 국가 건강 재정적 이익 확보로 확인되었다. 본 연구는 간호사의 전문성 개념의 속성을 밝혀 규명함으로써 사회적 요구에 따른 전문직 간호의 발전을 위한 기초적이고 필수적인 작업으로서, 양질의 간호 제공을 위한 간호사의 전문성 수립의 토대를 마련함에 기여하였다는 점에서 의의가 있다.

Keywords

References

  1. J. Hwang, F. Lou, S. S. Han, F. Cao, W. O. Kim & P. Li. (2009). Professionalism: the major factor influencing job satisfaction among Korean and Chinese nurses. International Nursing Review, 56(3), 313-318. https://doi.org/10.1111/j.1466-7657.2009.00710.x
  2. S. Y. Jung. (1998). A study of relationship between autonomy and job satisfaction of nurses. Master's thesis. Ewha Womans University, Seoul.
  3. A. Rule, T. Cochran, A. Abbott, A. Drincic, B. Harris & K. Mu. (2011). Safety improvement is in professional practice. Sudbury, MA : Jones & Bartlett Learning.
  4. H. S. Oh. (2006). A study on the process of expertise development and key factors. Journal of Vocational Education & Training, 9(2), 193-216.
  5. S. S. Han, M. H. Kim & E. K. Yun. (2008). Factors affecting nursing professionalism. The Journal of Korean Academic Society of Nursing Education, 14(1), 73-79. DOI : 10.5977/JKASNE.2008.14.1.073
  6. E. J. Yeun, Y. M. Kwon & O. H. Ahn. (2005). Development of a nursing professional values scale. Journal of Korean Academy of Nursing., 35(6), 1091-1100. DOI : 10.4040/jkan.2005.35.6.1091
  7. Y. Kim-Godwin, H. C. Baek & C. Wynd. (2010). Factors influencing professionalism in nursing among Korean American registered nurses. Journal of Professional Nursing, 26(4), 242-249. DOI : 10.1016/j.profnurs.2009.12.007
  8. R. Hall. (1968). Professionalization and bureaucratization. American Sociological Review, 33(1), 92-104. DOI : 10.2307/2092242
  9. Y. S. Kim & J. S. Park. (2013). The relationship between nursing professionalism, clincial decision making abilities, and job performance in advanced practice nurses. Journal of Korean Academy of nursing Administration, 19(5), 613-621. DOI : 10.11111/jkana.2013.19.5.613
  10. A. S. Park. (2012). Effects on job satisfaction of professional job perception, job stress and social support among nursing officers. Journal of Military Nursing Research, 30(1), 112-127.
  11. T. S. Kim, M. K. Cho & M. H. Lee. (1997). The Relationships of decentralization, expertise and decision-making perceived by clinical nurses. Chungnam Medical Journal, 24(2), 89-100.
  12. S. I. Choi & M. H. Sung. (2014). Relationships among professional identity, role conflict and job satisfaction of nurses in emergency department(ED). Journal of the Korea Academia-Industrial, 15(6), 3725-3733. DOI : 10.5762/KAIS.2014.15.6.3725
  13. N. O. Cho. (2004). Clinical expert nurse's experience on professionalism. The Journal of Korean Academic Society of Nursing Education, 10(1), 125-138.
  14. M. K. Han. (2011). The actual experiences of advanced practice nurses' professionalism in hospital. Quality Research, 12(2), 126-137. DOI : 10.22284/qr.2011.12.2.126
  15. J. M. Lee. (2017). Relationship between nursing professional practice and clinical competency in clinical nurses. Global Health and Nursing, 7(1), 54-61.
  16. L. Walker & K. Avant. (2011). Strategies for Theory Construction in Nursing. 5th ed. Boston, MA: Prentice Hall.
  17. Wiktionary. (2019). Professionalism. Wikimedia Foundation, Incorporated(Online). https://en.wiktionary.org/wiki/professionalism#Etymology
  18. Merriam-Webster dictionary. (2019). Professional. Merriam-Webster, Incorporated(Online). https://www.merriam-webster.com/dictionary/professional
  19. Cambridge dictionary. (2019). Professional. Cambridge University Press (Online). https://dictionary.cambridge.org/dictionary/english/professional
  20. Standard Korean Language dictionary. (2019). Professionalism. National Institute of Korean Language(Online). https://stdict.korean.go.kr/search/searchResult.do?pageSize=10&searchKeyword=%EC%A0%84%EB%AC%B8%EC%84%B1
  21. Oxford Learner's Dictionaries. (2019). Professionalism. Oxford University Press. (Online). https://www.oxfordlearnersdictionaries.com/definition/english/professionalism?q=professionalism
  22. Naver Encyclopedia. (2019). Professionalism. Naver Corporation(Online). https://terms.naver.com/search.nhn?query=professionalism&searchType=&dicType=&subject=
  23. Collins Cobuild Advanced Learner's English Dictionary. (2019). Professionalism. HarperCollins Publishers(Online). https://www.collinsdictionary.com/dictionary/english/professionalism
  24. Merriam-Webster Dictionary. (2019). Professionalism. Merriam-Webster, Incorporated (Online). https://www.merriam-webster.com/dictionary/professionalism
  25. Cambridge Dictionary. (2019). Professionalism. Cambridge University Press (Online). https://dictionary.cambridge.org/dictionary/english/professionalism
  26. A. R. Hong, J. H. Seok, J. S. Im & H. S. Oh. (2011). A study of the main characteristics and developmental process of the expertise of dancer. The Korean Research Journal of Dance Documentation, 23, 175-197.
  27. H. Noice & T. Noice (2006). Artistic performance: Acting, ballet and contemporary dance. The Cambridge Handbook of Expertise and Expert Performance, 489-503. DOI : 10.1017/CBO9780511816796.028
  28. S. Y. Lim & J. Y. Kim. (2012). Qualitative study on the development process of the automotive professional engineers' technological expertise. The Journal of Vocational Education Research, 31(2), 289-314.
  29. C. H. Keum, B. Y. Han & O. C. Kwon. (2005). Developing the expertise of local public officials. Korean Research Institute for Local Administration, 2005, 1-159.
  30. D. S. Lee. (2014). An art-based life history research on the professional development of an expertise teacher. The Journal of Korean Teacher Education, 31(4), 1-27.
  31. J. A. You. (2000). Research on expertise in teaching. Korean Journal of Sport Pedagogy, 7(2), 41-59.
  32. H. J. Yeon, J. E. Song & E. J. Kim. (2014). Exploration of the concept of early childhood teacher's professionalism: focus on the teaching materials for relevant curriculum subjects of fostering program and interviews with teachers. Early Childhood Education Research & Review, 18(4), 75-93.
  33. D. H. Lee. (2000). An exemplary teacher and academic profession. The Journal of Korean Teacher, 17(1), 1-18.
  34. R. Barker. (2003). The Social Work Dictionary. 5th ed. Washington, DC: NASW Press.
  35. M. Austin. (1981). Supervisory Management for the Human Services. Englewood Cliffs, NJ: Prentice-Hall.
  36. A. Fortune. (1994). Field Education. In F.J. Reamer (Ed.), The Foundations of Social Work Knowledge (pp.15914). New York: Columbia University Press.
  37. M. Y. Hwang. (2006). Critical incident analysis for developing social work students' expertises in the bachelor course of the social welfare department. Korean Journal of Social Welfare Education, 2(2), 125-152.
  38. S. H. Lee & H. S. Oh. (2016). Research issue and role of experience in expertise development. Asian Journal of education, 17(3), 461-489. https://doi.org/10.15753/aje.2016.09.17.3.461
  39. H. H. Ryu & H. S. Oh. (2016). Study on the process of individual expertise expansion form technical domain to managerial domain. The Korean Journal of Human Resource Development, 18(2), 65-100.
  40. H. S. Oh & J. A. Kim. (2007). Critical research issue and future directions in expertise research. Korean Society for Learning and Performance, 9(1), 143-168.
  41. R. Herling. (2000). Operational definitions of expertise and competence. Advances in Developing Human Resources, 2(1), 8-21. DOI : 10.1177/152342230000200103
  42. J. Yielder. (2004). An integrated model of professional expertise and its implications for higher education. International Journal of Lifelong Education, 23(1), 60-80. DOI : 10.1080/0260137032000172060