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Specialists without spirit: crisis in the nursing profession.

This paper examines the crisis in the nursing profession in Western industrial societies in the light of Max Weber's theory of rationalisation. The domination of instrumental rational action in modern industrial societies in evident in the field of modern medicine. The burgeoning mechanistic approach to the human body and health makes modern health care services increasingly devoid of human values. Although the nursing profession has been influenced by various changes that took place in health care during the last few decades (for example greater reliance on technology), the underlying values of the nursing profession still emphasise a broad definition of the well-being of patients. Hence, in recent years the irrational consequences of growing technological medicine in North America has resulted in a serious crisis in the nursing profession. To resolve this crisis the authors propose a reorganisation of modern health care services on the basis of a new paradigm which is compatible with both the health care needs of the people and the main emphasis in education and training of the nursing profession.

Altruism↗

[Expectations of the nursing profession at the beginning of nursing education and their realization at the end of the 2 year (longitudinal study)].

When young people start a career in nursing, they have certain expectations about the profession. The intrinsic motivation of wanting to help plays the most important role. Does the nursing profession actually fulfill these expectations or will the everyday-routine of the profession soon disappoint the students? In the study presented, 166 nursing students were tested twice, once at the beginning of their education (Veit, 1996) and after having completed their second year of training. The comparison of the results of both surveys enables us to determine to which extent the expectations connected with the choice of a career were actually fulfilled. On the whole, the students participating in the survey were satisfied with their career choice. The degree to which their expectations were fulfilled, however, vary according to the different groups of students.

Attitude of Health Personnel↗

[Intention to leave the nursing profession].

BACKGROUND: The NEXT Study (Nurses' Exit Study) was initiated in 10 European countries in order to shed light on nurses' working conditions and reasons of shortage. OBJECTIVES: The study objective was to determine organisation and psychosocial conditions that lead to premature departure from the nursing profession. METHODS: The questionnaire we used took into account aspects such as work history, work demands and organisation, career prospectives and individual resources. This article describes steps related to the construction and validation of the questionnaire and sampling methods. Preliminary results are also reported. Data analysis, performed in relation to the intention to leave the nursing profession, showed the distinctiveness of the situation in Italy compared to other European countries. RESULTS: Conditions related to intention to leave are multifaceted, but they can be summarized as inadequacy of facilities to support the family needs of staff low level of trust in official structures, together with poor support by colleagues and superiors, work overload, and lack of independence at work--although the latter is foreseen in current legislation--and scant career and development possibilities. CONCLUSIONS: These results confirm the existence of a difficult situation, although certain legislative changes are aimed at solving these problems.

Adult↗

Reactions from the medical and nursing professions to Nightingale's "reform(s)" of nurse training in the late 19th century.

In 1860, the Nightingale School of Nursing opened at St Thomas's Hospital, London. Florence Nightingale's overriding raison d'etre in the setting up of this foundation was a replacement of the old fashioned nurse (caricatured by Mrs Gamp-an "ignorant and immoral drunkard") by the highly trained, and eminently respectable "lady-nurse". While this change met with a great deal of approval from the lay public and the majority of the nursing profession, a minority of the latter together with the bulk of medical practitioners (including several leading physicians and surgeons of the day) wholeheartedly opposed this revolutionary move. It was felt, by them, that the medical profession was in danger of losing control over nursing with the resultant sacrifice of satisfactory patient care. Today, both medical student and nurse training is moving noticeably away from the bedside, an orientation which has added such an important dimension to British medical/nurse training over so many generations. Is this 19th century experience yet another example of history repeating itself in the medical sphere?

Education, Nursing↗

Nursing: profession in peril.

The number of nursing faculty experienced and skilled in research and scholarship is declining because of retirement and insufficient numbers of new scholars entering academia. This trend, alone, puts the future development of the nursing profession at risk. In addition, the increasing expectations placed upon the existing professoriate in the teaching and essential institutional service arenas necessitated by this shortage limit both the time and energy of senior faculty who are most qualified to advance the profession. The historical development of nursing as a profession is grounded in its affiliation with institutions of higher education that provided the support and opportunities for nursing scholarship. The viability of any profession is dependent upon the ongoing generation and dissemination of knowledge. In the current and predicted environments, nursing academic institutions and individual faculty must acknowledge the fundamental role of research and scholarship in the advancement of the profession and seek methods by which they can provide support. Strategies for institutional and individual action are offered so that the knowledge base of the profession will continue to develop.

Burnout, Professional↗

Registered male: a discussion on men in the nursing profession.

The aim of this discussion paper is to alert the profession to issues surrounding men in nursing. There is a historical connection between men and the nursing profession; men having served as nurses long before Florence Nightingale. Literature suggests that women and men enter the nursing profession for the same reasons, however the paths which lead men to nursing differ. Feminist sociologists express alarm at the disproportionate number of males in managerial nursing positions and hold that this may have negative consequences for the profession. Male and female patients have a definite preference in regards to the gender of their nurse. Issues surrounding this preference will be explored.

Australia↗

Undergraduate nursing students' compatibility with the nursing profession.

BACKGROUND: The high rate of attrition among nursing students has caused some nursing leaders to think about the necessity of considering students' personality during the process of admission into nursing schools. Due to the lack of studies on Iranian nursing students' personality traits, this study was designed to assess freshmen nursing students' personality characteristics and their compatibility with the demands of the nursing profession. METHODS: A descriptive study was conducted at Tehran and kashan medical universities and one of the branches of Azad University. Convenience sampling was used and 52 freshmen nursing students were assessed using Holland's Vocational Interests Inventory. RESULTS: From the total participants 63.5% were females and 36.5% were males. Based on the Holland's Vocational Interests Inventory 44% did not have appropriate personality characteristics for the nursing profession. 77% of the nursing students participating in the study reported that they lacked information about nursing. CONCLUSION: It seems that personality tests can help to select the best students for nursing schools from those who show good academic capabilities. This would decrease the rate of attrition and could improve the quality of care.

Adolescent↗

[Development of standards and criteria for accreditation of a baccalaureate nursing education program: reflections on the unique characteristics of the nursing profession].

PURPOSE: The purpose of this study was to determine characteristics of nursing science and identify expected outcomes from baccalaureate graduates, and to develop accreditation standards and criteria reflecting the characteristics of the nursing profession. METHODS: A methodological research design was utilized in this study. Related literature reviews and the nursing education program goals and objectives of the 99 nursing schools in Korea were analyzed. A cross-sectional survey research design was utilized to test the validity of the developed characteristics of the nursing profession and their accreditation criteria and standards. The face validity was from the advisory committee and public committee hearing. RESULTS: The characteristics of nursing science were defined with five concepts including humanity, scientific knowledge, professionalism, therapeutic relationship, and facilitating well-being. The expected outcomes from graduates were identified as providing holistic nursing, critical thinking, establishing professionalism and leadership, construction of a therapeutic relationship, and skilled nursing practice. Finally 6 standards and 14 criteria reflecting the unique characteristics of the nursing profession were developed for accreditation. These proposed accreditation standards and criteria are a challenge to promote the quality of nursing science.

Accreditation↗

Quantifying discontent in the nursing profession: a study of staff mobility in Victorian nursing homes.

Two problems facing the Australian health system are discontent within the nursing profession and matching limited resources to a growing aged population. It is argued in this paper that the solutions to these two problems can only be evaluated by quantifying the scale of the problem. Three measures are used to demonstrate how to measure the size of the problem: participation rates, staff turnover rates and proportion of permanent/casual staff. These three measures are useful to monitor both at a systems level and at the level of individual health services. The discussion refers in particular to staffing in Victorian geriatric nursing homes.

Geriatric Nursing↗

Knowledge, attitudes and intention of high school students towards the nursing profession in Riyadh city, Saudi Arabia.

OBJECTIVE: To determine the knowledge, attitudes, and intention among the Saudi high school students towards the nursing profession. In addition, the study aims to identify students' perception of causes preventing them to become nurses. It also aims to determine the factors influencing the Saudi high school students' choice of nursing profession. METHODS: We used the descriptive analytical research design. Stratified random sampling procedures were employed to represent the Saudi high school students, 3 male and 3 female schools scattered in all areas of Riyadh city were selected. A total of 600 questionnaires were distributed and 503 questionnaires were returned, of which, 479 questionnaires were valid for analysis (79.8% response rate). The data collection started from November 2002 to January 2003. Descriptive and inferential statistics were used to analyze the collected data. RESULTS: High school students scored a reasonable level on the knowledge dimension, but did not achieve high scores on the attitude dimension, however, they achieved very low scores on the intention of being a nurse in the future (5.2% of them indicated nursing as their preferred future job). Inferential data analysis showed that attitude, having or not having a nurse friend and knowledge was found to have significant positive influence on high school students' intention, while long working hours and high work load compared to other jobs were found to have a significant negative influence. CONCLUSION: Results indicated that the more knowledge and positive attitude on nursing, the more likely the student would be attracted to the nursing profession. Accordingly, it could be concluded that Saudi health decision-makers need to increase the positive attitude on the nature and encouraging characteristics of modern nursing and its increasing respect as a skillful career for high school students. Reconsideration of salaries and benefits were recommended in order to attract more students to the nursing profession.

Adolescent↗