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Attitudes of Hong Kong high school students towards the nursing profession.

The increased development of hospital services in Hong Kong over the last decade has given rise in the demand for more recruits to join the nursing profession. Despite the advancement in education and the improvement in the working conditions, the problems of attracting sufficient new recruits remain critical. This study aimed to examine high school students' attitudes towards the nursing profession and to identify the contributing factors affecting shortage of nurses within the context of Hong Kong. A convenience sample of 375 high school students was recruited. A questionnaire was used to measure their knowledge, attitudes and intention to study nursing. Descriptive and inferential statistics were used to describe their career preferences and to compare knowledge, attitudes and intention scales between gender and nursing exposure groups. Results indicated that the students were generally knowledgeable about nursing but were reluctant to pursue nursing as a career. However, students who were socially acquainted with a nurse demonstrated a slightly more positive attitude towards nursing and slightly higher intention to pursue nursing as a career compared with those having no social acquaintance with a nurse. Implications for promotion of nursing profession and limitations of the study were discussed.

Adolescent↗

Skills needed for promotion in the nursing profession.

OBJECTIVE: This research was designed to identify skills (interpersonal versus technical) important to promotion within the nursing profession. Also studied was the difference between actual and perceived importance of the skills. BACKGROUND: For many technical and academic professions, career advancement is attained through promotions. These promotions often take one further away from the front line; thus, the technical skills so important in one's early career become less important. Interpersonal skills, on the other hand, increase in importance when one is supervising other professionals. Though research has described this phenomenon, it is not known exactly where the shift in importance occurs or what the precise nature of the shift may be. Further research in this area is particularly important to management development programs in technical, scientific professions. METHODS: A policy-capturing approach was used to identify the skills important to managerial advancement in the nursing profession. Two hundred nineteen nurse administrators from a large Southeastern United States hospital rated hypothetical candidates for managerial positions. At the lowest-level management position studied, a greater number of technical skills significantly influenced promotion decisions than at middle management. Significant differences were found between decision-makers' perceptions of skill importance and the skills' actual importance to promotion decisions. RESULTS: The present research indicate that a greater number of technical skills are important for promotion to CN3 than for promotion to ANM. The results also suggest decision-makers are not always 100% accurate in their insight regarding the specific factors influencing their personnel decisions.

Adult↗

Mental health issues within the general health care system: implications for the nursing profession.

AIM: The aim of this paper is to briefly describe the prevalence of mental illness within the general health care population and the implications for the nursing profession. PRIMARY ARGUMENT: The nursing profession espouses holism as its philosophy of care. This philosophy embraces the essential interaction between the biological, psychological and social aspects of each individual. The mainstreaming of mental health services within the general health care system has increased the level of contact nurses have with people experiencing mental health problems, yet the research evidence suggests they are not confident or competent in meeting the associated needs. CONCLUSION: There is an urgent need for education of the current and future nursing workforce if the challenges presented by mental health issues are to be addressed.

Australia↗

What nurses profess: the Elizabeth Bouvia case.

The prospect of nurses' cooperation in a patient's suicide raises the question, What do nurses profess? Confronted with the case of Elizabeth Bouvia, who in 1983 entered a California hospital intending to starve to death, a "nurse technician" would simply follow the physician-prescribed course of treatment, professing only a machinelike proficiency. A "nurse therapist," however, would work to become the patient's advocate, not judging but empathizing with the patient. Although supporters of Ms. Bouvia's position might appeal to this country's tradition of individual liberty and autonomy, the freedom of others also must be considered. As a community of professionals, nurses are bound by a set of ethics--beliefs that would be violated if they were forced to comply with her plan. And, as members of the civic community, nurses are responsible for protecting lives and fostering health and general welfare. A ruling in Ms. Bouvia's favor would have opened the doors for society to renege on its commitment to the handicapped and the gravely ill. The Bouvia case challenges nurses and all of society to reflect on what they believe in. What they profess must be more than mere tolerance of each other, more than technical proficiency, and more than a therapeutic understanding of patient needs. They must profess the sacred good of life and health.

Adult↗

Stepping outside the stereotype. A pilot study of the motivations and experiences of males in the nursing profession.

Despite their historical significance to the UK's nursing profession, numbers of registered male nurses here have seldom exceeded 10% of the total. This is not an immutable principle, given that countries such as the Netherlands manage to attract males to the profession in much greater numbers. This paper examines and critiques the available literature on males in nursing from both a historical and present day perspective. In so doing, it discusses factors such as caring, over-performance and career progression, and, notions of masculinity. It then moves on to outline and discuss an on-going pilot study specifically designed to examine the motivations and experiences of a sample of preregistration and postregistration male nurses in the UK, across a range of ages and ethnicities. The ultimate aim of the study is to produce evidence which will advance the recruitment of men to a profession which is currently experiencing severe recruitment difficulties. The paper presents themes emerging from the study to date, examining the implications these may have for the future management of nurse recruitment.

Adaptation, Psychological↗

[The nursing profession in the 21st century].

The present article presents the sociological analysis of the nursing profession, focussing the specificities of the profession on the basis of the component elements of a profession, according to the theoretical system of the sociology of professions. At the end of the 20th century and the beginning of the new millennium, nursing faces crucial questions for the profession, which bring back the need to restructure the strategic considerations that make up the political agenda of the nursing profession. Specific knowledge, professional qualification, particularities of the work process, monopoly of the professional exercise, and the configuration of the hierarchy of the nursing team are some of the items dealt within this article. As one of the essential professions in the health area, nursing needs to reach the next century with a new perspective, knowing how and in which conditions it will develop in a context of paradigmatic changes. Considering this new context, a political agenda for nursing professionals will have to contemplate the several aspects that make up a profession, that is, specific knowledge, exclusive labor market, form of organization, among others.

Forecasting↗

Violation of human rights and the nursing profession.

In this presentation, the focus will be on torture and its after-effects on the individual and the responsibility of the nursing profession in this tragic context. The nursing profession must therefore be as vigilant as possible in combatting this practice which can be characterized as the most evil in the world.

Human Rights↗

Reflection: a flawed strategy for the nursing profession.

The meaning and process of reflection and reflective practice appear to be currently accepted and institutionalized within the nursing profession. This paper, through use of a literature review, attempts to question the value that is consequently placed on this strategy and argues that on closer examination, reflection has no clear or universal definition, an uncertain framework for implementation, and is of unproven benefit to the professional practice of nurses. Given this evidence, the author concludes that reflection is a fundamentally flawed strategy that must be of limited benefit to the nursing profession.

Education, Nursing↗

['Thou completeth his work'. On the development of the nursing profession (1880-1925)].

From the very beginning the modernization of the nursing profession, which began in the 1880s, was deeply influenced by leading figures in the medical profession. Liberal-minded doctors initiated the nursing reforms and implemented their ideas in a training and examination system for nurses, in textbooks, in the nursing organization and in the nursing professional journal. In 1921, the nursing education programme was embodied in legislation based on their views. This article focusses on the question as to why nurses did not succeed in developing their own professional image without the assistance of physicians. Even the nurses' pressure group, the union Nosokómos, could not change their subordinate position. The weak social position of the nurse, the 'treachery' of the first generation of prominent matrons and finally the lack of support of the women's rights movement prevented the nurses from modelling the profession according to their own concepts.

History, 19th Century↗

Are men taking over the nursing profession?

Although men are a minority in the nursing profession, many men obtain senior positions and hence their motivation for becoming registered nurses is often questioned. International nursing literature is used to clarify why men may want to become nurses and to suggest possible reasons for the gender inequities in senior nursing appointments.

Career Choice↗

The organization of clinical supervision within the nursing profession: a review of the literature.

There is a considerable amount of literature available on the subject of supervision within the nursing profession. However, there appears to be little structure regarding how this subject is organized within the professional literature. Thus, although the subject of supervision appears within the nursing literature as a fairly consistent theme, there has been little or no attempt by the profession to give structure to either its underpinning theory or its practice. It is apparent that the term 'supervision' within the nursing profession has different meanings for different individuals and groups. In an attempt to explore the literature relating to the United Kingdom, the author has developed a structure for the review, based upon his reading of the literature and his own experience within the profession. The review covers five areas. The first area is that of examining the need for clinical supervision within the practice of nursing. The second area of the review identifies the various ways in which the concept of supervision is used in practice, particularly identifying the variety of terminology. The third area of the review is that of the profession's perception of good practice regarding supervision. The fourth area of the review seeks to identify various models of supervision as they are used within the nursing profession. Lastly, the preparation and training for the role of supervisor is reviewed.

Clinical Nursing Research↗

[The physician and the South African nursing profession. The risk of legal liability].

Risks of legal liability are increasing for both medical and nursing professions as a result of the fast tempo and magnitude of changes evolving in health service policies. More than ever before, a close look will have to be taken at the important doctor-nurse relationship and the interdependent functioning of these two professions in the health team, failure of which will either prevent the nursing profession from developing to its full potential or create situations of intolerable high risk of legal liability for both professions. Simple methods, but dependent on a team approach by health authorities, law makers, the different health professions, training institutions and individuals are described which may markedly reduce the risks of legal liability.

Education, Medical↗

The composition of the nursing profession in South Africa in the mid-seventies and its implications for provision of health care.

An analysis of the composition of the nursing profession in South Africa reveals that the nurses were a heterogenous group with diverse dialects and cultures drawn from all social classes. Because of the unifying influence of the statutory control through the South African Nursing Council and the two official languages the nurses were organized into a strong and a stable profession. The predominant religion was Christianity, and the large majority of nurses were female, mainly young and married. The 116 189 member-strong profession was constituted by registered nurses, enrolled nurses, and nursing assistants. Although there was a variety of post-basic specialities for registered nurses there was still a good number of these nurses who were singly qualified, a certain portion who were doubly qualified and a minority who were triply qualified. A number of temporarily or permanently non-practising nurses constitute a reserve force to be relied on in a national emergency. This quantitative and qualitative state of the nursing profession had several implications for patient care. Some aspects reveal weak areas. The recommended remedial planning and re-organization arises from the obvious need and scope for improvement.

Adolescent↗

[Nursing: idealism and realism. Perspectives of nursing students on the nursing profession].

Exploratory and descriptive study with the following objectives: to identify the nursing students' feelings related to the undergraduate course and their perception towards the nursing profession. After the four-year course, 57.4% of students perceived nursing in a positive way as a profession for the future, valued, recognised, compensating even with some limitations. However, 25% of students still perceived nursing as a mechanical, manual and sacrificed profession, with a limited scientific vision and with a gap between theory and practice and as a consequence a lower recognition by the society. If current trends are maintained, the nurse's value would be much greater in the next decades within the Brazilian society according to 61% of respondents.

Adult↗

[Attitude of nursing staff towards the nursing profession and work community].

This study discusses the attitudes of nurses and other nursing staff towards the nursing profession; their views on the community in which they carry out their daily work; and their opinions on how their job is being affected by ongoing efforts to develop the hospital organization. The study was carried out in two hospitals, where we selected for closer analysis the nursing staff of the inpatient wards (N = 153). The data were collected using a semi-structured questionnaire. Methods of statistical description included percentage distributions, means and standard deviations, and cross tabulation. Content analysis was used in the case of the open-ended answers. The majority of the nursing staff described the general atmosphere of their work community as open. It was also widely agreed that cooperation among different occupational groups on the ward was good or fairly good. Both of these factors were considered essential in view of the common objective of improving nursing quality. All occupational groups had a high regard for their profession. Similarly, most of the respondents believed that with the general development of nursing they would be able to further develop their own professional competence. About half of nursing staff took a positive attitude towards the ongoing campaign to develop the hospital work organization; they were described as justified and meaningful. This campaign implied, for example, a stronger patient-orientation and an improved quality of nursing. Most of the respondents felt they had good opportunities to influence decision-making in matters related to their own daily job. However, there were also critical voices saying that most innovations are in practice implemented by hospital management.(ABSTRACT TRUNCATED AT 250 WORDS)

Attitude of Health Personnel↗