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Professionalism
the assimilation of nursing skills and knowledge integrated with dignity and respect for
all human beings incorporating the assumptions and values of the profession while
maintaining accountability and self-awareness.
Professionalism Attributes
Competence
Patient Focused, Clear and Accurate Communication
Critical Thinking
Accountability
Responsibility
Lifelong Learning
Caring
Advocacy
Teaching
Professionalism Antecedents
Self-Awareness
Personal Values
Professional Values
Ethical Values
Nursing Social Contract
Communication
Skills and Knowledge
Ethical Values
High Level of Integrity
Professionalism Sub-concepts
Stakeholders, Professional Comportment, Scope of Practice, Roles
Professionalism Negative Consequences
Unsafe Patient Care
Negative Patient Outcomes
Loss of Professional License
Criminal and Civil Law Consequences
Violates Current Practice Standards
Professionalism Positive Consequences
Active in Professional Orangizations
Continual Professional Growth
Continuity of Care
Safe Patient Environment
The concept of Nursing Professionalism
a sense of oneself that is influenced by characteristics, norms, and values of the nursing
discipline, resulting in an individual thinking, acting and feeling like a nurse.
Professional Identity
, Is part of the larger notion of identity. Within the concept of identity, one would find
personal identity, with professional identity as a subset of personal identity.
The three "rings" of Professional Identity formation
Institutional Roles
Behavioral Competencies
Emerging Identities
Erikson's Theory of Psychosocial Development
the theory that considers how individuals come to understand themselves and the
meaning of others' and their own behavior
Piaget's Theory of Cognitive Development
A theory made up of sensorimotor period, preoperational period, concrete operations,
and formal operations expressed by Jean Piaget
Kohlberg's Theory of Moral Development
Moral development takes place in stages and awareness of other people increases at
each stage
Crigger and Godfrey's theory of professional transformation in nursing
stair step model of professional transformation
main ethical traditions are represented in the model along with transformational nature
of nursing with the reality of slips and progress that occur
Marcia and Josselson's theory
identity issues first arise in late adolescence when society and adolescent expect beliefs
and visions for future goals will start to form.
Within an environment of exploration and commitment
Bandura's Social Learning Theory
Learning occurs when we observe other people and model their behavior
Mezirow's transformational learning theory
Transformative learning is a theory of adult learning that utilizes disorienting dilemmas
to challenge students' thinking. Students are then encouraged to use critical thinking
and questioning to consider if their underlying assumptions and beliefs about the world
are accurate.
Exemplars for Professionalism
1.) Attributes of the Profession
2.) Roles of the Nurse (DECS)
3.) ANA Principles
Interventions for building a Professional Identity
1.)Hearing expectations clearly
2.) Value debriefing and feedback from role models
3.)Engage in reflection
4.) Actively adopt a professional identity
5.) Understand your own responsibilities for learning and be accountable for them.
6.) Build relationships with those around you
7.) Develop personal self care habits
8.) Embrace any opportunity or experiences with patients.
5 attributes of the profession
1.) Doing
2.) Being