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Nursing as a Profession
S.M. Nazmul Al-Deen,
Clinical Instructor,
SFMM KPJ NURSING COLLEGE
Nursing is an art;
and if it is to be made an art,
it requires as exclusive a devotion,
as hard a preparation,
as any painter's or sculptor's work;
for what is the having to do with
dead canvas or cold marble,
compared with having to do with the
living body - the temple of God's spirit?
It is one of the Fine Arts;
I had almost said
the finest of the Fine Arts
- Florence Nightingale
• Profession is defined as "a vocation েপেশা
requiring advanced training and usually
involving mental rather than manual work,
as teaching, engineering, especially
medicine, law“
-Webster1989.
Profession
• Professions are those occupations possessing a
particular combination of characteristics
generally considered to be the expertise,
autonomy, commitment, and responsibility.
• A profession is an occupation based on
specialized intellectual study and training, the
purpose of which is to supply skilled services
with ethical ৈনৈতিতিকcomponents and others.
Occupation
• Training may be on job and duration varies.
• The values, beliefs, and ethics are not
prominent features.
• The commitment and identification: varies.
• In occupation people often change Job.
• Accountability rest on employer.
• Is basically intellectual
• Is based on a body of knowledge that can be
learned.
• Is practical rather than theoretical.
• Can be taught through a process of professional
education.
• Has a strong internal organization of members.
• Has practitioners who are motivated by altruism
(desire to help others)
Profession
Professions vs Occupations
SL. NO. Professions Occupations
1. 1 College or University On the job training
1. 2 Prolonged education Length varies
1. 3 Mental creativity Largely manual work
1. 4
Decisions based on science or theoretical
constructs
Guided decision making
1. 5
Values, beliefs & ethics integral part of
preparation
Values, beliefs & ethics
not part of preparation
1. 6 Strong commitment Commitment may vary
1. 7 Autonomous Supervised
1. 8 Unlikely to change professions Often change jobs
1. 9 Individual accountability
Employer is primarily
accountable
• Genevieve and Roy Bixler, a husband and
wife team of non-Nurses who were
nevertheless advocates and supporters of
nursing, first wrote about the status of
nursing as a profession in 1945
• They appraised nursing according to
theire original seven criteria, noting the
progress made in nursing, as a
profession.
• Abraham Flexner (1910), conducted study of
medical education and went on to study
other disciplines and latter, in a paper about
social work published a list of criteria that
he felt were characteristics of all true
professions. Flexner's believed in
professional work
Criteria of profession:
Abraham Flexner (1916)
• Intellectual (opposite of physical).
• Based on body of knowledge, that can be learned.
• Practical rather than theoretical.
• Can be taught through a process of professional
education.
• Has a string দৃঢ় internal organization of members.
• Has practioner
William shepherd (1948):
• Based on scientific principles.
• Demands: adequate pre-professional and cultural
training.
• Demand: specialized and systematized knowledge.
• Must give: evidence of needed
• Scientific technique: tested experiences.
• Time judgment / duty Performance.
• Beneficial work.
• Group consciousness: scientific knowledge.
• Sufficient self impelling অনুপ্র্রাণিণিত করাণ power.
• Obligation to society: code of ethics.
Kelly: - 1981
• Service provided is vital to humanity and
welfare of society.
• Special body of knowledge: continually.
• Intellectual activity: accountability.
• Educated in institutions.
• Relatively independent: autonomy.
• Motivated by job / service.
• Code of ethics: to guide decisions.
• Organization (association): to encourage and
support practice.
Standard of ANA – Scope and Standards of Practice, 2004
According to Bruhn - 2001
• Be civil
• Be ethical
• Be honest
• Be the best
• Be consistentসাণমঞ্রজসয্রপ্ূর্ণির্র
• Be a communicator
• Be accountable
•Be collaborative
•Be forgiving
•Be current
•Be involved
•Be a model
Nursing is gaining recognition as a profession
based on the criteria that a profession must
have: -
• A well defined body of knowledge.
• A strong service orientation.
• Recognized authority by a professional group.
• A code of ethics: ICN.
• A professional organization that sets standards
• On going research.
• Autonomy.
Hence, nursing is a Nobel profession, Recognized
internationally.
1. A profession utilizes in its practice a well-
defined and well-organized body of specialized
knowledge.
2. A profession constantlyপ্র্রতিতিনিনিয়তিন enlarges the
body of knowledge it uses and improves its
techniques of education and service by the
scientific method.
3. A profession entrusts নিয্রতস্রততিনকরা the education of
its practitioners to institutions of higher
education.
Functions of Profession :
4. A profession applies its body of
knowledge in practical services which are
vital to human and social welfare.
5. A profession functions autonomously in
the formation of professional policy and
control of professional activity thereby.
6. A profession attracts individuals of
intellectual and personal qualities who exalt
উনি্রতনিতিনকরা service above personal gain and who
recognize their chosen occupation as a life
work.
7. A profession strives সংগ্র্রতামকরা to compensate
প্র্রতিতিনদানিকরা its practitioners by providing freedom
of action, opportunity for continuous
professional growth and economic security
Public Concern with Nursing
• What is the image of nursing being created
today?
• Saint vs. Sinner image
• “Can I trust my life to this RN?
• Public want to believe that knowledgeable,
caring, committed and dedicated RNs will be
available for them.
What the Public Believes About Nursing
• RNs ranked highest among all professions for
the highest professional standards of honesty
and ethics
• Public seek advice in 4 areas:
– self-care or immediate post op care
– health care products
– administration
– interpreting physician-provided information
Nursing’s View
• Female dominated by persons socialized to be
anti-intellectuals
• Focus on skills rather than critical thinking
• Knowledge is power
Communicating with Physicians
• Factually document medical problems in
patient care terms
• Stay on the issue, not personality
• Appropriate communication
– do not allow inappropriate interruptions
Creating a New Image
• Nurses value nursing and image it daily
• Nurses take themselves seriously and dress the
part
• Nurses recognize the value of caring, health
promotion, health teaching, and illness care
• Nurses believe in themselves and their
colleagues
Barriers to Professionalism
• Variability in educational preparation
• Gender issues
• Historical influences
• External conflicts
• Internal conflicts
Thank you

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Nursing as a Profession: A Well-Defined Body of Knowledge

  • 1. Nursing as a Profession S.M. Nazmul Al-Deen, Clinical Instructor, SFMM KPJ NURSING COLLEGE
  • 2. Nursing is an art; and if it is to be made an art, it requires as exclusive a devotion, as hard a preparation, as any painter's or sculptor's work; for what is the having to do with dead canvas or cold marble, compared with having to do with the living body - the temple of God's spirit? It is one of the Fine Arts; I had almost said the finest of the Fine Arts - Florence Nightingale
  • 3. • Profession is defined as "a vocation েপেশা requiring advanced training and usually involving mental rather than manual work, as teaching, engineering, especially medicine, law“ -Webster1989.
  • 4. Profession • Professions are those occupations possessing a particular combination of characteristics generally considered to be the expertise, autonomy, commitment, and responsibility. • A profession is an occupation based on specialized intellectual study and training, the purpose of which is to supply skilled services with ethical ৈনৈতিতিকcomponents and others.
  • 5. Occupation • Training may be on job and duration varies. • The values, beliefs, and ethics are not prominent features. • The commitment and identification: varies. • In occupation people often change Job. • Accountability rest on employer.
  • 6. • Is basically intellectual • Is based on a body of knowledge that can be learned. • Is practical rather than theoretical. • Can be taught through a process of professional education. • Has a strong internal organization of members. • Has practitioners who are motivated by altruism (desire to help others) Profession
  • 7. Professions vs Occupations SL. NO. Professions Occupations 1. 1 College or University On the job training 1. 2 Prolonged education Length varies 1. 3 Mental creativity Largely manual work 1. 4 Decisions based on science or theoretical constructs Guided decision making 1. 5 Values, beliefs & ethics integral part of preparation Values, beliefs & ethics not part of preparation 1. 6 Strong commitment Commitment may vary 1. 7 Autonomous Supervised 1. 8 Unlikely to change professions Often change jobs 1. 9 Individual accountability Employer is primarily accountable
  • 8. • Genevieve and Roy Bixler, a husband and wife team of non-Nurses who were nevertheless advocates and supporters of nursing, first wrote about the status of nursing as a profession in 1945
  • 9. • They appraised nursing according to theire original seven criteria, noting the progress made in nursing, as a profession.
  • 10. • Abraham Flexner (1910), conducted study of medical education and went on to study other disciplines and latter, in a paper about social work published a list of criteria that he felt were characteristics of all true professions. Flexner's believed in professional work
  • 11. Criteria of profession: Abraham Flexner (1916) • Intellectual (opposite of physical). • Based on body of knowledge, that can be learned. • Practical rather than theoretical. • Can be taught through a process of professional education. • Has a string দৃঢ় internal organization of members. • Has practioner
  • 12. William shepherd (1948): • Based on scientific principles. • Demands: adequate pre-professional and cultural training. • Demand: specialized and systematized knowledge. • Must give: evidence of needed • Scientific technique: tested experiences. • Time judgment / duty Performance. • Beneficial work. • Group consciousness: scientific knowledge. • Sufficient self impelling অনুপ্র্রাণিণিত করাণ power. • Obligation to society: code of ethics.
  • 13. Kelly: - 1981 • Service provided is vital to humanity and welfare of society. • Special body of knowledge: continually. • Intellectual activity: accountability. • Educated in institutions. • Relatively independent: autonomy. • Motivated by job / service. • Code of ethics: to guide decisions. • Organization (association): to encourage and support practice.
  • 14. Standard of ANA – Scope and Standards of Practice, 2004 According to Bruhn - 2001 • Be civil • Be ethical • Be honest • Be the best • Be consistentসাণমঞ্রজসয্রপ্ূর্ণির্র • Be a communicator • Be accountable •Be collaborative •Be forgiving •Be current •Be involved •Be a model
  • 15. Nursing is gaining recognition as a profession based on the criteria that a profession must have: - • A well defined body of knowledge. • A strong service orientation. • Recognized authority by a professional group. • A code of ethics: ICN. • A professional organization that sets standards • On going research. • Autonomy. Hence, nursing is a Nobel profession, Recognized internationally.
  • 16. 1. A profession utilizes in its practice a well- defined and well-organized body of specialized knowledge. 2. A profession constantlyপ্র্রতিতিনিনিয়তিন enlarges the body of knowledge it uses and improves its techniques of education and service by the scientific method. 3. A profession entrusts নিয্রতস্রততিনকরা the education of its practitioners to institutions of higher education. Functions of Profession :
  • 17. 4. A profession applies its body of knowledge in practical services which are vital to human and social welfare. 5. A profession functions autonomously in the formation of professional policy and control of professional activity thereby.
  • 18. 6. A profession attracts individuals of intellectual and personal qualities who exalt উনি্রতনিতিনকরা service above personal gain and who recognize their chosen occupation as a life work. 7. A profession strives সংগ্র্রতামকরা to compensate প্র্রতিতিনদানিকরা its practitioners by providing freedom of action, opportunity for continuous professional growth and economic security
  • 19. Public Concern with Nursing • What is the image of nursing being created today? • Saint vs. Sinner image • “Can I trust my life to this RN? • Public want to believe that knowledgeable, caring, committed and dedicated RNs will be available for them.
  • 20. What the Public Believes About Nursing • RNs ranked highest among all professions for the highest professional standards of honesty and ethics • Public seek advice in 4 areas: – self-care or immediate post op care – health care products – administration – interpreting physician-provided information
  • 21. Nursing’s View • Female dominated by persons socialized to be anti-intellectuals • Focus on skills rather than critical thinking • Knowledge is power
  • 22. Communicating with Physicians • Factually document medical problems in patient care terms • Stay on the issue, not personality • Appropriate communication – do not allow inappropriate interruptions
  • 23. Creating a New Image • Nurses value nursing and image it daily • Nurses take themselves seriously and dress the part • Nurses recognize the value of caring, health promotion, health teaching, and illness care • Nurses believe in themselves and their colleagues
  • 24. Barriers to Professionalism • Variability in educational preparation • Gender issues • Historical influences • External conflicts • Internal conflicts