"We have to be the link between everyone": A discursive psychology approach to defining registered nurses' professional identity.
discursive analysis
occupational health
professional identity
registered nurse
work health
Journal
Nursing open
ISSN: 2054-1058
Titre abrégé: Nurs Open
Pays: United States
ID NLM: 101675107
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
received:
22
07
2021
accepted:
02
09
2021
pubmed:
18
9
2021
medline:
30
3
2022
entrez:
17
9
2021
Statut:
ppublish
Résumé
The occupational health and safety of registered nurses is unsatisfactory, often including high work demands in combination with insufficient acknowledgement. Implicit expectations influence their working conditions, many of which are set by the nurses themselves. Therefore, we aimed to explore how professional identity was discursively constructed by Swedish registered nurses in research interviews about night shift work. Ten semi-structured interviews with registered nurses were analysed using a discursive psychology approach. The Standards for reporting qualitative research guided the reporting. The professional identity of registered nurses included a theoretical professional aspect as well as a unique experience-based competence. With their overview and breadth of competence, registered nurses constitute the hub of healthcare activities, also mastering tasks in the fields of other health professions. This opacity of professional boundaries is associated with boundless expectations of the registered nurse. Additionally, the professional identity stipulates always putting the patient's best interests first, and one's own needs second.
Sections du résumé
BACKGROUND
The occupational health and safety of registered nurses is unsatisfactory, often including high work demands in combination with insufficient acknowledgement. Implicit expectations influence their working conditions, many of which are set by the nurses themselves. Therefore, we aimed to explore how professional identity was discursively constructed by Swedish registered nurses in research interviews about night shift work.
DESIGN AND METHODS
Ten semi-structured interviews with registered nurses were analysed using a discursive psychology approach. The Standards for reporting qualitative research guided the reporting.
RESULTS
The professional identity of registered nurses included a theoretical professional aspect as well as a unique experience-based competence. With their overview and breadth of competence, registered nurses constitute the hub of healthcare activities, also mastering tasks in the fields of other health professions. This opacity of professional boundaries is associated with boundless expectations of the registered nurse. Additionally, the professional identity stipulates always putting the patient's best interests first, and one's own needs second.
Identifiants
pubmed: 34534415
doi: 10.1002/nop2.1056
pmc: PMC8685841
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
222-232Informations de copyright
© 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd.
Références
J Adv Nurs. 2016 Aug;72(8):1899-914
pubmed: 27061930
J Adv Nurs. 2010 Jul;66(7):1422-34
pubmed: 20497270
Soc Sci Med. 2020 Feb;246:112732
pubmed: 31884237
J Adv Nurs. 2014 Feb;70(2):295-309
pubmed: 23711235
Nurs Forum. 2020 Jul;55(3):447-472
pubmed: 32249453
Br Med Bull. 2019 Jun 19;130(1):25-37
pubmed: 31086957
Scand J Occup Ther. 2018 Jan;25(1):35-43
pubmed: 28535745
Policy Polit Nurs Pract. 2009 May;10(2):163-71
pubmed: 19783537
Nurs Open. 2022 Jan;9(1):222-232
pubmed: 34534415
Nurs Forum. 2020 Apr;55(2):205-210
pubmed: 31800109
Scand J Work Environ Health. 2020 Mar 1;46(2):209-217
pubmed: 31570947
Int J Nurs Pract. 2017 Dec;23(6):
pubmed: 29094426
Int J Nurs Stud. 2020 Sep;109:103672
pubmed: 32569828
Nurs Outlook. 2005 Nov-Dec;53(6):291-9
pubmed: 16360700
HERD. 2020 Apr;13(2):25-31
pubmed: 32364841
J Adv Nurs. 2021 Apr;77(4):2050-2053
pubmed: 33580722
HEC Forum. 2021 Jun;33(1-2):109-124
pubmed: 33550499
J Contin Educ Nurs. 2018 May 1;49(5):225-232
pubmed: 29701865
Scand J Public Health. 2019 May;47(3):310-317
pubmed: 30486752
Appl Psychophysiol Biofeedback. 2011 Dec;36(4):273-9
pubmed: 21818600
J Nurs Adm. 2002 May;32(5):283-91
pubmed: 12021569
Acad Med. 2014 Sep;89(9):1245-51
pubmed: 24979285