Shiraz University of Medical Sciences, Iran.
Iran University of Medical Sciences, Iran.
Nurs Ethics. 2019 Sep;26(6):1873-1885. doi: 10.1177/0969733018786059. Epub 2018 Aug 21.
Nurses face challenges regarding professional identify. Being unaware of these challenges and not owning positive professional identify leads to a lack of self-confidence. Thus, nurses face problems in interpersonal communication and lose their attachment to their profession. Few studies have engaged with impediments to forming positive professional identity in relation to intensive care nurses.
The purpose of this study is to investigate the impediments to forming positive professional identity in nurses working in intensive care unit.
In this study, the conventional content analysis method was used in order to obtain the impediments to forming positive professional identities in nurses. Data were collected through 15 semi-structured interviews and 2 focus group interviews from March 2015 to June 2016. Purposive sampling was used and participants were recruited until data saturation was reached; they were then analyzed using the conventional content analysis method.
In total, 24 intensive care unit nurses from one hospital in Northern Iran were selected through purposive sampling.
This study was approved by the Ethics Committee of Shiraz University of Medical Sciences.
Four main themes of professional identity challenges were extracted from the analysis of the data: neglect of professional status of nursing; distrust of nursing knowledge; unprofessional performance; and low professional attraction.
Nurses stated that the neglect of the professional status of nursing and distrust of nursing knowledge have always been a hindrance in forming a positive professional identity. They also mentioned that unprofessional performance and low professional attraction are the other influencing factors in this regard. Thus, detecting these factors can guide nurses and their managers towards creating positive professional identity, and as a result, will improve their job satisfaction, professional advancement, and durability.
护士面临着职业认同的挑战。由于不了解这些挑战，也没有积极的职业认同感，导致缺乏自信。因此，护士在人际沟通方面会遇到问题，并对自己的职业产生厌倦。很少有研究关注重症监护护士积极职业认同形成的障碍。
本研究旨在调查重症监护病房护士积极职业认同形成的障碍。
本研究采用传统的内容分析法，以了解护士积极职业认同形成的障碍。数据收集于 2015 年 3 月至 2016 年 6 月期间，通过 15 次半结构式访谈和 2 次焦点小组访谈进行。采用目的抽样法，根据参与者的特征选择受访者，直到达到数据饱和为止；然后使用传统的内容分析法对其进行分析。
共有来自伊朗北部一家医院的 24 名重症监护病房护士通过目的抽样法入选。
本研究得到了 Shiraz 大学医学科学伦理委员会的批准。
通过数据分析，共提取出 4 个主题的职业认同挑战：忽视护理专业地位；不信任护理知识；不专业的表现；以及职业吸引力低。
护士表示，忽视护理专业地位和不信任护理知识一直是形成积极职业认同的障碍。他们还提到，不专业的表现和职业吸引力低是这方面的其他影响因素。因此，发现这些因素可以指导护士及其管理者树立积极的职业认同感，从而提高他们的工作满意度、职业发展和职业持久性。
