Bhandari Menuka, Dahal Tulasha, Kc Jyoti
Tribhuvan University, Institute of Medicine, Biratnagar Nursing Campus, Biratnagar.
J Nepal Health Res Counc. 2022 Nov 2;20(2):419-425. doi: 10.33314/jnhrc.v20i02.4071.
Professionalism is the conceptualization of attributes, interactions, obligations, attitudes, and behaviours required of professionals in relation to clients and society. The objectives of the study were to identify the five specific attitudes of professionalism; belief in self-model, belief in public service, a sense of calling to the field of study, a feeling of autonomy, and the importance of professional organization and to examine the relationship of selected variables with the attributes of professionalism.
The cross-sectional study design was used. The self-administered questionnaire consisted of Hall's Professional Inventory as revised by Snizek was used for data collection, which includes 25 items. The sample size was 316 nurses from seven government and four private hospitals of province 1. Descriptive statistics were used to find frequencies, percentages, means, SDs, and ranges. Multivariate analysis was performed using a linear regression model.
The mean score of the total professionalism was 87.54 (SD=7.99) and the highest score was on attitude towards the sense of calling (Mean=18.86, SD=2.66). Nurses with master's degree education had the high autonomy (ß=-0.193, p=0.004), Matron (ß=2.109, p=0.036) and the membership of Nursing Association of Nepal (ß=0.200, p=0.004), current salary of the senior nurse (ß=-0.172, p=0.037), and matron (ß=-2.501, p=0.013) had a positive relationship with self-regulation. The experienced nurses (ß=-0.296, p=0.010) had a more positive attitude towards a sense of calling.
The professionalism status of nurses was not seen adequate in this study. The present study concluded that the Master's degree in Nursing education, administrative position such as matron, incharge, good salary, sufficient working experience, membership in a professional organization, adequate training, job satisfaction, research and publication are the most important factors of professionalism for nurses.
专业素养是对专业人员在与客户及社会关系中所需具备的特质、互动、义务、态度和行为的概念化表述。本研究的目的是确定专业素养的五种特定态度；对自我模式的信念、对公共服务的信念、对所学领域的使命感、自主感以及专业组织的重要性，并检验所选变量与专业素养属性之间的关系。
采用横断面研究设计。使用经斯尼泽克修订的霍尔专业素养量表进行自填式问卷调查来收集数据，该量表包含25个项目。样本为来自第一省七家政府医院和四家私立医院的316名护士。使用描述性统计来获取频率、百分比、均值、标准差和范围。采用线性回归模型进行多变量分析。
专业素养总分的平均分为87.54（标准差=7.99），其中对使命感态度的得分最高（均值=18.86，标准差=2.66）。拥有硕士学位的护士自主性较高（β=-0.193，p=0.004），护士长（β=2.109，p=0.036）以及尼泊尔护士协会会员（β=0.200，p=0.004）、高级护士的当前薪资（β=-0.172，p=0.037）和护士长（β=-2.501，p=0.013）与自我管理呈正相关。经验丰富的护士对使命感的态度更为积极（β=-0.296，p=0.010）。
本研究中护士的专业素养状况并不理想。本研究得出结论，护理教育硕士学位、护士长等行政职位、主管、优厚薪资、丰富工作经验、专业组织会员身份、充分培训、工作满意度、研究与发表是护士专业素养的最重要因素。
