2. Barriers to professionalism in nursing.
▪Ethical Dilemmas
▪Lack of prior understanding of RN job
description
▪Nursing burnout
▪Employee satisfaction
3. Barriers to professionalism in nursing.
▪Financial stability
▪Life, career, school balance
▪Interpersonal relationships and workplace
violence
5. Facilitators to professionalism in nursing
▪ Florence Nightingale
▪ RN-BSN online programs
▪ Employee discounts for educational programs
▪ Preceptors
6. Facilitators to professionalism in nursing
▪Shared Governance Council
▪Ethical standards
▪Facility certifications and conferences
▪Increased diversity in gender
8. Facilitators to professionalism in nursing
49.9% male and 50.3% female RNs
were equally likely to have a
bachelor’s or higher degree in
nursing or nursing-related fields
(Black, 2016)
12. Influences on baccalaureate education
▪ A personal passion for nursing with an interest to learn more to
perfect our skills
▪ Opportunity for personal and clinical growth in your position
▪ Increasing clinical responsibility
▪ Competitive job availability
▪ A goal of graduate school in the future
▪ A goal in leadership and management
13. Media Image
transformation
Nursing has been represented
differently in the media recently.
We have been represented as the
most trusting profession and now
more than 40% of nurses say a
colleague has inappropriately
posted details of patients or
colleagues on social media sites
such as Facebook or Twitter, an
exclusive Nursing Times survey
has revealed(Ford, 2011)
14. Media Image
transformation
through education
▪ Advertise volunteer opportunities
▪ Encourage health promotion and
prevention by advertising times and
dates of local conferences with
common illness and diseases.
▪ Promoting annual exams
▪ Promoting accurate resources for
health information for the community
▪ Providing information of local
physicians and what they treat for
individuals to be aware of resources
available in their communities
There is potential to use our
social media platforms for
good and positive
communication between our
health care facilities and our
communities. People in our
communities can look
health care facility websites
and Facebook s for accurate
information.
15. Resources
American Nurses Association. (2017). More Online Respondents Reported
Workplace Violence, According to Poll. Retrieved November 19, 2017, from
http://www.nursingworld.org/HomepageCategory/Poll-Results/2009-Poll-
Archive/Workplace-Violence-Poll-Results.html
Black, B. (2016). Professional nursing: Concepts & challenges (8th ed.). St.
Louis, MO: Elsevier
“From hand-Washing to hand hygiene.” Nursing News, Stories & Articles,
OnCourse Learning Corporation, 27 Apr. 2014,
www.nurse.com/blog/2014/04/28/from-hand-washing-to-hand-
hygiene/.https://www.nursingtimes.net/roles/nurse-managers/nurses-
breaching-online-rules/5032948.article
Ford S. (2011, July). Nurses breaching online rules. Retrieved November
19, 2017, from https://www.nursingtimes.net/roles/nurse-
managers/nurses-breaching-online-rules/5032948.article
16. Resources
Gillespie, & Langston. (2014, October). Inspiration for Aspirations: Virginia
Nurse Insights About BSN Progression. Retrieved November 19, 2017,
from http://www.professionalnursing.org/article/S8755-7223(14)00029-
5/fulltext
Nurse Bullying: Stand Up And Speak Out. (n.d.). Retrieved October 29,
2017, from https://nurse.org/articles/how-to-deal-with-nurse-bullying/
Peckham, C. (2015). Nurse Salary Report 2015. Retrieved November 19,
2017, from
https://www.medscape.com/features/slideshow/public/nurse-salary-
report-201
5 Most Common Types of Nursing Certifications You Should Have. (2017).
Retrieved November 19, 2017, from https://nursejournal.org/articles/5-
best-types-of-nursing-certifications-you-should-have/
Editor's Notes
There are a multitude of barriers to professionalism in nursing.
As a new nurse, coming into the nursing field is overwhelming to say the least. There are so many factors that are brand new. Many new graduates are unsure of the overall picture of nursing from a job description point of view. This lack of knowledge can have a huge effect on the new nurse. This can lead to a decrease in employee satisfaction. Employee satisfaction rates are a direct connection to patient care.
There is an extreme commitment to the nursing profession and a high demand of the continuance of nursing education. There has been a large shift in the nursing profession for professional development of the registered nurse. Majority of hospitals and health care facilities are requesting applicants of a BSN or higher RN.
Financial stability is a large barrier for the AND nurse to begin a BSN program while working full time. Nurses are encouraged to not take their work home with them and to promote personal time into their schedules to provide a positive work life balance but while in a BSN program time has the ability to not allow it. This also contributes to nursing burnout.
Violence from patients, visitors, and coworkers is often tolerated and explained as part of the job in the fast-paced, stressful health care delivery workplace, but it is not something we can tolerate.
Not only are the demands high from the employers of nurses, its seems as though we are having trouble welcoming and fostering a positive environment for our coworkers and ourselves to flourish. This is a nursing culture that has been around for years. A study done in conjunction with Vanderbilt University Medical Center shows that approximately 60% of new nurses leave their first position within six months due to some form of verbal abuse or harsh treatment from a colleague (Nurse Bullying, 2017). This issues can also lead to nurse burnout and had a direct negative impact on our patient care.
According to the poll, 75% of the respondents reported to experiencing workplace violence while only 25% reported that they have not. These percentages were based on the 338 total votes submitted to Nursing world (American Nurses Association, 2017).
“It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm.”-Florence Nightingale.
The early hygiene teachings of Florence Nightingale remain true and can continue to benefit those of us who desire to follow in her footsteps today (Hand washing, 2014). Florence paved the way providing concepts that are still in use today, she was really the pioneer of nursing. She developed care plans, the concept of hand hygiene, and set the ethical and scientific standards of professionalism and what it takes to be a great nurse.
A huge facilitator of professionalism for nurses continuing their education is online programs. Majority of nurses work all shifts days, evenings, and nights. This makes it difficult to expect a RN-BSN student to be able to follow a college’s class schedule. Online programs fit the hectic schedules of nurses and promote applicants and completion of a RN-BSN program.
Facilities like Rutland Regional Medical Center, in Rutland VT are offering nurses to go back to school by paying the cost for their nurses with tuition reimbursement and grants that RRMC has received. This is an offer to current ADN nurses who work for the facility and will commit to working for the facility for 6 years. The United States could move towards nurses practicing at a baccalaureate level if more programs were available like the Castleton University RRMC RN to BSN program. Although this program is difficult, it develops an opportunity for RNs to go back to school who may not have had the finances or the resources to find a program independently.
A shared Governance Council, facility certifications and offered conferences are extremely important for facilities to offer their registered nurse employees. It keeps nurse’s critical thinking skills intact by exposing them to situations with new evidenced based practice. This keeps their professional skills at a critical level and also sets a time for nurses from all different departments discuss policies and procedures that occur in all health care departments run by the facility.
Having specific certifications has been shown to result in higher patient satisfaction rates, and also lower rates of errors in the care of patients. As this chart points out, in 2006 only 16% of Registered Nurses obtained certifications whereas in 2010 42% of RN’s obtained a certification (5 Most common, 2017).
This statistic speaks volumes. It shows that male and female are not far off in gender comparisons when comes to nursing degrees.
Nursing is becoming more labor intensive, nurses are dealing with combative patients, transferring and repositioning bariatric patient’s. A mixed gender of nurses on the floor is so beneficial, everyone has a specific strength they can contribute to nursing despite their gender. Our patient’s acuity in the hospital setting is only increasing, its time that we see more male nurses included in patient care.
Graph: (Peckham,2015)
Employee engagement is a facilitator to professionalism in nursing. This chart is an example of what some nurses have said is the most rewarding part of their job. Keeping employee engagement at a high level will only escalate quality patient care.
It is important for nursing to be viewed as a profession and not an occupation due to the amount of responsibility that nurses carry. Professionalism is incorporated in nursing because we value autonomy not only for our patients but with our careers (Black, 2016). We carry a license in the state we practice and we strive to a high standard of patient care that is recognized with many certifications and awards like magnet recognition.
ADN to BSN progression is majorly influenced by an internal determination in combination of personal, professional, social, and educational factors(Gillespie, & Langston, 2014).
Nurses are the world’s most trusted profession. The majority of characteristics attached to the profession would consist of trustworthy, honest, compassionate, intelligent, caring and much more. In recent light, media image has changed the image of the nurse, especially in a legal stand point.
Although we are seeing media coverage of HIPPA laws being violated we need to remind our nurses and facilities, and educate our communities that this is a violation of law. This is not taken lightly and violators will have legal action taken towards them. It is important to educate our communities that they can trust the nursing profession. When a potential patient is ill we want them to come to us for help without fear of privacy. We need to continue to use social media as a platform to get our communities to continue to believe that we are the most trusting profession there is.