Acute Care Nurse Professional Identity Perceptions
Location
Central Division
Start Date
26-10-2023 10:55 AM
End Date
26-10-2023 11:05 AM
Description
Abstract:
Title: Acute Care Nurse Professional Identity Perceptions
Background: Nursing professional identity consists of four domains: values and ethics; knowledge; nurse as leader; professional comportment. It is hypothesized that higher ratings of professional identity are related to important occupational and patient outcomes, such as improved staff engagement, reduced turnover, and reduced incidents of poor nurse-sensitive quality events. A recently developed tool asks the nurse to provide a self- and then a peer-rating on items mapping onto each domain on a scale of novice to mastery. Previously, it was unclear how nurses rated self and peers on all four domains and whether differences exist between groups rating self as proficient or higher.
Purpose: To describe nurse-reported self and peer professional identity ratings when compared by years of experience.
Methods: Frontline nurses working at one of the 14 hospitals within a larger Catholic health system were invited to participate in this survey-based study via flyers and emails containing study information. Nurses could either click the link on the email or scan the Quick Read code embedded in the flyer to access the 10-minute survey. Eligible nurses answered brief demographics and then completed the 60-item Professional Identity in Nursing Scale (PINS). Average self- and peer- responses for each domain were calculated. Nurses were characterized with a high rating for “self” or “peer” if overall score for the respective domain indicated “proficient” or higher. Nurses were compared by years of experience (less than 5, 5-10, and 10 or more) and high versus low rating on each “self” and “peer” domain using chi-square tests. A p-value of 0.05 or less was considered a significant findings.
Results: A total of 602 nurses clicked the link for the study survey. Of these, 334 nurses completed all items of the PINS and had data included in analysis. Participants more frequently rated “self” versus “peer” as proficient or higher for each domain. Nurses with 10 or more years of experience proportionally rated "self" higher than all other groups for all 4 domains. Conversely, there were no significant differences in the proportion of high versus low "peer" ratings by years of experience categories.
Conclusion: Nurses were more likely to rate “self” versus “peer” as proficient or higher on the domains of professional identity. Future work may uncover factors influencing these discrepancies and support a higher overall sense of nursing professional identity.
Implications for Practice: Understanding how years of experience may influence higher ratings for self and peer on the PINS may help nurses and leaders consciously work toward increasing a sense of professional identity. Nurses with a higher self or peer rating of professional identity may have improved occupational and personal wellbeing, which could translate to better patient care delivery.
Recommended Citation
Rangel, Teresa, "Acute Care Nurse Professional Identity Perceptions" (2023). Central Division Nurse Clinical Inquiry Conference. 26.
https://digitalcommons.providence.org/central_nurs_conf/2023/agenda/26
Acute Care Nurse Professional Identity Perceptions
Central Division
Abstract:
Title: Acute Care Nurse Professional Identity Perceptions
Background: Nursing professional identity consists of four domains: values and ethics; knowledge; nurse as leader; professional comportment. It is hypothesized that higher ratings of professional identity are related to important occupational and patient outcomes, such as improved staff engagement, reduced turnover, and reduced incidents of poor nurse-sensitive quality events. A recently developed tool asks the nurse to provide a self- and then a peer-rating on items mapping onto each domain on a scale of novice to mastery. Previously, it was unclear how nurses rated self and peers on all four domains and whether differences exist between groups rating self as proficient or higher.
Purpose: To describe nurse-reported self and peer professional identity ratings when compared by years of experience.
Methods: Frontline nurses working at one of the 14 hospitals within a larger Catholic health system were invited to participate in this survey-based study via flyers and emails containing study information. Nurses could either click the link on the email or scan the Quick Read code embedded in the flyer to access the 10-minute survey. Eligible nurses answered brief demographics and then completed the 60-item Professional Identity in Nursing Scale (PINS). Average self- and peer- responses for each domain were calculated. Nurses were characterized with a high rating for “self” or “peer” if overall score for the respective domain indicated “proficient” or higher. Nurses were compared by years of experience (less than 5, 5-10, and 10 or more) and high versus low rating on each “self” and “peer” domain using chi-square tests. A p-value of 0.05 or less was considered a significant findings.
Results: A total of 602 nurses clicked the link for the study survey. Of these, 334 nurses completed all items of the PINS and had data included in analysis. Participants more frequently rated “self” versus “peer” as proficient or higher for each domain. Nurses with 10 or more years of experience proportionally rated "self" higher than all other groups for all 4 domains. Conversely, there were no significant differences in the proportion of high versus low "peer" ratings by years of experience categories.
Conclusion: Nurses were more likely to rate “self” versus “peer” as proficient or higher on the domains of professional identity. Future work may uncover factors influencing these discrepancies and support a higher overall sense of nursing professional identity.
Implications for Practice: Understanding how years of experience may influence higher ratings for self and peer on the PINS may help nurses and leaders consciously work toward increasing a sense of professional identity. Nurses with a higher self or peer rating of professional identity may have improved occupational and personal wellbeing, which could translate to better patient care delivery.
