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Akademisyen, Klinisyen ve Öğrenci Hemşirelerin Gözünden Hemşirelikte Uzmanlaşma: Nitel Bir Araştırma

Year 2024, , 11 - 19, 25.03.2024
https://doi.org/10.17049/jnursology.1458123

Abstract

Amaç : Toplumdaki sağlık bakım gereksinimleri, hemşirelikte uzmanlaşmayı daha önemli hale getirmektedir. Bu çalışmanın amacı akademisyenlerin, klinisyenlerin ve öğrenci hemşirelerin hemşirelikte uzmanlaşmaya yönelik görüşlerini incelemektir.

Yöntemler : Bu nitel araştırma türü durum çalışması desende yürütülmüştür. Çalışma, maksimum çeşitlilik örnekleme tekniği ile seçilen 21 katılımcı ile Ekim-Kasım 2021 tarihleri arasında gerçekleştirilmiştir. Yarı yapılandırılmış görüşme tekniği kullanılmış ve ifadeler kayıt altına alınmıştır. Tema ve alt temalar içerik analizi ile belirlenmiştir. Bu araştırmayı raporlamak için Kalitatif Araştırma Raporlama Standartları (COREQ) kullanılmıştır.

Bulgular : Üç ana tema ve altı alt tema belirlenmiştir. Ana temalar bakımın kalitesi, engeller ve yapıcı fikirler idi. Alt temalar; klinik bilgi ve beceriler, bilimsel tutum, eğitim sistemi, kurumsal faktörler, politikalarda değişim ve itibar olarak sıralanmaktadır.

Sonuç : Araştırmada katılımcıların çoğunun hemşirelikte uzmanlaşmanın sağlık hizmeti ve hemşirelik bakımının kalitesini artıracağını düşündüğü; fakat sistemin ve koşulların uzmanlaşmaya engel olduğuna inandığı belirlenmiştir. Katılımcılar uzmanlaşmanın geliştirilmesi için politika üretilmesi gerektiğini vurgulamaktadır.

References

  • 1. Adıgüzel O, Tanrıverdi H, Özkan DS. Occupatıonal professıonalısm and the case of nurses as the members of the professıon. Journal of Administrative Sciences. 2011;9(2):235-260.
  • 2. Lee RC, Fawcett J. The influence of the metaparadigm of nursing on professional identity development among RN-BSN students. Nurs Sci Q. Jan 2013;26(1):96-8. doi:10.1177/0894318412466734
  • 3. Potter PA, Perry AG, Stockert P, Hall A. Fundamentals of nursing 7th edition. Philadelphia: Mosby. 2009;
  • 4. Fulton JS, Lyon BL, Goudreau KA. Foundations of clinical nurse specialist practice. Springer Publishing Company; 2014.
  • 5. Neuman CA. Nursing's social policy statement. In: White FK, OSullivan CA, eds. The Essential Guide to Nursing Practice. American Nurses Association; 2010.
  • 6. Björkström ME, Athlin EE, Johansson IS. Nurses' development of professional self--from being a nursing student in a baccalaureate programme to an experienced nurse. J Clin Nurs. May 2008;17(10):1380-91. doi:10.1111/j.1365-2702.2007.02014.x
  • 7. Higgins A, Downes C, Varley J, C PD, Begley C, Elliott N. Evidence-based practice among epilepsy specialist nurses in the Republic of Ireland: Findings from the SENsE study. J Nurs Manag. May 2019;27(4):840-847. doi:10.1111/jonm.12747
  • 8. Kim M, Mallory C, Valerio T. Statistics for evidence-based practice in nursing. Jones & Bartlett Publishers; 2020.
  • 9. Şenyuva E. Nursing Education and Evidence Based Practice. Florence Nightingale Journal of Nursing. 2016;24(1):59-65.
  • 10. Fantahun A, Demessie A, Gebrekirstos K, Zemene A, Yetayeh G. A cross sectional study on factors influencing professionalism in nursing among nurses in Mekelle Public Hospitals, North Ethiopia, 2012. BMC Nurs. Apr 4 2014;13(1):10. doi:10.1186/1472-6955-13-10
  • 11. Shorey S, Goh ML, Ang SY, Ang L, Devi MK, Ang E. The Progression and Future of Nursing in Singapore: A Descriptive Qualitative Study. J Transcult Nurs. Sep 2019;30(5):512-520. doi:10.1177/1043659618823909
  • 12. Keeling J, Templeman J. An exploratory study: student nurses' perceptions of professionalism. Nurse Educ Pract. Jan 2013;13(1):18-22. doi:10.1016/j.nepr.2012.05.008
  • 13. Peşmen A, Özcan H, Nas H. Prospective nurses' views on specialisation in the profession. presented at: National 15 Nursing Student Congress; 28-29 April 2016; Eskişehir.
  • 14. Hemşirelik Kanununda Değişiklik Yapılmasına Dair Yönetmelik. 2011. https://www.resmigazete.gov.tr/eskiler/2011/04/20110419-5.htm
  • 15. Aslı K. Nurse Human Power in Health Transformation. Gümüşhane University Journal of Health Sciences. 2020;9(3):300-306.
  • 16. Torun N. Specialisation and branching in nursing. presented at: Sağlık-Sen Nursing Symposium; 11 May 2015; http://www.sagliksen.org.tr/cdn/uploads/gallery/pdf/18ff9e234cb7bc9d00d3d2a85ee8f975.pdf
  • 17. Creswell JW. Research design, qualitative, quantitative, and mixed methods approaches. Third Edition ed. SAGE Publications; 2009.
  • 18. Merriam SB. Qualitative research Second ed. Jossey-Bass; 2009.
  • 19. Mesut B, Demir SB. Qualitative research and evaluation methods. Pegem Academy; 2018.
  • 20. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. Dec 2007;19(6):349-57. doi:10.1093/intqhc/mzm042
  • 21. Bütün M, Demir SB. Qualitative research and evaluation methods. Pegem Academy; 2018.
  • 22. Çepni S. Introduction to research and project studies. Celepler Printing; 2009.
  • 23. Patton MQ. Qualitative research & evaluation methods: Integrating theory and practice. Sage publications; 2014.
  • 24. Bogdan R, Biklen SK. Qualitative Research for Education: An Introduction to Theory and Methods. 5th edition ed. Allyn & Bacon; 2007.
  • 25. Myers MD. Qualitative research in business and management. Sage; 2019:1-364.
  • 26. Willis GB. Analysis of the cognitive interview in questionnaire design. Oxford University Press; 2015.
  • 27. Begley C, Murphy K, Higgins A, Cooney A. Policy-makers' views on impact of specialist and advanced practitioner roles in Ireland: the SCAPE study. J Nurs Manag. May 2014;22(4):410-22. doi:10.1111/jonm.12018
  • 28. de Almeida Souza AM, Cuevas-Budhart M, Raya FP, González Jurado MA, Gómez Del Pulgar Gª-Madrid M. The Implementation of Nursing Specialties in Spain, 2005-2018: A Documental Study. Clin Nurse Spec. Mar/Apr 2020;34(2):75-84. doi:10.1097/nur.0000000000000508
  • 29. Setona KR, Mokgaola IO, Sehularo LA. Challenges Faced by Mental Health Nurse Specialists in North West, South Africa. Africa Journal of Nursing & Midwifery. 2020;22(2)
  • 30. Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative content analysis: A focus on trustworthiness. SAGE open. 2014;4(1):2158244014522633.
  • 31. Polit D, Beck C. Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins; 2020.
  • 32. Malterud K. Qualitative research: standards, challenges, and guidelines. Lancet. Aug 11 2001;358(9280):483-8. doi:10.1016/s0140-6736(01)05627-6
  • 33. Xu B, Yang W, Li S, Tong Z, Lin Z. Knowledge sharing behaviour among critical care nurse specialists: A cross-sectional study. J Nurs Manag. Oct 2022;30(7):2881-2888. doi:10.1111/jonm.13573
  • 34. Dury C, Hall C, Danan JL, et al. Specialist nurse in Europe: education, regulation and role. Int Nurs Rev. Dec 2014;61(4):454-62. doi:10.1111/inr.12123
  • 35. Bryant-Lukosius D, Valaitis R, Martin-Misener R, Donald F, Peña LM, Brousseau L. Advanced Practice Nursing: A Strategy for Achieving Universal Health Coverage and Universal Access to Health. Rev Lat Am Enfermagem. Jan 30 2017;25:e2826. doi:10.1590/1518-8345.1677.2826
  • 36. Atalan A, Dönmez CÇ, Atalan YA. Implementation of Simulation to Increase Emergency Department Service Quality with High – Educated Specialist Nurses Employment: Turkish Health System. Marmara Journal of Science and Technology. 2018;30(4):318-338.
  • 37. Cui C, Li Y, Geng D, Zhang H, Jin C. The effectiveness of evidence-based nursing on development of nursing students' critical thinking: A meta-analysis. Nurse Educ Today. Jun 2018;65:46-53. doi:10.1016/j.nedt.2018.02.036
  • 38. Yelekçi E, Kutlu AK. Comparison of Values the Professional of Nurses Who are and Do Not Take Graduate Education. Journal of Health and Nursing Management. 2020;2(7):261-270.
  • 39. Labrague LJ, McEnroe-Petitte DM, Tsaras K. Predictors and outcomes of nurse professional autonomy: A cross-sectional study. Int J Nurs Pract. Feb 2019;25(1):e12711. doi:10.1111/ijn.12711
  • 40. Alburquerque-Sendín F, Ferrari AV, Rodrigues-de-Souza DP, Paras-Bravo P, Velarde-García JF, Palacios-Ceña D. The experience of being a psychiatric nurse in South Africa: A qualitative systematic review. Nurs Outlook. May-Jun 2018;66(3):293-310. doi:10.1016/j.outlook.2018.01.002
  • 41. Doody O. The role and development of consultancy in nursing practice. Br J Nurs. Jan 9-22 2014;23(1):32-9. doi:10.12968/bjon.2014.23.1.32
  • 42. Özgül E. Academic Success of the Nursing Postgraduate Students and the Affecting Factors. Journal of Higher Education and Science. 2020;10(3):608-614.
  • 43. Decock N, Friganovic A, Kurtovic B, Oomen B, Crombez P, Willems C. Temper the Specialist Nurses Heterogeneity in the Interest of Quality Practice and Mobility-18 EU Countries Study. Healthcare (Basel). Feb 25 2022;10(3)doi:10.3390/healthcare10030435

Specialization in Nursing from the Perspective of Academician, Clinician and Student Nurses: A Qualitative Research

Year 2024, , 11 - 19, 25.03.2024
https://doi.org/10.17049/jnursology.1458123

Abstract

Objective: The health care needs in the community make the specialization in nursing more crucial. The aim of this study is to examine the views of academicians, clinicians and student nurses towards specialization in nursing.

Methods: This qualitative type of study was conducted in the case study design. The study was carried out between October and November, 2021, with 21 participants selected by the maximum diversity sampling technique. The semi-structured interview technique was used and the expressions were recorded. The theme and subtheme were determined by the content analysis. The Standards for Reporting Qualitative Research (COREQ) was used to report this research.

Results: Three main themes and six sub-themes were determined. The main themes were quality of care, obstacles and constructive ideas. The sub-themes were clinical knowledge and skills, scientific attitude, education system, institutional factors, change in policies and dignity.

Conclusion: The participants have faith in the fact that specialization in nursing would increase the quality of health care and nursing. They believed that the health care system and working conditions prevent specialization. They emphasize the need to develop policies for the betterment of specialization.

References

  • 1. Adıgüzel O, Tanrıverdi H, Özkan DS. Occupatıonal professıonalısm and the case of nurses as the members of the professıon. Journal of Administrative Sciences. 2011;9(2):235-260.
  • 2. Lee RC, Fawcett J. The influence of the metaparadigm of nursing on professional identity development among RN-BSN students. Nurs Sci Q. Jan 2013;26(1):96-8. doi:10.1177/0894318412466734
  • 3. Potter PA, Perry AG, Stockert P, Hall A. Fundamentals of nursing 7th edition. Philadelphia: Mosby. 2009;
  • 4. Fulton JS, Lyon BL, Goudreau KA. Foundations of clinical nurse specialist practice. Springer Publishing Company; 2014.
  • 5. Neuman CA. Nursing's social policy statement. In: White FK, OSullivan CA, eds. The Essential Guide to Nursing Practice. American Nurses Association; 2010.
  • 6. Björkström ME, Athlin EE, Johansson IS. Nurses' development of professional self--from being a nursing student in a baccalaureate programme to an experienced nurse. J Clin Nurs. May 2008;17(10):1380-91. doi:10.1111/j.1365-2702.2007.02014.x
  • 7. Higgins A, Downes C, Varley J, C PD, Begley C, Elliott N. Evidence-based practice among epilepsy specialist nurses in the Republic of Ireland: Findings from the SENsE study. J Nurs Manag. May 2019;27(4):840-847. doi:10.1111/jonm.12747
  • 8. Kim M, Mallory C, Valerio T. Statistics for evidence-based practice in nursing. Jones & Bartlett Publishers; 2020.
  • 9. Şenyuva E. Nursing Education and Evidence Based Practice. Florence Nightingale Journal of Nursing. 2016;24(1):59-65.
  • 10. Fantahun A, Demessie A, Gebrekirstos K, Zemene A, Yetayeh G. A cross sectional study on factors influencing professionalism in nursing among nurses in Mekelle Public Hospitals, North Ethiopia, 2012. BMC Nurs. Apr 4 2014;13(1):10. doi:10.1186/1472-6955-13-10
  • 11. Shorey S, Goh ML, Ang SY, Ang L, Devi MK, Ang E. The Progression and Future of Nursing in Singapore: A Descriptive Qualitative Study. J Transcult Nurs. Sep 2019;30(5):512-520. doi:10.1177/1043659618823909
  • 12. Keeling J, Templeman J. An exploratory study: student nurses' perceptions of professionalism. Nurse Educ Pract. Jan 2013;13(1):18-22. doi:10.1016/j.nepr.2012.05.008
  • 13. Peşmen A, Özcan H, Nas H. Prospective nurses' views on specialisation in the profession. presented at: National 15 Nursing Student Congress; 28-29 April 2016; Eskişehir.
  • 14. Hemşirelik Kanununda Değişiklik Yapılmasına Dair Yönetmelik. 2011. https://www.resmigazete.gov.tr/eskiler/2011/04/20110419-5.htm
  • 15. Aslı K. Nurse Human Power in Health Transformation. Gümüşhane University Journal of Health Sciences. 2020;9(3):300-306.
  • 16. Torun N. Specialisation and branching in nursing. presented at: Sağlık-Sen Nursing Symposium; 11 May 2015; http://www.sagliksen.org.tr/cdn/uploads/gallery/pdf/18ff9e234cb7bc9d00d3d2a85ee8f975.pdf
  • 17. Creswell JW. Research design, qualitative, quantitative, and mixed methods approaches. Third Edition ed. SAGE Publications; 2009.
  • 18. Merriam SB. Qualitative research Second ed. Jossey-Bass; 2009.
  • 19. Mesut B, Demir SB. Qualitative research and evaluation methods. Pegem Academy; 2018.
  • 20. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. Dec 2007;19(6):349-57. doi:10.1093/intqhc/mzm042
  • 21. Bütün M, Demir SB. Qualitative research and evaluation methods. Pegem Academy; 2018.
  • 22. Çepni S. Introduction to research and project studies. Celepler Printing; 2009.
  • 23. Patton MQ. Qualitative research & evaluation methods: Integrating theory and practice. Sage publications; 2014.
  • 24. Bogdan R, Biklen SK. Qualitative Research for Education: An Introduction to Theory and Methods. 5th edition ed. Allyn & Bacon; 2007.
  • 25. Myers MD. Qualitative research in business and management. Sage; 2019:1-364.
  • 26. Willis GB. Analysis of the cognitive interview in questionnaire design. Oxford University Press; 2015.
  • 27. Begley C, Murphy K, Higgins A, Cooney A. Policy-makers' views on impact of specialist and advanced practitioner roles in Ireland: the SCAPE study. J Nurs Manag. May 2014;22(4):410-22. doi:10.1111/jonm.12018
  • 28. de Almeida Souza AM, Cuevas-Budhart M, Raya FP, González Jurado MA, Gómez Del Pulgar Gª-Madrid M. The Implementation of Nursing Specialties in Spain, 2005-2018: A Documental Study. Clin Nurse Spec. Mar/Apr 2020;34(2):75-84. doi:10.1097/nur.0000000000000508
  • 29. Setona KR, Mokgaola IO, Sehularo LA. Challenges Faced by Mental Health Nurse Specialists in North West, South Africa. Africa Journal of Nursing & Midwifery. 2020;22(2)
  • 30. Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative content analysis: A focus on trustworthiness. SAGE open. 2014;4(1):2158244014522633.
  • 31. Polit D, Beck C. Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins; 2020.
  • 32. Malterud K. Qualitative research: standards, challenges, and guidelines. Lancet. Aug 11 2001;358(9280):483-8. doi:10.1016/s0140-6736(01)05627-6
  • 33. Xu B, Yang W, Li S, Tong Z, Lin Z. Knowledge sharing behaviour among critical care nurse specialists: A cross-sectional study. J Nurs Manag. Oct 2022;30(7):2881-2888. doi:10.1111/jonm.13573
  • 34. Dury C, Hall C, Danan JL, et al. Specialist nurse in Europe: education, regulation and role. Int Nurs Rev. Dec 2014;61(4):454-62. doi:10.1111/inr.12123
  • 35. Bryant-Lukosius D, Valaitis R, Martin-Misener R, Donald F, Peña LM, Brousseau L. Advanced Practice Nursing: A Strategy for Achieving Universal Health Coverage and Universal Access to Health. Rev Lat Am Enfermagem. Jan 30 2017;25:e2826. doi:10.1590/1518-8345.1677.2826
  • 36. Atalan A, Dönmez CÇ, Atalan YA. Implementation of Simulation to Increase Emergency Department Service Quality with High – Educated Specialist Nurses Employment: Turkish Health System. Marmara Journal of Science and Technology. 2018;30(4):318-338.
  • 37. Cui C, Li Y, Geng D, Zhang H, Jin C. The effectiveness of evidence-based nursing on development of nursing students' critical thinking: A meta-analysis. Nurse Educ Today. Jun 2018;65:46-53. doi:10.1016/j.nedt.2018.02.036
  • 38. Yelekçi E, Kutlu AK. Comparison of Values the Professional of Nurses Who are and Do Not Take Graduate Education. Journal of Health and Nursing Management. 2020;2(7):261-270.
  • 39. Labrague LJ, McEnroe-Petitte DM, Tsaras K. Predictors and outcomes of nurse professional autonomy: A cross-sectional study. Int J Nurs Pract. Feb 2019;25(1):e12711. doi:10.1111/ijn.12711
  • 40. Alburquerque-Sendín F, Ferrari AV, Rodrigues-de-Souza DP, Paras-Bravo P, Velarde-García JF, Palacios-Ceña D. The experience of being a psychiatric nurse in South Africa: A qualitative systematic review. Nurs Outlook. May-Jun 2018;66(3):293-310. doi:10.1016/j.outlook.2018.01.002
  • 41. Doody O. The role and development of consultancy in nursing practice. Br J Nurs. Jan 9-22 2014;23(1):32-9. doi:10.12968/bjon.2014.23.1.32
  • 42. Özgül E. Academic Success of the Nursing Postgraduate Students and the Affecting Factors. Journal of Higher Education and Science. 2020;10(3):608-614.
  • 43. Decock N, Friganovic A, Kurtovic B, Oomen B, Crombez P, Willems C. Temper the Specialist Nurses Heterogeneity in the Interest of Quality Practice and Mobility-18 EU Countries Study. Healthcare (Basel). Feb 25 2022;10(3)doi:10.3390/healthcare10030435
There are 43 citations in total.

Details

Primary Language English
Subjects Nursing (Other)
Journal Section Research Articles
Authors

Gamze Saatçi 0000-0002-3612-2961

Ayla Ünsal 0000-0003-3319-1600

Gizem Deniz Büyüksoy 0000-0003-2957-2451

Publication Date March 25, 2024
Submission Date January 9, 2024
Acceptance Date February 19, 2024
Published in Issue Year 2024

Cite

AMA Saatçi G, Ünsal A, Büyüksoy GD. Specialization in Nursing from the Perspective of Academician, Clinician and Student Nurses: A Qualitative Research. Journal of Nursology. March 2024;27(1):11-19. doi:10.17049/jnursology.1458123

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