Factors Related to Professional Self Concept of Nursing Students and Nurses: A Systematic Review
Abstract
Background: Some nurses leave their job because of working conditions, which will affect nurse turnover. Patients perceive that those nurses are distrustful, and feel unsatisfied, with patients' complaints about nursing service. This study explored factors about the professional self-concept of nursing students and nurses.
Materials and Methods: A systematic review of cross-sectional studies followed PRISMA guidelines. PubMed, Ovid, Web of Science, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were used from 1982 to August 2020 with the terms “factors” AND “nurse” AND “professional” AND “self-concept.” A total of 19 out of 4,349 articles were used for analysis. Joanna Brings Institute critical appraisal tools for the analytical cross-sectional studies were used in this study, and narrative synthesis was used to analyze data.
Results: Professional selfconcept of clinical nurses is influenced by including organizational or job factors, and individual and emotional factors. Job factors consist of organizational support, professional ethic, clinical ladder system, nursing experience, position, and time. Besides, sex, age, marital status, education, health status, healthy lifestyle, and experience were categorized as individual factors. Emotional factors were as follows: interpersonal relationships, spiritual growth, management stress, and selfdescription. Meanwhile, student nurses are influenced by including personal (degree of study and sex), emotions (emotional intelligence, and interest in the nursing profession), and external factors (nursing courses, peer-mentoring experience, and academic burnout).
Conclusions: Thus, individual factors and emotions have a vital role in constructing clinical nurses' professional self-concept as student nurses. Improving individual and emotional/personal aspects will positively increase professional self-concept.
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Arini T, Juanamasta IG. The role of hospital management to enhance nursing job satisfaction. Indones Nurs J Educ Clin (INJEC). 2020;5:82–6.
Arthur D, Randle J. The professional self concept of nurses: A review of the literature from 1992–2006. Aust J Adv Nurs 2007;24:60–4.
Juanamasta IG, Kusnanto, Yuwono SR. Improving Nurse Productivity Through Professionalism Self Concept. 2019.
Lee HK, Yang HJ. Influence of professional self concept and professional autonomy on nursing performance of clinic nurses. Int J Biosci Biotechnol 2015;7:297–310.
Cowin LS, Craven RG, Johnson M, Marsh HW. A longitudinal study of student and experienced nurses’ self concept. Collegian 2006;13:25–31.
Arthur D. Measuring the professional self concept of nurses: A critical review. J Adv Nurs 1992;17:712–9.
Cowin LS, Johnson M, Craven RG, Marsh HW. Causal modeling of self concept, job satisfaction, and retention of nurses. Int J Nurs Stud 2008;45:1449–59.
O’Mara AJ, Marsh HW, Craven RG, Debus RL. Do self concept interventions make a difference? A synergistic blend of construct validation and meta analysis. Educ Psychol 2006;41:181–206.
Kovner C, Brewer C, Wu YW, Cheng Y, Suzuki M. Factors associated with work satisfaction of registered nurses. J Nurs Scholarsh 2006;38:71–9.
Takase M, Maude P, Manias E. Impact of the perceived public image of nursing on nurses’ work behaviour. J Adv Nurs 2006;53:333–43.
Cowin L. Measuring nurses’ self concept. West J Nurs Res 2001;23:313–25.
Dewanto A, Wardhani V. Nurse turnover and perceived causes and consequences: A preliminary study at private hospitals in Indonesia. BMC Nurs 2018;17:52.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ 2021;372:n71.
Downes MJ, Brennan ML, Williams HC, Dean RS. Development of a critical appraisal tool to assess the quality of cross sectional studies (AXIS). BMJ Open 2016;6:e011458.
Aungsuroch Y, Juanamasta IG, Gunawan J. Experiences of patients with coronavirus in the COVID 19 pandemic era in Indonesia. Asian J Public Opin Res 2020;8:16.
Jahromi ZB, Jahanbin I, Sharif F, Ghodsbin F, Keshavarzi S. Investigation of the professional selfconcept of nursing students in Shiraz, Iran. Cent Eur J Nurs Midw 2014;5:112–6.
Coplu M, Kartin P. Professional self concept and professional values of senior students of the nursing department. Nurs Ethics 2019;26:1387–97.
Sabanciogullari S, Doğan S. Professional self concept in nurses and related factors: A sample from Turkey. Int J Car Sci 2017;10:1676–86.
Arthur D, Sohng K, Noh C, Kim S. The professional self concept of Korean hospital nurses. Int J Nurs Stud 1998;35:155–62.
Kelly S, Courts N. The professional self concept of new graduate nurses. Nurse Educ Pract 2007;7:332–7.
Hedenskog C, Nilsson U, Jaensson M. Swedish registered nurse anesthetists’ evaluation of their professional self. J Perianesth Nurs 2017;32:106–11.
Hensel D. Relationships among nurses’ professional self concept, health, and lifestyles. West J Nurs Res 2011;33:45–62.
Landa J, Lopez Zafra E, Aguilar Luzon M, de Ugarte M. Predictive validity of Perceived Emotional Intelligence on nursing students’ self concept. Nurse Educ Today 2009;29:801–8.
Cao X, Chen L, Tian L, Diao Y. The effect of perceived organisational support on burnout among community health nurses in China: The mediating role of professional self concept. J Nurs Manag 2016;24:E77–86.
Parandavar N, Rahmanian A, Badiyepeymaie Jahromi Z. A Study of the relationship between nurses’ professional self concept and professional ethics in hospitals affiliated to Jahrom University of Medical Sciences, Iran. Glob J Health Sci 2015;8:82–8.
Min A, Kim IS. Relationship of perception of clinical ladder system with professional self concept and empowerment based on nurses’ clinical career stage. J Korean Acad Nurs Adm 2013;19:254–64.
Hensel D, Stoelting Gettelfinger W. Changes in stress and nurse self concept among baccalaureate nursing students. J Nurs Educ 2011;50:290–3.
Ford Y. Development of nurse self concept in nursing students: The effects of a peer mentoring experience. J Nurs Educ 2015;54:S107–11.
Wang M, Guan H, Li Y, Xing C, Rui B. Academic burnout and professional self concept of nursing students: A cross sectional study. Nurse Educ Today 2019;77:27–31.
Cao X, Chen L, Tian L, Diao Y. The effect of perceived organisational support on burnout among community health nurses in China: The mediating role of professional self concept. J Nurs Manag 2016;24:E77–86.
Kantek F, Simsek B. Factors relating to professional self concept among nurse managers. J Clin Nurs 2017;26:4293–9.
George TB. Development of the self-concept of nurse in nursing students. Res Nurs Health 1982;5:191–7.
Carlson GA. A salute to nursing students changes in the self concept of the emerging professional nurse. Fla Nurse 1989;37:6:13.
Angel E, Craven R, Denson N. The nurses’ self concept instrument (NSCI): A comparison of domestic and international student nurses’ professional self concepts from a large Australian University. Nurse Educ Today 2012;32:636–40.
Sabanciogullari S, Doğan S, Bircan H. Professional self concept scale in clinician nurses; development, reliability, validity. Turkiye Klinikleri J Nurs Sci 2011;3:16–28.
Sabanciogullari S, Doğan S. Professional Self–Concept Scale in student nurses; Development, reliability, validity. J Ege Univ Sch Nurs 2011;27:35–45.
Angel E, Craven R, Denson N. The nurses self concept instrument (NSCI): Assessment of psychometric properties for Australian domestic and international student nurses. Int J Nurs Stud 2012;49:880–6.
Arthur D, Pang S, Wong T, Alexander M, Drury J, Eastwood H, et al. Caring attributes, professional self concept and technological influences in a sample of registered nurses in eleven countries. Int J Nurs Stud 1999;36:387–96.
Arthur D, Thorne S. Professional self concept of nurses: A comparative study of four strata of nursing students in a Canadian university. Nurse Educ Today 1998;18:380–8.
Arthur D. Measurement of the professional self concept of nurses: Developing a measurement instrument. Nurse Educ Today 1995;15:8.
Farčić N, Barać I, Lovrić R, Pačarić S, Gvozdanović Z, Ilakovac V. The influence of self concept on clinical decision making in nurses and nursing students: A cross sectional study. Int J Environ Res Public Health 2020;17:3059.
Cao X, Liu X, Tian L, Guo Y. The reliability and validity of the Chinese version of nurses’ self concept questionnaire. J Nurs Manag 2013;21:657–67.
Edwin V. Influence of personal characteristics on self concept and job satisfaction of registered nurses working in cross cultural settings in the United Arab Emirates. Hamdan Med J 2018;11:22– 8.
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID 19) epidemic among the general population in China. Int J Environ Res Public Health 2020;17.doi: 10.3390/ijerph 17051729.
Parandavar N, Rahmanian A, Jahromi ZB. A Study of the relationship between nurses’ professional self concept and professional ethics in hospitals affiliated to Jahrom university of medical sciences, Iran. Glob J Health Sci 2016;8:7.
Zencir G, Zencir M, Khorshid L. Adaptation of the Turkish version of nurses’ self concept questionnaire. Int J Nurs Sci 2019;6:43–9.
Cao X, Chen L, Tian L, Diao Y, Hu X. Effect of professional self concept on burnout among community health nurses in Chengdu, China: The mediator role of organisational commitment. J Clin Nurs 2015;24:2907–15.
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