Background: The characteristics of geriatric health services facilities (GHSFs) in Japan include provision of care focused on the life of the residents, and there is a need for cooperation between care workers and physical therapists responsible for the care. Our goal is to create an organizational system that allows nurses to succeed professionally. To do this, we must first discuss the professional behavior of nurses in GHSFs. Objectives: The aim of the present study was to clarify the professional behavior of nurses in GHSFs using a questionnaire survey. Method: We used a descriptive, cross-sectional design. The study was conducted in 1000 GHSFs all over Japan. The instrument used for data collection was a questionnaire. The questionnaires consisted of 24 items for determining the professional behavior of nurses, the background information of respondents. The professional behavior of nurses was analyzed using principal factor analysis (Promax rotation). Results: A total of 1189 nurses participated. Of those, 91% (n = 1084) were women, and mean age was 48.2 years. Most participants were staff nurses (n = 791; 66%). We extracted 16 items by factor analysis, which were classified into four factors (professional development, autonomy, positive assertiveness to colleagues, and advocating for patient). Conclusion: The professional behaviors as identified in this study are similar to those reported in previous studies of clinical nurses in hospital. However, some subscale results are specific to the characteristics of GHSFs. The ability to understand professional behaviors has significant implications in terms of affirming and identifying sources of quality of care and creating a professional practice environment within GHSFs.
References
[1]
Blegen, M.A. (1993) Nurses’ Job Satisfaction: A Meta-Analysis of Related Variables. Nursing Research, 42, 36-41. https://doi.org/10.1097/00006199-199301000-00007
[2]
Cowin, L. (2002) The Effects of Nurses’ Job Satisfaction on Retention. Journal of Nursing Administration, 32, 283-291. https://doi.org/10.1097/00005110-200205000-00008
[3]
Hall, R.H. (1968) Professionalism and Bureaucratization. American Sociological Review, 63, 92-104. https://doi.org/10.2307/2092242
[4]
Miller, B.K., Adams, D. and Beck, L.A. (1993) behavioral Inventory for Professionalism in Nursing. Journal of Professional Nursing, 9, 290-295. https://doi.org/10.1016/8755-7223(93)90055-H
[5]
Fagermoen, M.S. (1997) Professional Identity: Values Embedded in Meaningful Nursing Practice. Journal of Advanced Nursing, 25, 434-441. https://doi.org/10.1046/j.1365-2648.1997.1997025434.x
[6]
Adams, D. and Miller, B. (2001) Professionalism in Nursing Behaviors of Nurse Practitioners. Journal of Professional Nursing, 17, 203-210. https://doi.org/10.1053/jpnu.2001.25913
[7]
Manojlovich, M. and Ketefian, S. (2002) The Effects of Organizational Culture on Nursing Professionalism: Implications for Health Resources Planning. Canadian Journal of Nursing Research, 33, 15-34.
[8]
McCloskey, J.C. and McCain, B.E. (1987) Satisfaction, Commitment, and Professionalism of Newly Employed Nurses. Journal of Nursing Scholarship, 19, 20-24. https://doi.org/10.1111/j.1547-5069.1987.tb00581.x
[9]
Hall, R.H. (1967) Some Organizational Considerations in the Professional-Organizational Relationship. Administrative Science Quarterly, 12, 461-478. https://doi.org/10.2307/2391315
[10]
Hall, R.H. (1987) The Professions, Employed Professionals, and the Professional Association. ANA, Kansas City.
[11]
Kasai, A. and Otsubo, S. (2005) The Concept Constituting Nurses’ Professionalism. Bulletin of Faculty Education, Hirosaki University, 94, 91-104. (In Japanese)
[12]
Shiziki, Y. (1999) Construct of Nurses’ Professionalism through Interview of Nurses. The Journal of Tokyo Academy of Health Sciences, 1, 45-48. (In Japanese)
[13]
Tao, M. (1980) Attitude Structure of Professionalism in Nurses. Healthcare Administration, 17, 289-296.
[14]
Miyata, C. and Arai, H. (2016) Professionalism of Nurses Working in Geriatric Intermediate Care Facilities: An Analysis Using Semi-Structured Interviews. The Journal of Nursing & Healthcare, 1, 1-4. https://doi.org/10.33140/JNH/01/01/00007
[15]
Japanese Nursing Association (2015) Statistical Data on Nursing Service in Japan. http://www.nurse.or.jp/home/statistics/index.html
[16]
Registered Nurses Association of Ontario (2007) Professionalism in Nursing. Healthy Work Environments Best Practice Guidelines. Registered Nurses Association of Ontario, Toronto.
[17]
Williams, S. and MoGowan, S. (1995) Professional Autonomy. A Pilot Study to Determine the Effects of a Professional Development Program on Nurse’s Attitudes. Journal of Nursing Staff Development, 11, 150-155.
[18]
Wynd, C.A. (2003) Current Factors Contributing to Professionalism in Nursing. Journal of Professional Nursing, 19, 251-261. https://doi.org/10.1016/S8755-7223(03)00104-2
[19]
Keenan, J. (1999) A Concept Analysis of Autonomy. Journal of Advanced Nursing, 29, 556-562. https://doi.org/10.1046/j.1365-2648.1999.00948.x
[20]
Wade, G.H. (2004) A Model of the Attitudinal Component of Professional Nurse Autonomy. Journal of Nursing Education, 43, 116-124.
[21]
Kawagoe, M. (2008) Current State and Problem of Function Differentiation of Long-Term Recuperation Facilities Seen from Viewpoint of the Elderly Characteristic. The Quarterly of Social Security Research, 43, 316-326.
[22]
Takahashi, Y. (2009) Challenges to the Actual Situation and Retention of Nurses in Long-Term Care Insurance Facility. Hokkaido University Collection of Scholarly and Academic Papers, 27, 31-46. (In Japanese)
[23]
Shimizu, M., Ogata, Y. and Yoshimoto, T. (2009) Nurses and Care Workers, Job Satisfaction about Care Practice Environment at Geriatric Health Services Facilities. Journal of Niigata Seiryo University, 1, 71-81. (In Japanese)
[24]
Der, V. (2009) Multidisciplinary Rounds in Our ICU: Improved Collaboration and Patient Outcomes. American Association of Critical Care Nurses, 29, 83-84. https://doi.org/10.4037/ccn2009792
[25]
Hamric, A.B. (2000) What Is Happening to Advocacy? Nursing Outlook, 48, 103-104. https://doi.org/10.1067/mno.2000.107644
[26]
MacDonald, H. (2007) Relational Ethics and Advocacy in Nursing: Literature Review. Journal of Advanced Nursing, 57, 119-126. https://doi.org/10.1111/j.1365-2648.2006.04063.x
[27]
Mallik, M. (1997) Advocacy in Nursing: Perceptions of Practicing Nurses. Journal of Clinical Nursing, 6, 303-313. https://doi.org/10.1111/j.1365-2702.1997.tb00319.x
[28]
Morse, K.J. (2008) Patient Advocacy: New Skill or Core Competency? Nursing Critical Care, 3, 4. https://doi.org/10.1097/01.CCN.0000318730.52180.f1
[29]
Watanabe, M. (2001) The Factors Related to the Average Term of Residents’ Stay in Geriatric Health Service Facilities. Bulletin of Yamanashi Medical University, 18, 95-99. (In Japanese)
[30]
Shimizu, M.A. (2005) Study of the Factors Which Enable Terminal Care at Geriatric Intermediate Care Facilities in Japan: An Interview of Nurse Managers. Journal of Niigata Seiryo University, 5, 347-358. (In Japanese)
[31]
Linzer, N. (2002) An Ethical Dilemma in Home Care. Journal of Gerontological Social Work, 37, 23-34. https://doi.org/10.1300/J083v37n02_03
