D1 IP (3119)
Professional Issues
What defines a profession?
Professions involve essentially intellectual operations;
They derive their raw material from science and learning;
This material they work up to a practical and defined end;
They possess educationally communicable techniques;
They tend to self-organize; and they are becoming
increasingly altruistic in motivation.
Based on this definition, nursing did not meet the criteria of a profession. In
response, the professional status of nursing was evaluated. Again, nursing was
deficient as a true profession.
What does it take to be a profession?
A profession is defined as a complex, organized occupation preceded by a long training program geared toward the acquisition of exclusive knowledge necessary to provide a service that is essential or desired by society, leading to a monopoly that provides autonomy, public recognition, prestige, power, and authority for the practitioner.
Expertise
Autonomy
Accountability
Authority
Unity
Expertise
The characteristic of having a high level of specialized skill
and knowledge.
How do we do this?
Educational requirements
Guided practice
Examination for licensure
Certification
Mandatory continuing education
Specialty preparation
Certification Process
Autonomy
Having the freedom to make independent choices.
How do we do this?
The autonomy of the profession as well as the autonomy of
the individual practitioner.
The ANA Code of Ethics discusses the nurse’s autonomous
decision making and responsibility.
Nurses exercise independent functions, make nursing
diagnoses and initiates self-directed treatment.
Accountability
The state of being answerable to someone for something
one has done.
How do we do this?
Code of Nursing Ethics
ANA Standards of Nursing Practice
Facility specific Standards of Nurse Practice
Nurse Practice Act for the state we practice
Authority
The state of having legitimate power and sovereignty.
How do we do this?
The authority to practice nursing is granted by statute,
based upon the contract of the professional’s rights and
responsibilities, and requires mechanisms for public
accountability.
The Nurse Practice Act protects the public from the
unqualified, and it protects professionals’ job territory by
establishing a monopoly.
Unity
Relates to the ability of organization for the purpose of
fulfilling the profession’s promises and the relationships
that members have with one another.
How do we do this?
Active membership in the ANA
Membership in the nursing association in the state of practice
What do you think?
Occupation or Profession?