Are We Really a Profession?

Nurses General Nursing

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In reading the literature lately, I've come across several definitions and evolutions of the term "profession," and have since conceded that based on those accepted defintions, a profession we are NOT.

First recorded use of the word profession was in mid-fifteenth century and was defined as a "learned vocation." Later, in 1977, profession was defined as a "controlling occupation which has a status of superiority and precedence within a division of work."

Rutty (1998) defined profession as:

"The knowledge accessible to a particular assembly of people, the conduct that is expected from this group and the power and authority the group has over its training and/or education which takes place over a recognizable period of time, along with state registration which permits entry to be prevented by others who do not correspond to the requirements, are attributes that collectively and commonly characterize professional status within the literature. These considerations provide the means for the profession to maintain dominance over the comtemporary work situation and to decide its conditions."

Seeing as we DON'T decide our conditions, DON'T have status of superiority and DON'T have control over our education, I have to ask...we don't even fit the definition of "profession," so are we really one?

Specializes in LDRP; Education.
Originally posted by fergus51

Whoever is in charge, just like the Nurse managers controls ours. I have a lot more flexibility in scheduling compared to my dad the ex cop. The docs do control who is on call, but I am in a smallish town and a lot of the times, they are not able to do that because they are in short supply and if their patient gets admitted I call them. Control is all relative. A lot of what nurses b!tch about having to put up with, they don't actually have to put up with, they choose to. I honestly feel I have more control over my career and its conditions than my father ever had. As for docs, it's iffy. The governement here didn't give in to their demands either.

I have to disagree. Who ultimately approves our nursing policies, procedures, etc? Either administrators or physicians. The belief that nurses have autonomy over their own practice is a big farce, in my opinion. We don't. In the end, we answer to non-nurses and have to have our work approved by non-nurses.

Specializes in Clinical Research, Oncology, HIV, ENT.

Am I a professional?

1. I went to school, got a degree, took a test, and got a license. Now I go to work everyday and do my job with a little bit of griping about the working conditions and lousy pay and then I go home and continue to complain about my job and whether or not I'm a professional online. Am I a professional?

on the other hand

I went to school, got a degree, took a test, and got a license. Now I go to work everyday and do my job with a little bit of griping about the working conditions and lousy pay and then I go home and write my congressman, I participate in dialogue with management, attend meetings and conferences with my peers to learn something, or discuss the pros and cons of unionization and/or discuss the status of this occupation that I share with my peers. Am I a professional?

2. A doctor yells at me and I stand there and take it, or I cry, or I complain to my co-workers and my manager. Am I acting professionally?

Or

A doctor yells at me and I tell him that his actions and/or tone of voice are inappropriate and unacceptable and that when he is prepared to act professionally he should come speak the me. Am I acting professionally?

3. I'm very proud of my ADN, BSN, MSN, but I think my education is complete. I don't need to get my BSN, MSN, PhD because I'm already a better nurse than most of the people who have those degrees. I can nurse circles around them. I don't take the time to teach new staff, I don't participate in my specially association, I don't question why we do things. I don't try to conduct research to determine the appropriateness, effectiveness, utility of what we do. I don't read peer reviewed research articles, I've never tried to get anything published, I don't participate in journal clubs. Am I a professional?

but then again,

I've completed my ADN, BSN, MSN, but I know that it is my professional obligation to continue my education for the good of my patients, my co-workers, my profession and my self. I also know that as a professional I am obligated share my knowledge and experience with new persons entering my profession. I recognize that my specialty is constantly changing and I need to keep up to date, therefore, I participate in my specialty association, I subscribe to and read appropriate journals. I formulate ideas for research in my field and try to implement that research. I've written articles and been published. Am I a professional?

4. My co-workers don't like me. They're petty and gossiping behind my back. This really hurts me and makes work difficult for me. Am I a professional?

or

My co-workers don't like me. They're petty and gossiping behind my back. I couldn't care less. I am an exceptional nurse who provides exceptional care to my patients. Am I a professional

Hmmm...I have never considered myself to be anything other than a professional, in every job I did as an adult, salaried or hourly, timeclock or no timeclock, nurse, author, typographer, teacher, secretary.

Every job I did was my profession at the time; I chose to be there, I did the best I could do, I worked hard to learn everything I could about what I was doing. I approached each of my jobs with creativity and enthusiasm. When I couldn't muster those fires any more, I did something new...because then it became a JOB instead of a PROFESSION.

Here is yet ANOTHER definition...which tells you something about the fluidity of language and the different perceptions one can have that impede understanding...

pro-fes-sion Pronunciation Key (pr-fshn)

n.

An occupation or career: "One of the highest compliments a child can pay a parent is to choose his or her profession" (Joan Nathan).

An occupation, such as law, medicine, or engineering, that requires considerable training and specialized study.

The body of qualified persons in an occupation or field: i.e., members of the teaching profession.

Specializes in LDRP; Education.

Let's not confuse "professional" with "profession."

A Taco Bell employee can be "professional" in that they dress appropriately, are on time, do their job correctly, are curteous and don't encourage bad behavior, and are good examples. But just because that person is professional at work doesn't mean that they are in the Taco Bell profession.

Originally posted by Susy K

I have to disagree. Who ultimately approves our nursing policies, procedures, etc? Either administrators or physicians. The belief that nurses have autonomy over their own practice is a big farce, in my opinion. We don't. In the end, we answer to non-nurses and have to have our work approved by non-nurses.

Maybe it's because I am at a different place, but the administrators that approve our nursing policies and practices are nurse administrators, NOT physicians except as far as medical practice goes (prescriptions and such are not in our scope of practice, so I don't consider myself not autonomous in nursing practice becaue I don't make medical decisions). It's the same for cops. They answer to their administrators, many of whom haven't worked as street cops since the 60s.

I feel very autonomous because if I don't like something we have an excellent nurse manager who supports us in changing things (like instituting baby friendly initiatives, not following one doc's idea to wash surgical wounds with hydrogen peroxide, mobilization protocols, tranfers to PP time, etc) and many have been changed. We don't have complete free control of everything, because we are not independant practitionners. Can you imagine if every nurse had complete autonomy? CHAOS!

I stand by the fact that half the stuff we b*tch that administrators and non nurses force us to do, we ALLOW them to and we don't try to change it at all. As a nurse I ave the right to refuse to do anything that I deem harmful to my patients, and my practice has to meet RNABC standards.

Originally posted by Susy K

Let's not confuse "professional" with "profession."

A Taco Bell employee can be "professional" in that they dress appropriately, are on time, do their job correctly, are curteous and don't encourage bad behavior, and are good examples. But just because that person is professional at work doesn't mean that they are in the Taco Bell profession.

But if food service is the chosen career and life's work and is seen as such by the employee, it is legimate for the Taco Bell person to consider him/herself as being in the food service profession.

Specializes in LDRP; Education.

Wouldn't it be better to state "Food Service Industry?"

There HAS to be a difference.

Originally posted by Susy K

Wouldn't it be better to state "Food Service Industry?"

There HAS to be a difference.

Although, as someone pointed out upthread, the English language and its varied usages are infinitely flexible, I would agree with Susy's statement above. In my current field-- travel--most non-medical folks I know refer to themselves as "executives in the travel industry", not "travel professionals."

People in sales positions who call themselves professionals--"travel professional" or "real estate professional" instead of agent--are usually trying to emphasize their level of experience in the industry.

Specializes in Clinical Research, Oncology, HIV, ENT.
Originally posted by Susy K

Wouldn't it be better to state "Food Service Industry?"

There HAS to be a difference.

Why does there have to be a difference?

Specializes in LDRP; Education.
Originally posted by ResearchRN

Why does there have to be a difference?

Because there IS a difference between the Taco Bell employee, myself, and the surgeon (apparently).

Don't get me wrong, I LOVE Taco Bell and in fact am planning on getting either a Nachos Grande or Enchirito on the way to class tonight, but I just can't say "Food Service Profession." Besides, why even have the word if it all means the same?

Now I am hungry.....

The answer to the question lies in what goes down the assembly line at your hospital. Are your patients processed like bodies on an assembly line? Do you as a nurse feel like a member of the Meatcutters Union?

How about at the nursing home product line? Does it look like the morgue, funeral home, and cemetery plots are just further points farther down the line?

Before you accuse me of being cynical, think first about those that have designed our US "health care system". And remember that they say it is the finest in the world at what it does!

I hope that has helped answer the question.......?????

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