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 Clinical Research, Oncology, HIV, ENT.

I still disagree, SuzyK. I'm not saying I think nursing is or isn't a profession. I'm just saying depending on the definition you use you could spin it either way.

For example, the nursing process is not borrowed from any other profession. It's entirely ours (whether it's any good or not). Also, just because we can't decide upon our education requirements doesn't mean we dont' have the control necessary to do so. We just don't exercise that control.

No, we are not a profession. We are a cluster of small minds, a group of wannabees, a truckload of peons....sometimes a boatload from overseas.

Specializes in LDRP; Education.
Originally posted by Dr. Kate

Before accepting a definition, it is advisable to undersatnd how the words in the definition are being used. Both the modern definitions you quote are more than a bit nebulous, containing words used in ways that are open to multiple interpretations.

In making assessments as to whether or not something meets the criteria of a definition the criteria themselves have to be defined, you have to determine if the criteria are valid, and if the stated criteria are all essential to the definition. The authority of the person creating the definition is also open to discussion. Was the definition validated in any way? If so how? Under what circumstances and conditions?

I would suggest you continue to look for definitions of profession.

Dr. Kate, because the terms are nebulous, as you state, is precisely why the concept is up for debate.

The definition comes from current nursing literature, in which the author paraphrased and quoted secondary sources. I am not about to do anyone's research. My source is:

Rutty, J. (1998). The nature of philosophy of science, theory and

knowledge relating to nursing and professionalism.

Journal of Advanced Nursing, 28(2), 243-250.

ResearchRN,

The nursing process is indiginous to many other disciplines. We are only borrowing it with our own little sprinkle of flavor, and an extra dose of BS.

Specializes in LDRP; Education.

I agree, Glad2behere.

The concepts of the nursing process are all borrowed. We all put them together to form a process that we could call our own. But the knowledge IN the process is not nursing knowledge.

Specializes in Clinical Research, Oncology, HIV, ENT.

OK Glad2behere and Suzy K. I'll give you that. :)

Specializes in Nursing Professional Development.
Originally posted by Susy K

Let me play debate monger. Our knowledgebase is NOT unique to nursing. ALL of our knowledge is actually borrowed from other professions - such as medicine, psychology, etc.

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I do NOT intend to re-start the whole "nursing theory thread" again, but ... this is one reason why nurse scholars have devoted so much time and energy toward the development of those grand theories of nursing that so many people hate. They are trying to establish a uniquely nursing perspective, a foundation upon which and around which to base nursing knowledge -- helping us to develop into a stronger profession.

llg

Ok, this is real simple stuff.

By the mere amount of attraction this topic always receives it stands to reason that there would not be so many voices to rally that "the emperor has his clothes on". If their were no doubt that nursing truly is a profession, then the need to defend or define it would not be so luring, and not one poster would have bothered to post, and the point would be moot.

By having posted in defense of nursing as a profession, those who have have defaulted in their own lack of belief, and thus sucuumbed to the argument self evident in their own actions.

Who decides whether nursing is a profession or not? Society? The nurses themselves, with their wide-ranging, often conflicting points of view? Part of the dilemma is that there is no one collective voice for nursing, and by collective I do not mean a union. Unions have had their place in nursing, but they are not the answer to the bigger picture.

I also ask, who--within nursing--wants nursing to be a profession? Is this the desire of most nurses, or just the academic elite? How would being seen as a profession specifically benefit nursing? People say more respect, better pay, etc., but these are vague statements, and what would be the action plan for implementing these measures?

Regarding pay, I agree that punching a time clock spells vocation rather than profession, but salary would probably mean no shift differential or overtime. (Hmm, even the word "shift" sounds non-professional). A lot of nurses like the benefits of shift work. This is a complex and convoluted issue. Let's keep the discussion going.

Specializes in cardiac ICU.

I for one am SICK of hearing about the "nursing process". This much-ballyhooed "process" is nothing more than an intensely detailed description of the stages involved in doing something with the hope of producing a particular result. Big deal. You would use the "nursing process" to housebreak a puppy. Ergo, slapping a label on something ("profession") does not change the nature of the thing. I don't think that a sociological definition of "profession" is very useful in this context. The word "profession" is essentially a traditional label for medicine, law, divinity, and maybe dentistry and accounting. Nursing has a lot more in common with blue-collar work than with any profession--e.g. high rates of on the job injury, and that ubiquitous time clock. And I'm sure I'll be heartily flamed for this post, but hey.

Specializes in Perinatal/neonatal.

yo yo yo peeps....:D

This is very interesting. My exterminator claims to be a professional and the man kills bugs for a living. If he can kill bugs and be a professional then I can help save lives and be a professional. ;)

Seriously... There is no clear cut answer to the question posed. It's all about perspective here. Mine just got a bit lighter.

~Angie

Specializes in LDRP; Education.
Originally posted by KarafromPhilly

You would use the "nursing process" to housebreak a puppy.

Really?! Damn! I've been trying to housebreak Fattie now for a week! ;)

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