Research Article
BibTex RIS Cite

İntörn hekimlerin hemşirelik mesleği ile ilgili algıları: nitel bir araştırma

Year 2019, Volume: 44 Issue: Supplement 1, 148 - 155, 29.12.2019
https://doi.org/10.17826/cumj.566554

Abstract

Amaç: Bu çalışmanın amacı Tıp fakültesi hastanesinde çalışan intörn hekimlerin “hemşirelik” mesleğini nasıl algılandığını belirlemektir.

Gereç ve Yöntem: Bu çalışmada nitel bir yaklaşım kullanılmıştır. Araştırma, kelime ilişkilendirme testi kullanılarak, tıp fakültesinde intörn hekimler ile yürütülmüş ve hemşirelik mesleğinin kavramsal analizi yapılmıştır. Çalışma katılımcıları çalışmaya gönüllü olarak katılan 54 intörn hekimden (30 erkek ve 24 kadın) oluşmuş ve veri saturasyonu ile örneklem büyüklüğü belirlenmiştir (n = 54)..

Bulgular: Temaların etiketleri ve sıklık sayıları şu şekildedir: görev çatışması (f = 62), negatif algı yükü (f = 128) ve profesyonel hemşirelik algısı (f = 117). Katılımcılar, hemşirelerin bazen hekim gibi davrandıklarını (meslek hastalıkları) belirtti. Hemşirelikle ilgili profesyonel kimlik öğeleri, özgecilik, bağlılık ve fedakarlık gibi ifadeleri içeriyordu. Katılımcılar olumsuz bir hemşirelik algısı (örneğin, somurtkanlık ve saldırganlık) dile getirdiler.

Sonuç: Çalışma sonuçlarına göre, intörn hekimler  arasında hemşirelik ile ilgili olumsuz algı hakimdir. Profesyoneller arası ilişkileri değiştirme noktasında, lisans düzeyinde meslekler arası öğrenme uygulanabilir. Hekim-hemşire işbirliği adı altında ortak dersler yürütülmelidir. Bununla birlikte, klinik uygulamada bazı soruların yanıtları hekim ve hemşireler arasında profesyonel işbirliğini geliştirmeye yardımcı olabilir: Neden olumsuz algıyı olumlu bir düşünceye çeviremiyoruz? ve bu süreçte meslekler arası öğrenmenin yardımı olabilir mi?


References

  • McGowan Y, Humphries N, Burke H, Conry M, Morgan K. Through doctors’ eyes: A qualitative study of hospital doctor perspectives on their working conditions. British Journal of Health Psychology. 2013; 18(4): 874-91.
  • Ridd M, Shaw A, Lewis G, Salisbury C. The patient–doctor relationship: A synthesis of the qualitative literature on patients' perspectives. British Journal of General Practice. 2009; 59 (561):116-33.
  • Pavlovich-Davis S, Forman H, Simek PP. The nurse-physician relationship; can it be saved? Journal of Nursing Administration. 1998; 28 (7-8):17-20.
  • Onan A, Turan S, Elcin M, Simsek N, Deniz KZ. A test adaptation of the modified readiness for Inter-professional Learning Scale in Turkish. Indian Journal of Pharmaceutical Education and Research. 2017; 51(2): 207-15.
  • Herath C, Zhou Y, Gan Y, Nakandawire N, Gong Y, Lu Z. A comparative study of interprofessional education in global health care: A systematic review. Medicine (Baltimore). 2017; 96(38):7336-43.
  • Liaw SY, Siau C, Zhou WT, Lau TC. Interprofessional simulation-based education program: A promising approach for changing stereotypes and improving attitudes toward nurse–physician collaboration. Applied Nursing Research. 2014; 27(4): 258-60.
  • Lockeman KS, Appelbaum NP, Dow AW, Orr S, Huff TA, Hogan CJ, Queen BA. The effect of an interprofessional simulation-based education program on perceptions and stereotypes of nursing and medical students: A quasi-experimental study. Nurse Education Today. 2017; 58: 32-7.
  • Glerean N, Hupli M, Talman K, Haavisto E. Young peoples’ perceptions of the nursing profession: An integrative review. Nurse Education Today. 2017; 57: 95-102. 9. Ten Hoeve Y, Jansen G, Roodbol P. The nursing profession: public image, self-concept and professional identity. A discussion paper. Journal of Advanced Nursing. 2014; 70 (2): 295-309.
  • Huffstutler SY, Stevenson SS, Mullins IL, Hackett DA, Lambert AW. The public’s image of nursing as described to baccalaureate prenursing students. Journal of Professional Nursing. 1998; 14(1): 7-13.
  • Takase M, Kershaw E, Burt L. Nurse-environment misfit and nursing practice. Journal of Advanced Nursing. 2001; 35 (6): 819-26.
  • de Araujo Sartorio N, Pavone Zoboli ELC. Images of a ‘good nurse’ presented by teaching staff. Nursing Ethics. 2010; 17(6): 687-94.
  • Kemmer LF, Silva MJP. Nurses’ visibility according to the perceptions of the communication professionals. Revista Latino-Americana de Enfermagem. 2007; 15 (2): 191-8.
  • Kalisch BJ, Begeny S, Neumann S. The image of the nurse on the Internet. Nursing Outlook. 2007; 55 (4): 182-8.
  • Sutton J, Zubin A. Qualitative research: Data collection, analysis, and management. Canadian Journal of Hospital Pharmacy. 2015; 68 (3): 226-31.
  • Deese J. Form class and determinants of association. Journal of Verbal Learning and Verbal Behavior. 1962; 1(2): 79-84.
  • Keskin E, Örgün E, Akbulut BA. Analysis of gastronomy concept through the word association test. Journal of Tourism and Gastronomy Studies. 2017; 5(3): 255-267.
  • Akis A, Kaya B. Determination of the cognitive fourth students 'cognitive structures on the concept of drought. lnternational Journal of Geography and Geography Education (IGGE). 2018; 38: 58-68.
  • Polat G. Determination of the environmental cognitive structures of the 9th grade 9th grade students using the Word Correlation Test technique. Necatibey Faculty of Education Journal of Electronic Science and Mathematics Education. 2015; 7: 97-120. (Original Work Published in Turkish)
  • Bahar M, Johnstone AH, Sutcliffe RG. Investigation of students’ cognitive structure in elementary genetics through word association tests. Journal of Biological Education. 1999; 33(3): 134-41.
  • Saldana J. The coding manual for qualitative researchers. 2nd edt, Thousand Oaks, mA: SAGE Publications. 2010.
  • Cutcliffe JR, McKenna HP. Establishing the credibility of qualitative research findings: The plot thickens. Journal of Advanced Nursing. 1999; 30 (2): 374-80.
  • Leung L. Validity, reliability, and generalizability in qualitative research. Journal of Family Medicine and Primary Care. 2015; 4(3): 324–7.
  • Carpenter J. Interprofessional education for medical and nursing students: Evaluation of a programme. Medical Education. 1995; 29 (4): 265-72.
  • Arthur D. Measuring the professional self-concept of nurses: A critical review. Journal of Advanced Nursing. 1992; 17(6): 712-9.
  • Ohlen J, Segesten K. The professional identity of the nurse: Concept analysis and development. Journal of Advanced Nursing. 1998; 28 (4): 720-7.
  • Iacono M. Conflict, communication, and collaboration: Improving interactions between nurses and physicians. Journal of PeriAnesthesia Nursing. 2003; 18(1): 42-6.
  • Kale E, Cicek U. Metaphor perceptions of nurses about their own profession. Journal of Health and Nursing Management. 2015; 2(3): 142-51. (Original Work Published in Turkish)
  • Weiland TJ, Mackinlay C, Jelinek GA. Perceptions of nurse practitioners by emergency department doctors in Australia. International Journal of Emergency Medicine. 2010; 3(4): 271-8.
  • Callaghan S. Junior doctors’ perceptions of the specialist nurse role in acute cardiology. British Journal of Cardiac Nursing. 2015; 10(10): 487-93.
  • Crawford RM, Gallagher P, Harding T, McKinlay EM, Pullon SR. Interprofessional undergraduate students talk about nurses and nursing: A qualitative study. Nurse Education Today. 2016; 39: 7-11.

Perceptions of intern physicians about nursing profession: a qualitative research

Year 2019, Volume: 44 Issue: Supplement 1, 148 - 155, 29.12.2019
https://doi.org/10.17826/cumj.566554

Abstract

Purpose: The aim of this study was to determine how the concept of ‘nursing’ was perceived by intern doctors working at a medical faculty hospital. 

Materials and Methods: This study used a qualitative approach. The study was conducted at a medical faculty with intern doctors using the word association test, and a conceptual analysis of the nursing profession was conducted. Study participants comprised 54 intern doctors (30 males and 24 females) who voluntarily participated in the study, and the saturation point was considered (n=54).

Results: Tags and frequency numbers of the themes were as follows: task conflict (f=62), negative perception burden (f=128) and professional nursing perception (f=117). The participants stated that nurses sometimes acted as physicians (occupational disorder). Nursing-related professional identity items included expressions such as altruism, devotion and self-sacrifice. The participants expressed a negative perception of nursing (e.g. sullenness and aggressiveness).

Conclusion: According to the results of the study, negative perception about nursing is dominant among the intern doctors. At the point of changing relations between colleagues, interprofessional education can be applied at the undergraduate level. Joint courses should be conducted under the name of doctor-nurse cooperation. However, the answers to some questions in clinical practice can help improve professional cooperation between nurses and physicians: Why cannot we turn negative perception into a positive one? And can interprofessional learning help?


References

  • McGowan Y, Humphries N, Burke H, Conry M, Morgan K. Through doctors’ eyes: A qualitative study of hospital doctor perspectives on their working conditions. British Journal of Health Psychology. 2013; 18(4): 874-91.
  • Ridd M, Shaw A, Lewis G, Salisbury C. The patient–doctor relationship: A synthesis of the qualitative literature on patients' perspectives. British Journal of General Practice. 2009; 59 (561):116-33.
  • Pavlovich-Davis S, Forman H, Simek PP. The nurse-physician relationship; can it be saved? Journal of Nursing Administration. 1998; 28 (7-8):17-20.
  • Onan A, Turan S, Elcin M, Simsek N, Deniz KZ. A test adaptation of the modified readiness for Inter-professional Learning Scale in Turkish. Indian Journal of Pharmaceutical Education and Research. 2017; 51(2): 207-15.
  • Herath C, Zhou Y, Gan Y, Nakandawire N, Gong Y, Lu Z. A comparative study of interprofessional education in global health care: A systematic review. Medicine (Baltimore). 2017; 96(38):7336-43.
  • Liaw SY, Siau C, Zhou WT, Lau TC. Interprofessional simulation-based education program: A promising approach for changing stereotypes and improving attitudes toward nurse–physician collaboration. Applied Nursing Research. 2014; 27(4): 258-60.
  • Lockeman KS, Appelbaum NP, Dow AW, Orr S, Huff TA, Hogan CJ, Queen BA. The effect of an interprofessional simulation-based education program on perceptions and stereotypes of nursing and medical students: A quasi-experimental study. Nurse Education Today. 2017; 58: 32-7.
  • Glerean N, Hupli M, Talman K, Haavisto E. Young peoples’ perceptions of the nursing profession: An integrative review. Nurse Education Today. 2017; 57: 95-102. 9. Ten Hoeve Y, Jansen G, Roodbol P. The nursing profession: public image, self-concept and professional identity. A discussion paper. Journal of Advanced Nursing. 2014; 70 (2): 295-309.
  • Huffstutler SY, Stevenson SS, Mullins IL, Hackett DA, Lambert AW. The public’s image of nursing as described to baccalaureate prenursing students. Journal of Professional Nursing. 1998; 14(1): 7-13.
  • Takase M, Kershaw E, Burt L. Nurse-environment misfit and nursing practice. Journal of Advanced Nursing. 2001; 35 (6): 819-26.
  • de Araujo Sartorio N, Pavone Zoboli ELC. Images of a ‘good nurse’ presented by teaching staff. Nursing Ethics. 2010; 17(6): 687-94.
  • Kemmer LF, Silva MJP. Nurses’ visibility according to the perceptions of the communication professionals. Revista Latino-Americana de Enfermagem. 2007; 15 (2): 191-8.
  • Kalisch BJ, Begeny S, Neumann S. The image of the nurse on the Internet. Nursing Outlook. 2007; 55 (4): 182-8.
  • Sutton J, Zubin A. Qualitative research: Data collection, analysis, and management. Canadian Journal of Hospital Pharmacy. 2015; 68 (3): 226-31.
  • Deese J. Form class and determinants of association. Journal of Verbal Learning and Verbal Behavior. 1962; 1(2): 79-84.
  • Keskin E, Örgün E, Akbulut BA. Analysis of gastronomy concept through the word association test. Journal of Tourism and Gastronomy Studies. 2017; 5(3): 255-267.
  • Akis A, Kaya B. Determination of the cognitive fourth students 'cognitive structures on the concept of drought. lnternational Journal of Geography and Geography Education (IGGE). 2018; 38: 58-68.
  • Polat G. Determination of the environmental cognitive structures of the 9th grade 9th grade students using the Word Correlation Test technique. Necatibey Faculty of Education Journal of Electronic Science and Mathematics Education. 2015; 7: 97-120. (Original Work Published in Turkish)
  • Bahar M, Johnstone AH, Sutcliffe RG. Investigation of students’ cognitive structure in elementary genetics through word association tests. Journal of Biological Education. 1999; 33(3): 134-41.
  • Saldana J. The coding manual for qualitative researchers. 2nd edt, Thousand Oaks, mA: SAGE Publications. 2010.
  • Cutcliffe JR, McKenna HP. Establishing the credibility of qualitative research findings: The plot thickens. Journal of Advanced Nursing. 1999; 30 (2): 374-80.
  • Leung L. Validity, reliability, and generalizability in qualitative research. Journal of Family Medicine and Primary Care. 2015; 4(3): 324–7.
  • Carpenter J. Interprofessional education for medical and nursing students: Evaluation of a programme. Medical Education. 1995; 29 (4): 265-72.
  • Arthur D. Measuring the professional self-concept of nurses: A critical review. Journal of Advanced Nursing. 1992; 17(6): 712-9.
  • Ohlen J, Segesten K. The professional identity of the nurse: Concept analysis and development. Journal of Advanced Nursing. 1998; 28 (4): 720-7.
  • Iacono M. Conflict, communication, and collaboration: Improving interactions between nurses and physicians. Journal of PeriAnesthesia Nursing. 2003; 18(1): 42-6.
  • Kale E, Cicek U. Metaphor perceptions of nurses about their own profession. Journal of Health and Nursing Management. 2015; 2(3): 142-51. (Original Work Published in Turkish)
  • Weiland TJ, Mackinlay C, Jelinek GA. Perceptions of nurse practitioners by emergency department doctors in Australia. International Journal of Emergency Medicine. 2010; 3(4): 271-8.
  • Callaghan S. Junior doctors’ perceptions of the specialist nurse role in acute cardiology. British Journal of Cardiac Nursing. 2015; 10(10): 487-93.
  • Crawford RM, Gallagher P, Harding T, McKinlay EM, Pullon SR. Interprofessional undergraduate students talk about nurses and nursing: A qualitative study. Nurse Education Today. 2016; 39: 7-11.
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research
Authors

Aynur Çetinkaya 0000-0003-1599-0070

Süheyla Rahman 0000-0002-0469-7322

Hüseyin Elbi 0000-0002-2955-5400

Selim Altan 0000-0001-8817-3210

Publication Date December 29, 2019
Acceptance Date July 5, 2019
Published in Issue Year 2019 Volume: 44 Issue: Supplement 1

Cite

MLA Çetinkaya, Aynur et al. “Perceptions of Intern Physicians about Nursing Profession: A Qualitative Research”. Cukurova Medical Journal, vol. 44, 2019, pp. 148-55, doi:10.17826/cumj.566554.