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The evolving professional nursing self-image of students in baccalaureate programs: a cross-sectional survey.
Int J Nurs Stud. 2010 Jun; 47(6):688-98.IJ

Abstract

BACKGROUND

We have previously examined the professional self-image of practicing nurses in Belgium and its association with various professional decisions, however there is limited knowledge about the professional self-image of nurses-to-be. Despite prior research on nursing students' perceptions of nursing or their self-esteem, students' professional image, defined as "the way students perceive themselves in their clinical practice environment and their anticipated work environment", has not been described nor compared to that of practicing nurses.

OBJECTIVE

To describe the professional nursing self-image among students in their final year of baccalaureate education.

DESIGN

Cross-sectional survey.

SETTINGS

Nine geographically spread baccalaureate programs in the Flemish region of Belgium.

PARTICIPANTS

427 evaluable students from 455 recruited from 663 potential.

METHODS

Data collected in each school during regular hours using an adapted version of the BELIMAGE (Belgian professional self-image instrument for hospital nurses) including questions on personal demographics, education and competence, nursing care, team and practice environment. Voluntary participation with returned questionnaire deemed informed consent.

RESULTS

Respondents identified several curricular components as contributing to their perceived competence. They also identified several skills deemed important to professional nursing, however did not feel competent in all of these. Important nursing care aspects included individualizing patient care, detecting care problems and potential complications, and promoting patient well-being; within a care environment with open interdisciplinary communication, where care problems could be discussed with nursing colleagues, where one cares for the same patient regularly, and led by a team leader with vision. Society's view of nursing was generally more negative than students'. Most students planned on working in nursing after their studies and many had thought about additional education at some point. Most were proud of becoming a nurse, would recommend nursing to others, and would choose nursing again as field of study.

CONCLUSIONS

Students' evolving professional self-image was positive, rich, and enthusiastic; and higher than that observed in working nurses in a prior study. There is a significant gap between nursing care aspects deemed important and perceived competence in these areas, which has implications for both educators and future employers. Once employed, students are likely to experience differences in their perceptions of professional self-image with those of senior colleagues; another area of attention for employers.

Authors+Show Affiliations

Centre for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium. koen.milisen@med.kuleuven.beNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19962697

Citation

Milisen, Koen, et al. "The Evolving Professional Nursing Self-image of Students in Baccalaureate Programs: a Cross-sectional Survey." International Journal of Nursing Studies, vol. 47, no. 6, 2010, pp. 688-98.
Milisen K, De Busser T, Kayaert A, et al. The evolving professional nursing self-image of students in baccalaureate programs: a cross-sectional survey. Int J Nurs Stud. 2010;47(6):688-98.
Milisen, K., De Busser, T., Kayaert, A., Abraham, I., & de Casterlé, B. D. (2010). The evolving professional nursing self-image of students in baccalaureate programs: a cross-sectional survey. International Journal of Nursing Studies, 47(6), 688-98. https://doi.org/10.1016/j.ijnurstu.2009.11.008
Milisen K, et al. The Evolving Professional Nursing Self-image of Students in Baccalaureate Programs: a Cross-sectional Survey. Int J Nurs Stud. 2010;47(6):688-98. PubMed PMID: 19962697.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The evolving professional nursing self-image of students in baccalaureate programs: a cross-sectional survey. AU - Milisen,Koen, AU - De Busser,Tinne, AU - Kayaert,Annelore, AU - Abraham,Ivo, AU - de Casterlé,Bernadette Dierckx, Y1 - 2009/12/04/ PY - 2009/03/30/received PY - 2009/10/29/revised PY - 2009/11/08/accepted PY - 2009/12/8/entrez PY - 2009/12/8/pubmed PY - 2010/7/17/medline SP - 688 EP - 98 JF - International journal of nursing studies JO - Int J Nurs Stud VL - 47 IS - 6 N2 - BACKGROUND: We have previously examined the professional self-image of practicing nurses in Belgium and its association with various professional decisions, however there is limited knowledge about the professional self-image of nurses-to-be. Despite prior research on nursing students' perceptions of nursing or their self-esteem, students' professional image, defined as "the way students perceive themselves in their clinical practice environment and their anticipated work environment", has not been described nor compared to that of practicing nurses. OBJECTIVE: To describe the professional nursing self-image among students in their final year of baccalaureate education. DESIGN: Cross-sectional survey. SETTINGS: Nine geographically spread baccalaureate programs in the Flemish region of Belgium. PARTICIPANTS: 427 evaluable students from 455 recruited from 663 potential. METHODS: Data collected in each school during regular hours using an adapted version of the BELIMAGE (Belgian professional self-image instrument for hospital nurses) including questions on personal demographics, education and competence, nursing care, team and practice environment. Voluntary participation with returned questionnaire deemed informed consent. RESULTS: Respondents identified several curricular components as contributing to their perceived competence. They also identified several skills deemed important to professional nursing, however did not feel competent in all of these. Important nursing care aspects included individualizing patient care, detecting care problems and potential complications, and promoting patient well-being; within a care environment with open interdisciplinary communication, where care problems could be discussed with nursing colleagues, where one cares for the same patient regularly, and led by a team leader with vision. Society's view of nursing was generally more negative than students'. Most students planned on working in nursing after their studies and many had thought about additional education at some point. Most were proud of becoming a nurse, would recommend nursing to others, and would choose nursing again as field of study. CONCLUSIONS: Students' evolving professional self-image was positive, rich, and enthusiastic; and higher than that observed in working nurses in a prior study. There is a significant gap between nursing care aspects deemed important and perceived competence in these areas, which has implications for both educators and future employers. Once employed, students are likely to experience differences in their perceptions of professional self-image with those of senior colleagues; another area of attention for employers. SN - 1873-491X UR - https://www.unboundmedicine.com/medline/citation/19962697/The_evolving_professional_nursing_self_image_of_students_in_baccalaureate_programs:_a_cross_sectional_survey_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(09)00364-2 DB - PRIME DP - Unbound Medicine ER -