Cent Eur J Nurs Midw 2022, 13(1):611-623 | DOI: 10.15452/cejnm.2021.12.0020

Assessing nurse professionalism: a literature review of instruments and their measurement properties

Katarína Žiaková, Dominika Kalánková, Martina Tomagová
Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia

Aim:  To provide an overview of instruments measuring nurse professionalism, and to analyze and critically evaluate the psychometric properties of these instruments. Design: A narrative literature review. Methods: A search was made for studies focusing on instruments measuring nurse professionalism using relevant terms. The literature search was conducted between September and December 2020 in two scientific databases: Scopus, and ProQuest. A total of eleven studies featuring instruments to measure nurse professionalism were included in the analysis. A content analysis approach was adopted. Results: We identified eleven self-report instruments measuring nurse professionalism, seven of which were designed to measure nurse professionalism in general, and four which measured more specific concepts, such as nursing values or nurse-nurse collaboration. The instruments demonstrated acceptable psychometric properties. Conclusion: There is a lack of research focusing on nurse professionalism in a European context, and in Slovakia in particular. With increasing demands on nursing care, it is necessary to examine this phenomenon within nursing practice. We, therefore, recommend that research be conducted using instruments to measure nurse professionalism in Europe and in Slovakia.

Keywords: instrument, nursing, nurses, professionalism, psychometric properties

Received: December 16, 2020; Revised: May 6, 2021; Accepted: May 6, 2021; Published: March 5, 2022  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Žiaková K, Kalánková D, Tomagová M. Assessing nurse professionalism: a literature review of instruments and their measurement properties. Central European Journal of Nursing and Midwifery. 2022;13(1):611-623. doi: 10.15452/cejnm.2021.12.0020.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Adams, D., & Miller, B. K. (2001). Professionalism in nursing behaviors of nurse practitioners. Journal of Professional Nursing, 17(4), 203-210. http://dx.doi.org/10.1053/jpnu.2001.25913 Go to original source... Go to PubMed...
    2. Adams, D., Miller, B. K., & Beck, L. (1996). Professionalism behaviors of hospital nurse executives and middle managers in 10 western states. Western Journal of Nursing Research, 18(1), 77-88. https://doi.org/10.1177/019394599601800106 Go to original source... Go to PubMed...
    3. Baumann, A., & Kolotylo, C. (2009). The Professionalism and Environmental Factors in the Workplace Questionnaire®: development and psychometric evaluation. Journal of Advanced Nursing, 65(10), 2216-2228. http://dx.doi.org/10.1111/j.1365-2648.2009.05104.x Go to original source... Go to PubMed...
    4. Baumann, A., Crea-Arsenio, M., Akhtar-Danesh, N., Fleming-Carroll, B., Hunsberger, M., Keatings, M., Elfassy, M. D., & Kratina, S. (2016). Strategic workforce planning for health human resources: a nursing case analysis. Canadian Journal of Nursing Research, 48(3-4), 93-99. http://dx.doi.org/10.1177/0844562116680715 Go to original source... Go to PubMed...
    5. Castro E., Click, E., Douglas, S., & Friedman, I. (2016). The professionalism of critical care nurse fellows after completion of the critical care nurse fellowship program. Journal for Nurses in Professional Development, 32(2), 87-93. http://dx.doi.org/10.1097/NND.0000000000000226 Go to original source... Go to PubMed...
    6. Cerit, B., & Dinç, L. (2013). Ethical decision-making and professional behavior among nurses: A correlation study. Nursing Ethics, 20(2), 200-212. http://dx.doi.org/10.1177/0969733012455562 Go to original source... Go to PubMed...
    7. Çelik, S., & Hisar, F. (2012). The influence of the professionalism behavior of nurses working in health institutions on job satisfaction. International Journal of Nursing Practice, 18(2), 180-187. https://doi.org/10.1111/j.1440-172X.2012.02019.x Go to original source... Go to PubMed...
    8. Chen, X., Yu, Q., Yu, F., Huang, Y., & Zhang, L. (2019). Psychometric evaluation of the Chinese version of the Snizek-revised Hallʼs Professionalism Inventory Scale. Journal of International Medical Research, 47(3), 1154-1168. https://doi.org/10.1177/0300060518817401 Go to original source... Go to PubMed...
    9. De Braganca, A. V., & Nirmala, R. (2017). Professionalism among nurses: a concept analysis. International Journal of Business and Management Invention, 6(7), 60-66.
    10. Dikmen, Y., Karataş, H., Arslan, G. G., & Ak, B. (2016). The level of professionalism of nurses working in a hospital in Turkey. Journal of Caring Sciences, 5(2), 95-102. http://dx.doi.org/10.15171/jcs.2016.010 Go to original source... Go to PubMed...
    11. Doost, F. H., Moghadas, T., Momeni, M., & Rafiei, H. (2016). Factors influencing professionalism: a cross sectional study among Iranian registered nurses. Journal of Nursing and Health Sciences, 5(3), 47-49.
    12. Dougherty, M. B., & Larson, E. L. (2010). The Nurse-Nurse Collaboration Scale. The Journal of Nursing Administration, 40(1), 17-25. http://dx.doi.org/10.1097/NNA.0b013e3181c47cd6 Go to original source... Go to PubMed...
    13. Fitzgerald, A. (2020). Professional identity: a concept analysis. Nursing Forum, 55(3), 447-472. http://dx.doi.org/10.1111/nuf.12450 Go to original source... Go to PubMed...
    14. Fukada, M. (2018). Nursing competency: definition, structure and development. Yonago Acta Medica, 61(1), 1-7. http://dx.doi.org/10.33160/yam.2018.03.001 Go to original source...
    15. Ghadirian, F., Salsali, M., & Cheraghi, M. A. (2014). Nursing professionalism: an evolutionary concept analysis. Iranian Journal of Nursing and Midwifery Research, 19(1), 1-10.
    16. Gunduzoglu, N. C., Korhan, E. A., Dilemek, H., & Yilmaz, D. U. (2017). The validity and reliability of the Turkish form of the Nurses' Role and Competencies Scale. International Journal of Caring Sciences, 10(3), 1240-1247.
    17. Hall, R. H. (1968). Professionalization and bureaucratization. American Sociological Review, 33(1), 92-104. http://dx.doi.org/10.2307/2092242 Go to original source...
    18. Hammer, D. P. (2000). Professional attitudes and behaviors: The "A's and B's" of professionalism. American Journal of Pharmaceutical Education, 64(4), 455-464. http://dx.doi.org/aj640420.pdf
    19. Hampton, D. L., & Hampton, G. M. (2000). Professionalism and the nurse-midwife practitioner: an exploratory study. Journal of the American Academy of Nurse Practitioners, 12(6), 218-225. http://dx.doi.org/10.1111/j.1745-7599.2000.tb00185.x Go to original source... Go to PubMed...
    20. Hisar, F., & Karadağ, A. (2010). Determining the professional behavior of nurse executives. International Journal of Nursing Practice, 16(4), 335-341. http://dx.doi.org/10.1111/j.1440-172X.2010.01849.x Go to original source... Go to PubMed...
    21. Hsieh, H.-F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. http://dx.doi.org/10.1177/1049732305276687 Go to original source... Go to PubMed...
    22. Ichikawa, N., Yamamoto-Mitani, N., Takai, Y., Tanaka, M., & Takemura, Y. (2020). Understanding and measuring nurses' professionalism: development and validation of the Nurses' Professionalism Inventory. Journal of Nursing Management, 28(7), 1607-1618. http://dx.doi.org/10.1111/jonm.13116 Go to original source... Go to PubMed...
    23. Jahromi, M. K., Koshkaki, A. R., Poorgholami, F., & Talebizadeh, M. (2018). A study of nurses' perception of professional values in the university hospitals affiliated with Jahrom University of Medical Sciences. Bangladesh Journal of Medical Science, 17(1), 47-51. https://doi.org/10.3329/bjms.v17i1.35279 Go to original source...
    24. Jang, I., Kim, Y., & Kim, K. (2016). Professionalism and professional quality of life for oncology nurses. Journal of Clinical Nursing, 25(19-20), 2835-2845. http://dx.doi.org/10.1111/jocn.13330 Go to original source... Go to PubMed...
    25. Johnson, J. A. (2015). Nursing professionalism: innate, taught, or caught? Journal for Nurses in Professional Development, 31(2), 114-115. http://dx.doi.org/10.1097/NND.0000000000000149 Go to original source... Go to PubMed...
    26. Kim, Y.-S., & Baek, H. (2007). Translation and validation of Korean version of Hall's Professionalism Inventory. Journal of Korean Academy of Nursing Administration, 13(4), 509-515.
    27. Kim-Godwin, Y. S., Baek, H. C., & Wynd, C. A. (2010). Factors influencing professionalism in nursing among Korean American registered nurses. Journal of Professional Nursing, 26(4), 242-249. http://dx.doi.org/10.1016/j.profnurs.2009.12.007 Go to original source... Go to PubMed...
    28. Konukbay, D., Yildiz, D., Fidanci, B. E., Yavuz, S., Akyol, M., & Akbayrak, N. (2014). Determination of professional behaviours of nurses working in an education and research hospital. International Journal of Caring Sciences, 7(2), 633-641.
    29. Lin, L. C., Lee, S., Ueng, S. W.-N., & Tang, W.-R. (2016). Reliability and validity of the Nurse Practitioners' Roles and Competencies Scale. Journal of Clinical Nursing, 25(1-2), 99-108. http://dx.doi.org/10.1111/jocn.13001 Go to original source... Go to PubMed...
    30. Marcinowicz, L., Shpakou, A., Piatrou, S., Fejfer-Wirbal, E., Dudzik, A., Kalinowska, P., Palubinskaya, S., & Wojnar, D. (2020). Behavioural categories of professionalism of nurses in Poland and Belarus: a comparative survey. Journal of Clinical Nursing, 29(9-10), 1635-1642. http://dx.doi.org/10.1111/jocn.15226 Go to original source... Go to PubMed...
    31. Miller, B. K. (1988). A model for professionalism in nursing. Today's OR Nurse, 10(9), 18-23.
    32. Miller, B. K., Adams, D., & Beck, L. (1993). A Behavioral Inventory for Professionalism in Nursing. Journal of Professional Nursing, 9(5), 290-295. http://dx.doi.org/10.1016/8755-7223(93)90055-h Go to original source... Go to PubMed...
    33. Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., Bouter, L. M., & de Vet, H. C. W. (2010). The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Quality of Life Research, 19(4), 539-549. http://dx.doi.org/10.1007/s11136-010-9606-8 Go to original source... Go to PubMed...
    34. Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan - a web and mobile app for systematic reviews. Systematic Reviews, 5(1), 210. http://dx.doi.org/10.1186/s13643-016-0384-4 Go to original source... Go to PubMed...
    35. Pareek, B., Batra, K., & Kalia, R. (2016). Development of Professionalism Assessment Scale for Nurse Educator. Asian Journal of Nursing Education and Research, 6(4), 506-510. http://dx.doi.org/10.5958/2349-2996.2016.00095.1 Go to original source...
    36. Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M., & Farokhzadian, J. (2019). Professional values of nurses and nursing students: a comparative study. BMC Medical Education, 19(1), 438. http://dx.doi.org/10.1186/s12909-019-1878-2 Go to original source... Go to PubMed...
    37. Schmidt. B. J., & McArthur, E. C. (2018). Professional nursing values: a concept analysis. Nursing Forum, 53(1), 69-75. http://dx.doi.org/10.1111/nuf.12211 Go to original source... Go to PubMed...
    38. Shepard, L. H. (2014). It takes a village to assure nurse professionalism. I-manager's Journal on Nursing, 3(4), 1-5. Go to original source...
    39. Shohani, M., & Zamanzadeh, V. (2017). Nurses' attitude towards professionalization and factors influencing it. Journal of Caring Sciences, 6(4), 345-357. https://doi.org/10.15171/jcs.2017.033 Go to original source... Go to PubMed...
    40. Skela-Savič, B., Hvalič-Touzery, S., & Pesjak, K. (2017). Professional values and competencies as explanatory factors for the use of evidence-based practice in nursing. Journal of Advanced Nursing, 73(8), 1910-1923. http://dx.doi.org/10.1111/jan.13280 Go to original source... Go to PubMed...
    41. Snizek, W. E. (1972). Hall's Professionalism Scale: an empirical reassessment. American Sociological Review, 37(1), 109-114. http://dx.doi.org/10.2307/2093498 Go to original source...
    42. Tanaka, M., Taketomi, K., Yonemitsu, Y., & Kawamoto, R. (2016). Professional behaviours and factors contributing to nursing professionalism among nurse managers. Journal of Nursing Management, 24(1), 12-20. http://dx.doi.org/10.1111/jonm.12264 Go to original source... Go to PubMed...
    43. Tanaka, M., Yonemitsu, Y., & Kawamoto, R. (2014). Nursing professionalism: a national survey of professionalism among Japanese nurses. International Journal of Nursing Practice, 20(6), 579-587. http://dx.doi.org/10.1111/ijn.12201 Go to original source... Go to PubMed...
    44. Weis, D., & Schank, M. J. (2009). Development and psychometric evaluation of the Nurses Professional Values Scale - Revised. Journal of Nursing Measurement, 17(3), 221-231. http://dx.doi.org/10.1891/1061-3749.17.3.221 Go to original source... Go to PubMed...
    45. Weis, D., & Schank, M. J. (2017). Development and psychometric evaluation of the Nurses Professional Values Scale - 3. Journal of Nursing Measurement, 25(3), 400-410. https://doi.org/10.1891/1061-3749.25.3.400 Go to original source... Go to PubMed...
    46. Wilensky, H. L. (1964). The professionalization of everyone? American Journal of Sociology, 70(2), 137-158. Go to original source...
    47. Wynd, C. A. (2003). Current factors contributing to professionalism in nursing. Journal of Professional Nursing, 19(5), 251-261. http://dx.doi.org/10.1016/S8755-7223(03)00104-2 Go to original source... Go to PubMed...

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content