Nursing knowledge as a response to societal needs: a framework for promoting nursing as a profession

Brigita Savič 1  and Angela Kydd 2
  • 1 College of Nursing Jesenice, Spodnji Plavž 3, 4270 Jesenice, Slovenia
  • 2 School of Health, Nursing and Midwifery, University West of Scotland, UK

Nursing knowledge as a response to societal needs: a framework for promoting nursing as a profession

Introduction: As the population needs for health care at the local level become integrated into the global context, nurses are given the opportunity to make a significant contribution to the modernization of the healthcare system and gain importance and recognition from the political perspective. Nursing today is confronted with the needs and demands of both healthy and ill populations — these can be the result of changing demographics, new technologies, a growing awareness of the rights and voiced expectations of service users etc. Slovenian nurses have the opportunity to make a significant contribution to the modernization of the Slovenian healthcare system. This can be achieved by learning from the experiences of other countries and by exploring and addressing existing aspects of the need to gain professional status.

Methods: A review of the international literature indexed in the CINAHL database was performed for the period January - August 2010. The key phrases used were: ‘nursing skills and knowledge’, ‘nursing future and politics’, ‘nursing future and responsibility’, ‘nursing future and leadership’. We used only abstracts in English. A total of 343 abstracts were retrieved and assessed. All abstracts that did not include issues related to the importance of nursing knowledge and the importance of connecting nursing knowledge with patient needs were excluded. Twenty-two articles in total were included. A qualitative synthesis of the conclusions from each of the articles included was conducted, from which content codes were generated. The codes were then placed into content categories.

Results: Forty-seven qualitative codes were identified and semantically divided into 7 categories: public perception of nurses and the importance of knowledge; awareness at the personal and professional levels; adapting health care skills and knowledge, and the number of health care professionals, to future needs; importance of new nursing skills and knowledge, and of skill transfer; research as the source of new knowledge and development; assuming responsibility for conducting evidence-based nursing; emphasizing cooperation and communication.

Discussion: Based on the established qualitative categories in our research, we developed an explanatory model that is a good starting point for reflecting on where nursing is today and where it should be heading in the future, and is recommended for nurses, nursing managers, deans of nursing colleges, officials in nursing associations and others. Research findings are especially relevant for countries in which nursing is currently a poorly developed scientific discipline and in which steps need to be taken fast to promote knowledge development and the role of nurses in society.

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  • Allan H, Tschudin V, Horton K. The devaluation of nursing: a position statement. Nurs Ethics 2008; 15: 549-56.

  • Lohmann M. New demand factors in tourism. Pridobljeno 03. 01. 2011 s spletne strani:

  • Our diversity is our strength - a conversation with David Benton. Int Nurs Rev 2009; 56: 404-6.

  • Colardyn D, Bjornavold J. Validation of non formal and informal learning: policy and practices in EU Member States. Eur J Educ 2004; 39: 69-90.

  • Skela Savič B. Development of nursing care in Slovenia for the needs of society in the future. In: Advancing nursing education: research, quality and innovation. 8th European Conference of Nurse educators, Portugal 6th - 9th October. Lisbon: Fine - European Federation of Nurse Educators: Escola Superior de Enfermagem de Lisboa, 2010: 56.

  • Karkos B, Peters K. A magnet community hospital: fewer barriers to nursing research utilization. J Nurs Adm 2006; 36: 377-82.

  • McCleary L, Brown G. Association between nurses' education about research and their research use. Nurs Educ Today 2003; 23: 556-65.

  • McCloskey DJ. Nurses perceptions of research utilization in a corporate health care system. J Nurs Scholarsh 2008; 40: 39-45.

  • Happell B, Martin T. Exploring the impact of the implementation of a nursing clinical development unit program: what outcomes are evident? Int J Ment Health Nurs 2004; 13: 177-84.

  • Melnyk BM, Fineout-Overholt E, Mays MZ. The evidence-based practice beliefs and implementation scales: psychometric properties of two new instruments. Worldviews Evid Based Nurs 2008; 5: 208-16.

  • Carrion M, Woods P, Norman I. Barriers to research utilization among forensic mental health nurses. Int J Nurs Stud 2004; 41: 613-9.

  • Green B, Segrott J, Priest H, Rout A, McIvor M, Douglas J. et al. Focus. Research capacity for everyone? A case study of two academic nursing schools' capacity building strategies. J Res Nurs 2007; 12: 247-65.

  • Schofield DJ, Fletcher SL, Callander EJ. Ageing medical workforce in Australia - where will the medical educators come from? Hum Resour Health 2009; 82: 1-6.

  • Fealy GM, McNamara MS. A discourse analysis of debates surrounding the entry of nursing into higher education in Ireland. Int J Nurs Stud 2007; 44: 1187-95.

  • Lorentzon M. Socialising nurse probationers in the late 19th and early 20th centuries—relevance of historical reflection for modern policy makers. Nurs Educ Today 2003; 23: 325-31.

  • Sheer B, Wong FKY. The development of advanced nursing practice globally. J Nurs Scholarsh 2008; 40: 204-11.

  • French B. Contextual factors influencing research use in nursing. Worldviews Evid Based Nurs 2005; 4: 172-83.

  • Hannes K, Vandersmissen J, De Blaeser L, Peeters G, Goedhuys J, Aertgeerts B. Barriers to evidence-based nursing: a focus group study. J Adv Nurs 2007; 60: 162-71.

  • Aiken L, Clarke SP, Cheung RB, Sloane DM, Silber JH. Educational levels of hospital nurses and surgical patient mobility. JAMA 2003; 290: 1617-23.

  • Rafferty AM, Clarke SP, Coles J, Ball J, James P, McKee M. et al. Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge records. Int J Nurs Stud 2007; 44: 175-82.

  • Pearson A, Porritt K, Doran D, Vincent L, Craig D, Tucker D. et al. A systematic review of evidence on the professional practice of the nurse and developing and sustaining a healthy work environment in healthcare. Int J Evid Based Healthc 2006; 4: 221-61.

  • Curson JA, Dell ME, Wilson RA, Bosworth DL, Baldauf B. Who does workforce planning well?: workforce review team rapid review summary. Int J Health Care Qual Assur 2010; 23: 110-9.

  • Wells N, Free M, Adams R. Nursing research internship: enhancing evidence-based practice among staff nurses. J Nurs Adm 2007; 37: 135-43.

  • Dubois CA, Singh D. From staff-mix to skill-mix and beyond: towards a systemic approach to health workforce management. Hum Resour Health 2009; 87: 1-19.

  • Darbyshire P, Downes M, Collins C, Dyer S. Moving from institutional dependence to entrepreneurialism: creating and funding a collaborative research and practice development position. J Clin Nurs 2005; 14: 926-34.

  • Tagney J, Haines C. Using evidence-based practice to address gaps in nursing knowledge. Br J Nurs 2009; 18: 484-9.

  • Skela Savič B, Pagon M. Relationship between nurses and physicians in terms of organizational culture: who is responsible for subordination of nurses? Croat Med J 2008; 49: 334-43.

  • McNamara M. ‘Dr Nightingale, I presume?’ Irish nursing education enters the academy. In: Fealy GM, editor. Care to remember: nursing and midwifery in Ireland. Corc: Mercier Press, 2005: 54-68.

  • National Health Workforce Taskforce: data, capacity and clinical placements across Australia: a discussion paper. Melbourne: National Health Workforce Taskforce, 2008.

  • Watson R, Shield L. Cruel Britannia: a personal critique of nursing in the United Kingdom. Contemp Nurs 2009; 32: 42-54.

  • Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care provide equivalent care to doctors. BMJ 2002; 324: 819-23.

  • Gifford W, Davies B, Edwards N, Griffin P, Lybanon V. Managerial leadership for nurses' use of research evidence: an integrative review of the literature. Worldviews Evid Based Nurs 2007; 4: 126-45.

  • Skela Savič B. Zdravstvena nega in raziskovanje: nekateri vplivni dejavniki za razvoj zdravstvene nege kot znanstvene discipline v Sloveniji. Obzor Zdr Nege 2009; 43: 209-22.

  • McEwen M. Application of theory in nursing practice. In: McEwen M, Wills EM, editors. Theoretical basis for nursing. Philadelphia: Lippincott, Williams & Wilkins, 2007: 347-67.

  • Penz KL, Bassendowski SL. Evidence-based nursing in clinical practice: implications for nurse educators. J Contin Educ Nurs 2006; 37: 250-4.

  • Forbes MO, Hickey MT. Curriculum reform in baccalaureate nursing education: review of the literature. Int J Nurs Educ Scholarsh 2009; 6(1).


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