Chapter 23: Professional Identity and Image

Chapter 23: Professional Identity and Image

Chapter 23: Professional Identity and Image

Case Study

Nursing care is frequently perceived by the public as simple and unskilled. Many male nurses live in fear of how their caring actions might be interpreted. Many nurses hold that stereotypes about the profession are true, just as the general public does. Public identity and image has been a struggle for nurses for a long time. The greater public clearly does not understand what professional nursing is all about, and the nursing profession has done a poor job of correcting long-standing, historically inaccurate stereotypes.

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1. What are the common nursing stereotypes?

2. What was the role of the Center for Nursing Advocacy? Discuss the role of Truth about Nursing in addressing inaccurate or negative portrayals of nursing in the media and the process they use to raise public and professional awareness of the issues surrounding nursing public image?

3. What are some of the ways of changing nursing’s image in the public eye?

4. One of the most important strategies needed to change nursing’s image is to change the image of nursing in the mind of the image makers. What are some of the key ways for nurses to interact with the media?

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    Chapter 23 Professional Identity and Image

    Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins

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    1

    Overview

    Image: a reproduction or an imitation of something or impression of something

    Terms used to describe nurses

    Commonly: nice, hardworking, caring, ethical, honest

    Rarely: highly educated, bright, powerful, independent thinking, prestigious

    Trust and admiration do not necessarily equate to respect

    Stereotypes continue to be pervasive

     

     

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    2

    Nursing Stereotypes

    Angel of mercy (Florence Nightingale)

    Love interest (to physicians)

    Sex bombshell/naughty nurse

    Handmaiden to physician

    Paul Krugman suggestion that nurses perform “menial work dealing with the physical world”

    Stern, aged “battle-axe” (Nurse Ratchet)

    Male nurse as gay, effeminate, sexually predatory (see Box 23.1)

     

     

     

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    3

    Contemporary Stereotypes on TV

    ER

    Carol Hathaway

    Abby Lockhart

    Samantha Taggart

    Grey’s Anatomy: nurses with trivial roles

    Nurse Jackie

    Private Practice

     

     

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    4

    Question #1

    Which of the following terms would most likely be heard when asking the public to describe nurses?

    A. Highly educated

    B. Caring

    C. Powerful

    D. Prestigious

     

     

     

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    5

    Answer to Question #1

    B

    Most commonly, the public describes nurses as caring, nice, hardworking, ethical, and honest. Terms rarely used include highly educated, bright, powerful, independent thinking, and prestigious.

     

     

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    6

    Nursing Image on the Internet

    Many unprofessional images

    Research showing 70% of sites with nurses portrayed as intelligent and educated; 60% as respected, accountable, committed, competent, and trustworthy

    Internet as providing opportunities to improve nursing’s image

     

     

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    Ingraining of Nursing Stereotypes

    Inaccurate, negative stereotypes well-ingrained based on research

    Stereotypes instilled early in life (i.e., gender stereotyping)

    By age of 3, most children with firmly rooted gender-based ideas (see Research Fuels the Controversy 23.1)

    First graders identifying nursing as a high-status female occupation

    By end of middle school, most have minds made up about desirable and undesirable careers

     

     

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    8

    Center for Nursing Advocacy and Truth About Nursing

    Center for Nursing Advocacy to address media’s disrespectful portrayal of nurses—dissolved in 2009

    Creation of Truth About Nursing

    Increase public understanding of the central frontline nurses play in modern health care

    Promote more accurate, balanced, and frequent media portrayals

    Increase media’s use of nurses as expert sources

     

     

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    9

    Consequences of Inaccurate or Negative Images #1

    Recruitment challenges

    Limited ability to recruit the best and the brightest

    Review of nursing image studies by Ten Hoeve, Jansen, and Roodbol (2014) noted factors determining self-concept of nurses

    Public image, work environment, work values, education, and culture

     

     

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    10

    Consequences of Inaccurate or Negative Images #2

    Undervaluing by clients, families

    Lack of understanding of what nurses do, that they make a difference in patient outcomes

    Campaign for Nursing’s Future

    Wood (2016) notes that professional socialization is the taking on of the identity, skills, and knowledge that are characteristic of a profession

     

     

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    11

    Question #2

    Is the following statement true or false?

    One of the goals of Truth About Nursing is to decrease the number of nurses used by the media as expert sources.

     

     

     

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    Answer to Question #2

    False

    Truth About Nursing is seeking to increase the media’s use of nurses as expert sources.

     

     

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    Changing Nursing’s Image in the Public Eye #1

    No magic silver bullet

    Multiple strategies

    Active interaction with media

    Restriction of “nurse” to licensed nurses

    Increased efforts to publicly praise, value nursing

    Emphasis on nursing’s unique contribution to patients, health outcomes

    Increased involvement in the political processes shaping nursing

     

     

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    14

    Changing Nursing’s Image in the Public Eye #2

    Finding voice in the press: changing image in mind of image makers (one of the most important strategies)

    Proactively seeking positive media exposure; proclamation of self-worth

    Media training for skills and self-confidence (see Box 23.4)

    View of relationship with media as symbiotic rather than feared

    Accurate depiction in trade publications

     

     

     

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    15

    Changing Nursing’s Image in the Public Eye #3

    Reclaiming the title of Nurse

    Title only for licensed nurses

    Proactive introductions with full names, RN title

    “Nursing out loud”

    Dressing like professionals

    Positive talk by nurses about nursing (ambassadors for the profession)

     

     

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    16

    Changing Nursing’s Image in the Public Eye #4

    Emphasizing uniqueness of nursing

    Underscore depth, breadth of scientific perspective

    Evidence-based practice, best practice principles

    Blending of art, science (caring, curing)

    Participating in political arena

     

     

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    17

    Question #3

    Is the following statement true or false?

    Currently, there is no single strategy that would be effective in changing nursing’s image in the public eye.

     

     

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    18

    Answer to Question #3

    True

    Changing nursing’s image in the public eye will not be easy, nor is there any magic silver bullet. Rather, multiple strategies are needed.

     

     

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    19

    End of Presentation

     

     

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