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Prompting professional prerogatives: New insights to reopen an old debate about nursing

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  • Ricardo A. Ayala
  • Raf Vanderstraeten
  • Piet Bracke

Abstract

A profession is defined by neither a set of structural qualities nor a description idiosyncratic to a single culture. Rather, a profession detects problems in an area of work, intellectualizes that work, and offers solutions, developing a logic of competition with coexisting occupations. The best that structural explanations can offer to nursing is rigid, unmovable definitions such as “a semi‐profession,” whereas the ecological theory of the professions regards the continuous interplay among occupations cohabiting in an interacting system as the fundamental process of gaining or losing professional status. In this theoretically driven article we draw upon the notion of “social ecology of nursing” as a vector of development, arguing that nursing's professional status lies in its ability to adapt to “landscape” transformations and to protect its jurisdiction from competitors, equating fully established professions. In discussing the application of this theory, we invite readers to reopen a debate about the professional nature of nursing, considering cross‐national versions of nursing for more comprehensive definitions of the profession.

Suggested Citation

  • Ricardo A. Ayala & Raf Vanderstraeten & Piet Bracke, 2014. "Prompting professional prerogatives: New insights to reopen an old debate about nursing," Nursing & Health Sciences, John Wiley & Sons, vol. 16(4), pages 506-513, December.
  • Handle: RePEc:wly:nuhsci:v:16:y:2014:i:4:p:506-513
    DOI: 10.1111/nhs.12129
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    References listed on IDEAS

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    1. Traynor, Michael & Boland, Maggie & Buus, Niels, 2010. "Professional autonomy in 21st century healthcare: Nurses' accounts of clinical decision-making," Social Science & Medicine, Elsevier, vol. 71(8), pages 1506-1512, October.
    2. Julia Evetts, 2002. "New Directions in State and International Professional Occupations: Discretionary Decision-making and Acquired Regulation," Work, Employment & Society, British Sociological Association, vol. 16(2), pages 341-353, June.
    3. Yveline Lecler & Patarapong Intarakumnerd, 2010. "Sustainability of Thailand's Competitiveness: the Policy Challenges," Post-Print halshs-00563666, HAL.
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    Cited by:

    1. Sihyun Park & Deok‐Wha Kwon & Dahye Kim & Sin‐Hyang Kim, 2019. "Influences of gender‐related perceptions and experiences on nursing professionalism: A cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(4), pages 515-522, December.
    2. Claire Palermo & Jane Conway & Eleanor J. Beck & Janeane Dart & Sandra Capra & Susan Ash, 2016. "Methodology for developing competency standards for dietitians in Australia," Nursing & Health Sciences, John Wiley & Sons, vol. 18(1), pages 130-137, March.

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