The poverty of professionalization: a critical analysis of strategies for the occupational advancement of nursing

Authors: Porter, S.

Journal: Journal of advanced nursing

Volume: 17

Issue: 6

Pages: 720-726

This data was imported from PubMed:

Authors: Porter, S.

Journal: J Adv Nurs

Volume: 17

Issue: 6

Pages: 720-726

ISSN: 0309-2402

DOI: 10.1111/j.1365-2648.1992.tb01970.x

The purpose of this paper is to evaluate critically the strategies of occupational advancement used by nurses. It is noted that these are frequently framed within the paradigm of professionalization. However, despite the ubiquity of its use, it is argued that this model is inappropriate. Specific strategies are examined. Attempts to appropriate the title of profession by demonstrating that nursing possesses the relevant attributes are dismissed as rhetorical exercises. The rise of managerialism, despite being cloaked in the guise of professionalism, is seen as anti-professional because it restricts the autonomy of individual practitioners. Clinical 'professionalization' is also regarded as problematic because it does not fit with the definition of a professional as an autonomous practitioner. Examination of patient advocacy, and of attempts to validate nursing diagnosis, demonstrate that the occupational advancement of clinical nurses is increasingly dependent upon the co-operation of health care consumers. This dependence is incompatible with the prescriptive powers and exclusive knowledge that are claimed by traditional professions. It is concluded that nurses should abandon the ideology of professionalization and concentrate on the more pertinent issue of maximizing the efficacy of the occupation.

This data was imported from Scopus:

Authors: Porter, S.

Journal: Journal of Advanced Nursing

Volume: 17

Issue: 6

Pages: 720-726

eISSN: 1365-2648

ISSN: 0309-2402

DOI: 10.1111/j.1365-2648.1992.tb01970.x

The purpose of this paper is to evaluate critically the strategies of occupational advancement used by nurses It is noted that these are frequently framed within the paradigm of professionalization However, despite the ubiquity of its use, it is argued that this model is inappropriate Specific strategies are examined Attempts to appropriate the title of profession by demonstrating that nursing possesses the relevant attributes are dismissed as rhetorical exercises The rise of managerialism, despite being cloaked in the guise of professionalism, is seen as anti‐professional because it restricts the autonomy of individual practitioners Clinical ‘professionalization’ is also regarded as problematic because it does not fit with the definition of a professional as an autonomous practitioner Examination of patient advocacy, and of attempts to validate nursing diagnosis, demonstrate that the occupational advancement of clinical nurses is increasingly dependent upon the co‐operation of health care consumers This dependence is incompatible with the prescriptive powers and exclusive knowledge that are claimed by traditional professions It is concluded that nurses should abandon the ideology of professionalization and concentrate on the more pertinent issue of maximizing the efficacy of the occupation Copyright © 1992, Wiley Blackwell. All rights reserved

This data was imported from Europe PubMed Central:

Authors: Porter, S.

Journal: Journal of advanced nursing

Volume: 17

Issue: 6

Pages: 720-726

eISSN: 1365-2648

ISSN: 0309-2402

The purpose of this paper is to evaluate critically the strategies of occupational advancement used by nurses. It is noted that these are frequently framed within the paradigm of professionalization. However, despite the ubiquity of its use, it is argued that this model is inappropriate. Specific strategies are examined. Attempts to appropriate the title of profession by demonstrating that nursing possesses the relevant attributes are dismissed as rhetorical exercises. The rise of managerialism, despite being cloaked in the guise of professionalism, is seen as anti-professional because it restricts the autonomy of individual practitioners. Clinical 'professionalization' is also regarded as problematic because it does not fit with the definition of a professional as an autonomous practitioner. Examination of patient advocacy, and of attempts to validate nursing diagnosis, demonstrate that the occupational advancement of clinical nurses is increasingly dependent upon the co-operation of health care consumers. This dependence is incompatible with the prescriptive powers and exclusive knowledge that are claimed by traditional professions. It is concluded that nurses should abandon the ideology of professionalization and concentrate on the more pertinent issue of maximizing the efficacy of the occupation.

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