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Blogs - AMNT Guest Blog

Is nursing a profession or a job?

Written by AMNT Guest 6/18/2010 9:39:07 AM

Welcome to guest blogger Donna Cardillo!

 

Is nursing a profession or a job?

Donna Cardillo, MA, RN

 

I recently read an article on the web where the nurse author’s stated intent was to “enlighten” future and prospective nurses to the “harsh realities” of the profession. The piece listed things like the physicality of the job, the necessity of doing shift work, and a proclamation that nursing is not a profession but just a job. Holy encephalopathy, Batman! Are we still having this conversation?

 

I’m not going to bore you with definitions from Webster’s dictionary. Nor am I going to quote the many research papers on this subject from various scientific disciplines. I’m neither a nurse researcher nor a social scientist. I am, however a nurse who in her 35 years in the profession has a pretty good idea of what nursing is and what it isn’t. When you come right down to it, the following is all the evidence I or anyone else needs to put the issue to rest. So read on.

 

Nurses have specialized education and training validated by “professional licensure” in each state. We have a code of ethics and established practice standards we are bound to adhere to, a violation of which can result in our license being revoked or sanctioned. We have our own body of ongoing research that shapes and governs our practice. Nurses work autonomously within our scope of practice. We formulate and carry out our own plan of care for clients (when applicable); we apply judgment, use critical thinking skills, and make nursing diagnoses.

 

Nurses use their specialized knowledge, experience, and skill set to initiate live-saving measures, improve and promote the health and well-being of the planet, and ease pain, suffering, and loss. We are all united in that common mission—regardless of where we work, our position title, or whether we’re employed, unemployed, or self-employed.

 

Nursing is my profession and my life’s work. I have had various employment/self-employment positions over the years since becoming a nurse. But regardless of what title I had at any given time, and whether directly or indirectly working with consumers of healthcare (and we are all consumers of healthcare) I have always been working within the profession of nursing. In each role I had the same mission, ideals, and ethical and practice standards, while being aware of my role and responsibility as a healthcare expert (every nurse is a healthcare expert in his or her own way) and provider of care in a very broad sense. Today, as a nurse entrepreneur, when people ask me what I do, I say, “I am a self-employed registered nurse who spends her time speaking and a writing. You might say I heal with words.”

 

I am proud to be a member of the nursing profession for 35 years. I don’t want to discuss the issue anymore, I don’t want to debate or dispute it. I just want to keep on living it—to the best of my ability—always striving to raise the standards of my own practice and my profession as a whole for hopefully another 35 years…or more.

 

Donna Wilk Cardillo is the “Dear Donna” columnist for Nursing Spectrum, NurseWeek, and www.nurse.com. She is author of The ULTIMATE Career Guide for Nurses, Your 1st Year as a Nurse, and A Daybook for Beginning Nurses. Ms. Cardillo also is the creator of the Career Alternatives for Nurses® seminar and home-study program. You can reach her at www.dcardillo.com.

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5 of 8 comments

Rae says:
June 30, 2010 12:57 am

Martin are you kidding me? Hope I never get you. You are a clown.

says:
April 30, 2010 11:20 am

Bravo, Donna! I'm with you on this all the way. I have been working since I entered my BSN program in 1973 to project my professionalism at all times in my practice and, as the years passed, to mentor new RNs to understand and believe in their profession. Martin's attitude would send us back to the bad old days when nurses were handmaids to the doctors. Thanks, Martin, but no thanks. I'm a member of the profession of nursing.

Lauren says:
April 16, 2010 9:31 am

To Martin - I am curious as to whether or not you are currently practicing nursing or are attending a "straight to NP" program. To say nurses "are not professional" is an insult to all nurses. WHenyou have the letters NP after your name - you are a NURSE, and is create some type of "elite" status from others in your profession is disgusting to me. If you do not want to be identified as a nurse - maybe you should have been a PA.

Martin says:
March 10, 2010 12:27 pm

You may have been working hard as a RN for 35 years but you are not a professional. The most critical element about being a professional is freedom of action. RNs still require the action of another to perform her duties. I will soon be a psychiatric NP. I will be able to diagnose (free from NANDA), prescribe medication, order lab tests and proceedures, admit and D/C patients, and have my own independent practice. This a is being a professional. RNs work hard but are not professional.

says:
February 25, 2010 10:06 pm

Great article!When a nurse is doing a "job" in taking of a patient she or he is also, doing a subjective, objective, spiritual,etc. view in taking care of that person holistic. In order to do that the nurse needs the educational/professional background in order to take care of that patient!Nursing is a profession First and Job Second!!