Key transitions on the path to becoming a professional: exploring milestones in nursing training as social structures
DOI:
https://doi.org/10.5354/2452-5839.2024.76819Keywords:
Education, Professional, Education, Nursing, Social Structure, Socialization, Professional TrainingAbstract
Introduction: Training for a professional role is a complex process typically occurring within the context of an educational program. This professional socialization involves intricate psychological changes, as well as interactions with the professional and institutional culture. However, research predominantly focuses on the psychological or agency dimensions, while the social-structural aspects have received limited attention. This article explores the delineation and potential influence of various transitional milestones from a training program on the professional socialization of nursing students. Methodology: The findings of this study derive from a focused ethnography incorporating observational methods, audio diaries, and interviews with a cohort of nursing students (n=15) from a Chilean university, who were followed from 2019 to 2021. Results: Macro-transitions associated with the beginning and completion of studies were identified and analyzed, along with micro-transitions arising from the professional and institutional culture that shape students' learning trajectories. Furthermore, the study discusses how these transitional milestones, as structures not created by the students themselves, can influence professional socialization. Conclusions: It is essential to promote research exploring the social-structural aspects of professional training. Only in this way will it be possible to do justice to the psychosocial complexities of intricate phenomena like learning and professional education.
References
Faúndez M, Castillo-Parra S, Lara R. Estudiantes volviéndose profesionales: aproximándose a la formación desde una perspectiva de socialización profesional. Index de Enfermería. 2024;33(3):e14774. https://doi.org/10.58807/indexenferm20246910
Dinmohammadi M, Peyrovi H, Mehrdad N. Concept Analysis of Professional Socialization in Nursing. Nurs Forum. 2013;48(1):26–34. https://doi.org/10.1111/nuf.12006
Aimei M, Su-e L, Yan L, Miao H. A scoping review on the influencing factors and development process of professional identity among nursing students and nurses. J Prof Nurs. 2021;37(2):391-398. https://doi.org/10.1016/j.profnurs.2020.04.018
Fitzgerald A. Professional identity: A concept analysis. Nurs Forum. 2020;55:447–472. https://doi.org/10.1111/nuf.12450
Hafferty F. Socialization, professionalism, and professional identity formation. En: Cruess, R, Cruess S, Steinert Y., editores. Teaching Medical Professionalism. Segunda ed. Cambridge, GB: Cambridge University Press; 2016. p. 54–67
Kelly S. The hidden curriculum: Undergraduate nursing students’ perspectives of socialization and professionalism. Nurs Ethics. 2020;27(5):1250-1260. https://doi.org/10.1177/0969733019881714
Srulovici E, Drach-Zahavy A. Editorial: From structure to agency: understanding nurse's agency in quality and safe care. Front. Psychol. 2023:14:1223807. https://doi.org/10.3389/fpsyg.2023.1223807
Nairn S. Social structure and nursing research. Nurs philos. 2009;10(3):191–202. https://doi.org/10.1111/j.1466-769X.2009.00403.x
Knoblauch H. Focused Ethnography. FQS. 2005;6(3):44. https://doi.org/10.17169/fqs-6.3.20
Black, G, van Os S, Machen S, Naomi F. Ethnographic research as an evolving method for supporting healthcare improvement skills: a scoping review. BMC Med Res Methodol. 2021;21:274. https://doi.org/10.1186/s12874-021-01466-9
Andreassen P, Christensen M, Møller J. Focused ethnography as an approach in medical education research. Med Educ. 2020;54:296–302. https://doi.org/10.1111/medu.14045
Bryant, A., Charmaz K. Editores. The SAGE Handbook of Current Developments in Grounded Theory. London: SAGE Publications. 2019.
Karlsen B, Hillestad T, Dysvik E. Abductive reasoning in nursing: Challenges and possibilities. Nurs Inq. 2021;28:e12374. https://doi.org/10.1111/nin.12374
Kathleen M, Kelly P, Susan P, Carolyn L. The creation of a White Coat Ceremony. J Prof Nurs. 2020;36(4):218-222. https://doi.org/10.1016/j.profnurs.2020.01.004
Hafferty F. Beyond curriculum reform: confronting medicine's hidden curriculum. Acad Med. 73(4);1998:403-7. http://doi.org/10.1097/00001888-199804000-00013
Ayala R. Towards a Sociology of Nursing. Singapore: Palgrave Macmillan. 2020.
Araki S. Educational Expansion, Skills Diffusion, and the Economic Value of Credentials and Skills. Am Sociol Rev. 85(1);2020:128-175. https://doi.org/10.1177/0003122419897873
Meleis A. Transitions theory: middle-range and situation-specific theories in nursing research and practice. New York: Springer. 2010.
Jarvis P. An Analysis of Experience in the Processes of Human Learning. Recherche & Formation. 2012;70:15–30. https://doi.org/10.4000/RECHERCHEFORMATION.1916
Archer M., Morgan J. Contributions to realist social theory: an interview with Margaret S. Archer. J Crit Realism. 2020;19(2):179–200. https://doi.org/10.1080/14767430.2020.1732760
Archer M. Realist Social Theory: The Morphogenetic Approach. Cambridge: Cambridge University Press. 1995.
Danermark B, Ekström M and Karlsson J. Explaining society: critical realism in the social sciences. 2nd ed. Milton: Routledge. 2019.
Michaelian K, Klein S, Szpunar K. Seeing the Future: Theoretical Perspectives on Future-Oriented Mental Time Travel. Oxford: Oxford University Press. 2016.
Gilbert D, Wilson T. Previews, Premotions, and Predictions. En: Bar M, editor. Predictions in the Brain: Using Our Past to Generate a Future. Oxford, GB: Oxford University Press; 2011. p. 159-169. https://doi.org/10.1093/acprof:oso/9780195395518.003.0055
Hilgard E. The trilogy of mind: Cognition, affection, and conation. J Hist Behav Sci. 1980;16(2):107–117. https://doi.org/10.1002/1520-6696(198004)16:2<107::AID-JHBS2300160202>3.0.CO;2-Y
Jarvis P. Learning from everyday life. En: Jarvis P. Editor. The Routledge International Handbook of Lifelong Learning. London, GB: Routledge; 2009. p. 19–30.
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