J Adv Nurs. 2019;00:1–10. wileyonlinelibrary.com/journal/jan
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1 © 2019 John Wiley & Sons Ltd
1 | INTRODUCTION
The International Council of Nurses (2017) recommended a master's
degree as an entry level for a nurse practitioner – advanced practice
nurse (APN). This recommendation acknowledges the significance
of postgraduate education at master's level as a catalyst to the pro‐
fessionalization of nursing (Gerrish, Ashworth, & McManus, 2002).
However, the role of master's level education to support the profes‐
sionalization of nursing is still unclear (Clark, Casey, & Morris, 2015;
Massimi et al., 2017; Watkins, 2011).
Received: 27 November 2018
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Revised: 15 February 2019
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Accepted: 26 February 2019
DOI: 10.1111/jan.14044
ORIGINAL RESEARCH:
EMPIRICAL RESEARCH – QUALITATIVE
The technology implications of master’s level education in the
professionalization of nursing: A narrative inquiry
Ken H. M. Ho PhD, MSc (Clinical Gerontology), RN, Assistant Professor
1
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Susan K. Y. Chow PhD, Master in Primary Health Care, RN, Associate Professor
1
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Vico C. L. Chiang PhD (Newcastle), MHA (NSW), RN (H.K., Australia), Associate Professor
2
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Julia S. W. Wong EdD (Higher Education), MN, RN, Senior Lecturer
1
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Meyrick C. M. Chow PhD, RN, Acting Dean and Professor
1
1
School of Nursing, Tung Wah College, Hong
Kong, Hong Kong
2
School of Nursing, The Hong Kong
Polytechnic University, Hong Kong, Hong
Kong
Correspondence
Ken H. M. Ho, School of Nursing, Tung Wah
College, Hong Kong, Hong Kong.
Email: hhm312@yahoo.com.hk; kenho@twc.
edu.hk
Funding information
This project received US$ 3846.00 funding
from the School Research Grant of the Tung
Wah College.
Abstract
Aims: (a) To explore the meanings of master's education in the professionalization of
nursing; and (b) to describe the core attributes that nurses gained through master's
study.
Design: Narrative inquiry.
Methods: From June 2017 to June 2018, unstructured interviews were conducted
with 12 master‐prepared nurses at advanced nursing position with minimum 5 years
of postregistration experience. Collaborative thematic narrative analysis was con‐
ducted on verbatim transcripts. Members checking, peer validation and audience
validation assured verisimilitude and utility.
Results: There was a need to fit one's own assertion for professional growth in nurs‐
ing career structure. Master's study equipped nurses with specialty skills and knowl‐
edge with enhanced reflexivity, which nurtured morality, problem‐solving ability and
capacity to collaborate inter‐professionally. Master‐prepared nurses demonstrated
effective clinical leadership through acting as change agents.
Conclusions: Master's level education and master‐prepared nurses are instrumental
to the professionalization of nursing by expanding the roles of nurses. Nursing career
mentoring will maximize nurses’ agency in healthcare system. Developing innovative
inter‐professional pedagogy will nurture the reflexivity of master‐prepared nurses.
KEYWORDS
advanced nursing practices, masters education, narrative inquiry, professionalization