Article
Professional self-concept of
nurses: a comparative study of
four strata of nursing students in
a Canadian university
David Arthur and Sally Thorne
This study represents an effort to refine our understanding of measurement of professional self-
concept by testing a tool across various strata of nursing students. The Professional Self Concept of
Nurses Instrument, developed in studies of Australian nursing students, was applied to samples of
basic undergraduate, post-basic and graduate students in a Canadian university nursing programme.
The findings suggest that the tool is sensitive to the predictable development of professional self-
concept as students advance through professional education, especially in the dimensions of
professional practice and satisfaction. The authors propose that the instrument may have specific
applications in evaluating the effects of traditional and innovative educational strategies upon the
evolution of professional self-concept in nurses.
David Arthur
RN, BAppSci,
BEd(Stud),
MEd(Stud), PhD,
Associate Professor,
Department of
Health Sciences,
Hong Kong
Polytechnic
University, Hung
Horn, Kowloon
Hong Kong
Sally Thorne
RN, PhD, Associate
Professor, UBC
School of Nursing,
Vancouver, BC,
Canada
(Requestsfor
offprints to DA)
Manuscript
accepted:
29 April 1997
Introduction
Professional self-concept has been the focus of a
considerable body of nursing inquiry in recent
years. Factors such as the role of women in
society, changing patterns of professional
education and socialization, and escalating
demands within the nursing workplace are all
believed to create significant challenges to a
positive professional self-concept within nurses.
Moreover, the potential to improve its collective
self-concept has been cited as one of nursing's
greatest sources of future development (Strasen
1989). Thus, despite its complexity and
multidimensionality, there has been considerable
interest in describing and quantifying
professional self-concept. The purpose of
investigating influencing factors and measuring
the success of intervention strategies is toward
improving the professional self-concept of nurses
in both general and specific contexts.
Adoption of well developed and standardized
instruments or techniques of measurement is
indicated if conclusions are to be drawn about the
effects of educational or clinical experiences on a
person's professional self-concept. Use of such
instruments should help the nursing profession to
explore longitudinally and amongst different
groups, changes in professional self-concept, while
developing a deeper understanding of this
concept. It would be glib to suggest that altering
professional self-concept is easy because, as for
self-concept, such characteristics are complicated
and multifactorial.
Self-concept is typically considered a relatively
enduring organization of affective and evaluative
beliefs that predispose one to respond with some
degree of probability in predictable directions
(Bums 1979). Like other attitudes, the components
of self-concept can be described and measured
through the use of specially constructed self-
report instruments. A positive self-concept can be
inferred from positive self-evaluation, self-
respect, self-esteem and self-acceptance; in
contrast, depiction of a self-concept as negative
implies negative self-evaluation, self-hatred,
inferiority, and the absence of feelings of personal
380 Nurse Education Today (1998) 18, 380-388 © 1998 Harcourt Brace & Co. Ltd