A study of the critical factors that influence the attitudes, beliefs, and perceptions of foreign-educated physicians (FEPs) who have entered nursing as a second career

Material Information

Title:
A study of the critical factors that influence the attitudes, beliefs, and perceptions of foreign-educated physicians (FEPs) who have entered nursing as a second career
Series Title:
Barry University Dissertations -- College of Nursing and Health Sciences
Creator:
Hernandez-Pupo, Nora
Place of Publication:
Miami, Fla.
Publisher:
Barry University
Publication Date:
Language:
English
Physical Description:
xii, 230 leaves : color illustrations ; 28 cm

Thesis/Dissertation Information

Degree Disciplines:
Nursing

Subjects

Subjects / Keywords:
Physicians, Foreign ( lcsh )
Nursing -- Practice -- United States ( lcsh )
Career changes ( lcsh )
Genre:
Academic theses ( lcsh )

Notes

Abstract:
Background: Foreign-educated physicians (FEP) are increasingly transitioning to licensed registered nurses in the United States. There is a dearth of research about how effectively this group assimilates the professional nursing role. There is a gap in the current body of knowledge on how foreign-educated physicians are socialized and assimilate into the nursing role. How they see themselves as practicing nurses, and how they came to realize that professional identity is unknown. This information could assist FEPs to effectively transition into the nursing role. Nursing’s social contract requires the profession to provide safe, holistic, nursing care to promote the health and well-being of the public. Foreign-educated physicians have difficulty performing basic nursing tasks, and many reports completing their degree without attending nursing classes. This may compromise their ability to provide optimal nursing care, at best, and may pose a risk to patient safety at worst. Nurses, alone, have the professional and ethical responsibility to maintain the foundational tenets, expectations, and practices of their own discipline. Purpose: The purpose of this classical grounded theory study was to discover a substantive theory explaining the process of foreign-educated physicians (FEPs) experience as they transition from their original role as physicians in their country of origin, to their new role as registered nurses in the United States. The theory was grounded in data gathered regarding the critical factors influencing the attitudes, beliefs, and perceptions of FEPs who have entered nursing as a second career. Methods: The researcher utilized the classical or Glaserian grounded theory design to answer the research questions: (a) What are the critical factors that influence the attitudes, beliefs, and perceptions of foreign-educated physician as they practice in the professional nursing role in the United States? and (b) How do FEPs view their role in nursing as compared to their physician role? Results: The basic social process identified in this study was the: Acculturating Pathway to Practice, which conceptualizes the most active and finite process that offers an in depth description of the dynamic process of FEPs and their integration, socialization, and transition into nursing as a second career. The three categories that explained this process are practicing, transitioning, and reconciling. Conclusions: The theoretical framework that emerged from this study is useful to inform nursing education, health policy, academic, and healthcare institutions. Understanding the factors that are influencing this group of nursing professionals is an essential component to retention, patient care, and improvements in academic and healthcare institutions. This study provides insights and increases the body of knowledge within the profession.
Thesis:
Thesis (Ph.D.)--Barry University, 2018.
Bibliography:
Includes bibliographical references (leaves 195-206).

Record Information

Source Institution:
Barry University
Holding Location:
Barry University Archives and Special Collections
Rights Management:
Copyright Nora Hernandez-Pupo. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Resource Identifier:
RT86.73.H47 2018_HernandezPupoNora ( BU-Local )
Classification:
RT86.73.H47 2018 ( lcc )

BUDC Membership

Aggregations:
Barry University
Theses and Dissertations