Ima Nadatien*)
Faculty of Nursing And Midwifery, Nahdlatul Ulama University Surabaya
The central issue currently developing for Indonesian nurses is the globalization era with MEA (Masyarakat Ekonomi Asean/Asean Economic Community (AEC). Nowadays, the nursing profession in the country in demand to be able to compete by improving the quality of nursing care. One of the foundations to improve the quality of nursing care is a nurse must have a sense of pride as a professional nurse with the competence to face internal and external challenges.
Restructuring internal challenges focuses on four-dimensional domains: the nursing science, nursing services and nursing care, nursing practice and nursing career in the service. External challenges in the form of demands for registration, license, certification is about nursing practice legislation, competence demand and disease patterns changes, increasing of public awareness of the rights and obligations, the national education system changes, as well as other related supra systems and institutions changes (Nursalam, 2014).
Sense of pride as nurses, should be owned and continued to grow in Indonesian nurses to improve self confidence amid global society nowadays. Sense of pride as a professional figure who will be able to give a great contribution in improving the quality of nursing service, to prove the identity of nurses as professionals with all the attributes attached to them. Pride as a nurse is a thing that should be existed and continued and grown in order to improve the nurse image, with the nurse professional identity as a care provider, educator, community leader, manager and researcher.
The growing issue is the competition in various services to the community, has an impact on the increasing demand for health human resources quality, improvement of services, and the availability of various alternative treatments in health care arrangements. Nowadays, we do not realize that the rapid development of science and technology coupled with the influx of foreign workers occur everytime. Science and technology deployment conditions, entry and spread of various kinds of goods and services become increase very rapidly due to the rapid development of transportation and telecommunications technologies, including the exploitation of some aspects of the free trade market.
Changes to various aspects of health care services bring consequences to nursing, particularly the public demand for more professional nursing role. Human resources of nursing should be prepared comprehensively and holistically from the side of condition or phenomena grown nowadays. Although, there are not many foreign nurses relatively come to Indonesia but the threat of the acceleration should not be underestimated. Society is constantly evolving and changing, so it is with the nursing profession. The various factors change or shift that affects nursing, there will be a change or shift in nursing, either a change in service / nursing care, nursing science and technology development, as well as changes in the nursing field, both from the perspective of nursing in the context of science and professional contexts. Nurses must have a sense of pride as nurses so they can take on the role as a change agent, and they should be proud as an agent of change, which in turn can improve the capability and competence and improve the performance of professional nurses.
Pride is a form of attitude in a person which occurs as a result of the internalization of a person's sense of wonder to the environments outside of himself/herself or for himself/herself
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(internally). Pride is an important attitude in understanding human behavior. Pride in a person can be built by the commitment, status, achievement and success, ability and willingness. The pride of the nurses’ profession provides positive benefits to the nurses themselves, including the opportunity to pursue a career in an appropriate nursing, to contribute, or to empower. Pleasure and pride make nurses more committed provide nursing services and feel more comfortable with the nursing profession. Even the nurses would be willing to sacrifice and make every effort to defend the survival and the greatness of their profession. Nurses will be very offended and angry if there is someone who underestimates the nursing profession even they defend desperately if there is someone insults their profession. Being proud as a nurse will trigger the nurses’ spirit and spur to provide maximal nursing care. Thus, the nurses are able to show better performance (Verbeke, Belschak, Bagozzi, 2004).
Proud to be a nurse is a good thing, it may emerge as figure of nursing leaders and role models provided by the senior nurse, including any inherents or achievements or owned by senior.
Admiration for the senior nurses as the figure, who is authoritative, respected, neat in clothing, disciplined, professional, brilliant minds, is a source of motivation and exemplary for the junior nurses. Willingness to provide the best nursing care to patients is done in order that patients’
burden of illnesses can be reduced; it provides nurses to have the attitude of pride. The pride fosters confidence in nurses’ competencies ability that encourages them to provide quality performance (service or productivity).
Some of the statements expressed by researchers who had conducted research on the study of pride, namely:
1. Pride is an emotion (along with shame) that gives self-esteem which is affective (Brown, Marshall, 2001; Tracy & Robins, 2007), self-esteem, in turn, affects a wide range of intra psychic and interpersonal processes. If pride disappears from someone in the form of insults or ego threats, it can provoke aggression and antisocial behavior (Bushman & amp;
Baumeister, 1998).
2. Pride is an emotional peak, perceived by the performance and success (Katzenbach, 2003).
An employee is proud of the opportunity to be more involved and motivated to work.
3. Pride is an emotion that is very important to understand human behavior, which is derived from the two elements, self-evaluation and other opinions elements (Arnett, Laverie, McLance, 2002).
4. Pride can strengthen prosocial behavior that usually causes emotions, such as achievement and parenting (Hart & amp; Matsuba, Chapter 7).
5. Pride represents the belief that a person is competent and positive feeling. (Arnett, Laverie
& amp; McLance, 2002).
6. Pride is a real form of trust construction. Trust is divided into intra Personal (self- confidence) and interpersonal (trust to others) (g, e, Deutch, 1958, Erikson, 1968).
7. Along with high self esteem (human needs such as status and acceptance) (Tracy, Robins, 2007).
Pride is caused by relevant internal events in the person's identity (Tracy, Shariff, Cheng) as well as one's life so that its presence in a person will always be maintained. Pride can also be a self- conscious emotion that will rise from the achievements of his own abilities. It reflects how a person feels as himself. Pride, however, his presence appeared from himself (Tracy, Robins, 2004,2007).
According to Lewis (1993), Pride can only be called Pride when there are various types of cognitive factors related to it. People evaluate or compare their behavior with the standards.
However, new theories and findings support the Cooley’s and Scheff’s views, and suggest that the Pride is an important psychological emotion and adaptive evolutionary. Subjective feeling which is
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pleasant, accompanying Pride experience can strengthen prosocial behavior, usually raise emotion (achievement and parenting).
Pride (Pride) is caused by relevant internal events in a person's identity (Tracy, Shariff, Cheng) as well as one's life so it will always be maintained. Pride is a self-conscious emotion that will rise from the achievements of his own abilities. It reflects how a person feels as themselves.
Pride, however, his presence appeared oneself (Tracy, Robins, 2004, 2007). According to Lewis (1993), Pride can only be called a Pride when there are different types of related cognition factors for himself. People evaluate or compare their behavior with the standards. Nurses pride as sourced from the achievements that have been gained by nursing profession with the development of science and technology, changes and developments in nursing practice. Nowadays, world nursing development and existence get government support from the legalization of Nursing Act number 38, 2014 which put and recognize nurse’s contribution, role and function as an independent profession that the practice still collaborates with other health professions in the contribution of health development to the whole Indonesian human health level.
Nurses who have pride as a nursing profession can foster the spirit and motivation to engage in providing high quality nursing service. This is based on the research conducted by Arnett (2002) that a sense of pride in job is the belief that someone is competent in the field which is very important and meaningful. Employees with a high sense of pride are more eager to engage in providing high quality services. Proud as nurses can make nurses feel better with the profession as a nurse and as themselves so it can encourage their self-confidence to show superior performance.
The nurses’ performance is influenced by the motivation and commitment of the nurses themselves based on the sense of pride owned.
Nurses as service provider are at the forefront of nursing care in hospitals because they work over 24 hours to provide nursing care. Such heavy responsibility demands nurses to have competence and tough mental things. Success in this task fosters a sense of pride as nurses in order that they are motivated and encouraged to participate and show performance professionally to give nursing services.
The nurses’ pride can be sourced from the nursing value. According to Nursalam (2014), based on the philosophy and the paradigm of nursing, the value or meaning which can be developed from nursing in the scientific development believed that nursing has three core values that relate to one another: (1) art, (2) Science and (3) a profession.
1. Nursing as an art (art).
Art (art) is a reflection of feelings and perception, because the core and essence of nursing is interpersonal interaction. Art or the ability of self-expression is important to develop one's ability as something unique. Nursing intuition should be identified and supported as
an art in nursing.
Art embodied in nursing demands a nurse to have sensitivity and responsiveness to client’s feeling, as well as the ability to understand the client's non-verbal language. Thus, nurses have creativity to develop the art of nursing. This is one of the nursing prides, which has unique characteristics that any other professions do not have it. When nurses express art in providing nursing services, they feel proud with the nursing profession. It is proud to have art in nursing practice; a nurse is able to give satisfaction optimally to the clients who receive qualified professional nursing care.
2. Nursing as Science (science)
According to Nursalam, 2014 that the concept was developed based on the philosophy and paradigm of nursing. There are three (3) main elements of the nursing philosophy that became the conviction and a process to think critically in developing nursing science:
humanism, holism and care. In the development of nursing philosophy, there are 4 (four)
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main concepts of nursing paradigm: human, environment, health and nursing. Humans are viewed as holistic and humanistic individuals, where the life is always interacting with both internal and external environments. The environments can affect on human health status.
These conditions foster a sense of pride as nurses, because basically humans are endowed with compassion by God and helping each others. When someone can provide both moral and spiritual assistance to others, then it appears satisfaction that eventually becomes a sense of pride. Nurses, directly and indirectly, are always beside the client, when the client requires, they will be present and give attention of "humanistic and holistic" forms that they are able to grow and maintain a sense of pride.
3. Nursing as a Profession (profession)
According to Nursalam (2014), which argued that nursing as a profession should have criteria for a profession, they are: Body of Knowledge, special education based "expertise"
in higher education, providing services to the community and practice in accordance with the profession, have association in the profession field, impose a professionalism ethics code and motivation whih are "altruistic". Nurses’ pride has all the profession criteria, as the nursing profession. Nursing continues to grow in establishing the criteria for the profession, especially benefit of the nursing profession as an effort to contribute to build a healthy community by providing nursing care practices based on professionalism ethics code. Nurses are proud to have a professional organization that are manifestation of the nursing professional associations who have professionalism ethics code. Moreover, the pride of being nurses, realized from the high education qualifications to the doctoral level.
It shows that the nursing profession is a profession with reliable nursing human resources.
Consolidation of the entire profession criteria are being conducted by the nursing profession to accountability and optimum autonomy of profession implementation.
Finally, the most important thing is the Pride is nurses’ booster attitude to improve the performance by providing nursing services to the community as a manifestation of professional nursing profession.
REFERENCES:
Edwin, J. Boezeman and Naomi Ellemers. 2007. Volunteering for Charity: Pride, Respect, and the Commitment of Volunteers. Journal of Applied Psychology Copyright 2007 by the American Psychological Association 2007, Vol. 92, No. 3, 771–785 0021-9010/07/ DOI: 10.1037/0021- 9010.92.3.771
Nursalam. 2014. Orasi Pengukuhan Jabatan Guru Besar dalam Bidang Ilmu Keperawatan pada Fakultas Keperawatan Universitas Airlangga di Surabaya, Surabaya: UNAIR. Dated 18 Januari 2014.
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