The impact of [corrected] expanded nursing practice on professional identify in Denmark

Clin Nurse Spec. 2012 Nov-Dec;26(6):329-35. doi: 10.1097/NUR.0b013e31826e3f43.


Purpose: This article explores the concept of professional identity of Danish nurses working in an expanded practice. The case study explores the experiences of a small group of Danish nurses with a new professional category that reaches into a domain that customarily belonged to physicians. The aim of this case study was to explore the impact of "nurse consultations," representing an expanded nursing role, of 5 nurses focusing on their perception of autonomy, self-esteem, and confidence.

Methods: The case study used semistructured interviews with 5 participants triangulated and validated with participant observations, a focus group interview, and theoretically derived insights.

Findings: This study indicates that nurses working within a new expanded professional practice see themselves as still engaged in nursing and not as substitute physicians. The study also suggests that the involved nurses gained a higher sense of autonomy, self-esteem, and confidence in their practice. These elements have a positive impact on their professional identity.

Conclusion: The research demonstrates that for the nurses involved in expanded professional practice, the boundaries of professional practice have shifted significantly. The research indicates that an expanded practice generates a new domain within the professional identity of nurses.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Clinical Nursing Research
  • Denmark
  • Female
  • Focus Groups
  • Humans
  • Middle Aged
  • Nurse Practitioners / psychology*
  • Nurse's Role / psychology*
  • Nursing Methodology Research
  • Professional Autonomy*
  • Qualitative Research
  • Referral and Consultation
  • Self Concept*
  • Self Efficacy