Professional Identity in Nursing: The Impact of Titles and Roles on Practice and Perception

Abstract

Professional identity in nursing is a multifaceted construct that encompasses the roles, values, behaviors, and attributes that nurses identify with in their practice. It is influenced by various factors, including educational background, clinical experiences, organizational culture, and the titles and roles assigned within the healthcare system. This review paper explores the impact of professional titles and roles on nursing practice and the perception of nursing professionals, both within healthcare teams and by patients. Specifically, it examines how titles (e.g., Registered Nurse, Nurse Practitioner, Clinical Nurse Specialist) and roles affect the self-perception of nurses, their relationships with colleagues, and how they are viewed by patients and the wider healthcare community. The review discusses how changes in titles, such as the recognition of advanced practice roles or shifts in educational pathways, influence the professional identity of nurses and their authority in clinical decision-making. Furthermore, the paper highlights the challenges of role ambiguity, the hierarchical nature of healthcare settings, and the implications for nursing autonomy and job satisfaction. By synthesizing evidence from a range of studies, the paper provides insights into how the evolving landscape of nursing roles and titles affects nursing practice and the overall quality of patient care. It also offers recommendations for fostering a strong and cohesive professional identity in nursing that promotes collaboration, enhances job satisfaction, and improves patient outcomes.