Professionalism values of Generation Z nursing students
Abstract
During nursing education, professional values are developed in theoretical and clinical education. Nursing students are expected to cultivate professional values when they enter university and continue their nursing practice. This study aims to analyze the professionalism values of Generation Z nursing students. The research employed a descriptive design, including 182 respondents selected through total sampling. Data were collected using a questionnaire. The research instrument used the Nurse Professional Values Scale-Revised (NPVS-R) questionnaire. Data analysis used descriptive analysis with data not normally distributed (median). The average age of the students was 21, with a majority being female. The indicators of professional values nursing students’ altruism, autonomy, human dignity, integrity, and social justice have median values of 31, 30, 50, 46, and 27. The results showed that nursing students who had good and less professional values were in the same amount. This shows that Generation Z nursing students have a different understanding of the current values of professionalism. The results of this study are expected to be a reference in improving the ability of professionalism values in Generation Z nursing students.
References
Abu-El-Noor, N. I., Abu-El-Noor, M. K., & Allari, R. S. (2023). Measuring Professional Values Among Jordanian And Palestinian Undergraduate Nursing Students: A Comparative Study. Journal Of Nursing Research, 31(6), E305. Https://doi.org/10.1097/jnr.0000000000000580
Abujaber, A. A., Al-Qudimat, A. R., & Nashwan, A. J. (2023). A Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis of ChatGPT Integration in Nursing Education: A Narrative Review. Cureus, 15(11), e48643. https://doi.org/10.7759/cureus.48643
Adel, A., Ahsan, A., & Davison, C. (2024). ChatGPT Promises and Challenges in Education: Computational and Ethical Perspectives. Education Sciences, 14(8), 814. https://doi.org/10.3390/educsci14080814
Allen, E. (2022). Supporting The Generation Z Nursing Student. Journal Of Christian Nursing, 39(4), 264–264. Https://Doi.Org/10.1097/CNJ.0000000000000985
Amin, S. M., El-Sayed, A. A. I., Alsenany, S. A., Atta, M. H. R., Morsy, O. M. I., & Asal, M. G. R. (2025). How Clinical Reasoning and Decision-Making Competences Influence the Provision of Empathic Care Among Nursing Students? Teaching and Learning in Nursing. https://doi.org/10.1016/j.teln.2025.01.005
Arreciado Marañón, A., & Isla Pera, M. P. (2019). Confusion About Professional Autonomy Among Final-Year Nursing Students In Spain. Journal Of Professional Nursing, 35(2), 147–152. Https://doi.org/10.1016/j.profnurs.2018.07.008
Aydın, G. Ö., Turan, N., Irmak, A. Y., Çelikkalp, Ü., Aygün, A., & Çakır, Z. (2022). Nursing Students’ Individual Values, Inclination To Ethical And Professional Values. Perspectives In Psychiatric Care, 58(2), 850–860. Https://doi.org/10.1111/ppc.12863
Cleary, M., Thapa, D. K., West, S., Lopez, V., Williamson, M., Sahay, A., & Kornhaber, R. (2023). Mentoring students in doctoral nursing programs: A scoping review. Journal of Professional Nursing, 45, 71-88. https://doi.org/10.1016/j.profnurs.2023.01.010
Combrinck, Y., Van Wyk, N. C., & Mogale, R. S. (2022). Preserving nurses’ professional dignity: Six evidence-based strategies. International Nursing Review, 69(1), 106-113. https://doi.org/10.1111/inr.12701
Edwards-Maddox, S., Cartwright, A., Quintana, D., & Contreras, J. A. (2021). Applying Newman's theory of health expansion to bridge the gap between nursing faculty and Generation Z. Journal of Professional Nursing, 37(3), 541-543. https://doi.org/10.1016/j.profnurs.2021.02.002
El-Sayed, A. A. I., Goda, S. F. D. A., & Elbialy, G. G. (2024). Threats of nursing productivity in the digital era: investigating the interplay between smartphones addiction and procrastination behavior among nurses. BMC nursing, 23(1), 577. https://doi.org/10.1186/s12912-024-02218-y
Franco, H., Caldeira, S., & Nunes, L. (2020). Dignity in nursing: A synthesis review of concept analysis studies. Nursing Ethics. https://doi.org/10.1177/0969733020961822
George, A., S. (2024). Technology Tension in Schools: Addressing the Complex Impacts of Digital Advances on Teaching, Learning, and Well-being. Partners Universal Multidisciplinary Research Journal, 1(3), 49–65. https://doi.org/10.5281/zenodo.13743163
Groothuizen, J. E. (2024). Axiological reflection for nursing ethics education: The missing link in understanding value conflicts. Nursing Ethics. https://doi.org/10.1177_09697330241295369
Hardie, P., Darley, A., Langan, L., Lafferty, A., Jarvis, S., & Redmond, C. (2022). Interpersonal and communication skills development in general nursing preceptorship education and training programmes: A scoping review. Nurse Education in Practice, 65, 103482. https://doi.org/10.1016/j.nepr.2022.103482
Hassan Mohamed, A. F., & Modanloo, S. (2024). Re-thinking the Concept of Cultural Competency in Nursing Care of Older Adults. Canadian Journal of Nursing Research. https://doi.org/10.1177/08445621241272673
Honkavuo, L. (2021). Ethics simulation in nursing education: Nursing students' experiences. Nursing Ethics. https://doi.org/10.1177/0969733021994188
Incieser Pasalak, S., Subas, F., Kaya, N., & Seven, M. (2021). Professional Values In A Sample Of Nursing Students From Different Countries. Florence Nightingale Journal Of Nursing, 29(1), 93–102. Https://doi.org/10.5152/fnjn.2021.19200
Li, J., & Li, X. (2024). Professional Values Education For Undergraduate Nursing Students: Developing A Framework Based On The Professional Values Growth Theory. BMC Nursing, 23(1), 226. Https://doi.org/10.1186/s12912-024-01743-0
Lin, Y.-H., Li, J., Shieh, S.-I., Kao, C.-C., Lee, I., & Hung, S.-L. (2016). Comparison Of Professional Values Between Nursing Students In Taiwan And China. Nursing Ethics, 23(2), 223–230. Https://doi.org/10.1177/0969733014561912
Lindwall, L., & Lohne, V. (2021). Human Dignity Research In Clinical Practice – A Systematic Literature Review. Scandinavian Journal Of Caring Sciences, 35(4), 1038–1049. Https://doi.org/10.1111/scs.12922
Martin, D. A., Conlon, E., & Bowe, B. (2021). Using case studies in engineering ethics education: the case for immersive scenarios through stakeholder engagement and real life data. Australasian Journal of Engineering Education, 26(1), 47–63. https://doi.org/10.1080/22054952.2021.1914297
McLaughlin-Borlace, N., Creighton, L., & Mitchell, G. (2024). Championing student participation in co-designing digital education resources: A student experience. Nurse Education Today, 143, 106392. https://doi.org/10.1016/j.nedt.2024.106392
O'Connor, S., Odewusi, T., Smith, P. M., & Booth, R. G. (2022). Digital professionalism on social media: The opinions of undergraduate nursing students. Nurse Education Today, 111, 105322. https://doi.org/10.1016/j.nedt.2022.105322
Park, H.-K., & Jeong, Y.-W. (2021). Impact Of Nursing Professionalism On Perception Of Patient Privacy Protection In Nursing Students: Mediating Effect Of Nursing Informatics Competency. Healthcare, 9(10), 1364. Https://doi.org/10.3390/healthcare9101364
Paramitha, D. S., Amaliah, N., & Ariadi, H. (2024). Correlation Analysis Of Self-Concept And Interpersonal Communication Among Generation Z Nursing Students At Pre-Professional Nursing Practice. Gaster, 22(1), 57–73. Https://doi.org/10.30787/gaster.v22i1.1409
Poole, C., & Patterson, A. (2021). Fostering the development of professional identity within healthcare education-interdisciplinary innovation. Journal of Medical Imaging and Radiation Sciences, 52(4), S45-S50. https://doi.org/10.1016/j.jmir.2021.08.012
Pursio, K., Kankkunen, P., Sanner‐Stiehr, E., & Kvist, T. (2021). Professional Autonomy In Nursing: An Integrative Review. Journal Of Nursing Management, 29(6), 1565–1577. Https://doi.org/10.1111/jonm.13282
Rached, C. D. A., Vieira, G. S., Melo, F. A. B., Almeida, M. C. Dos S., Mira, V. L., Domercant, H., & Crescente, N. Y. (2023). Nursing Students’ Professional Values For Reinforcing The Professional Identity. Revista Brasileira De Enfermagem, 76. Https://doi.org/10.1590/0034-7167-2022-0338
Rasesemola, R. M., & Molabe, M. P. (2025). Enhancing student nurses’ ethical skills via simulation-based learning: barriers and opportunities. BMC nursing, 24(1), 147. https://doi.org/10.1186/s12912-025-02742-5
Robichaux, C., Grace, P., Bartlett, J., Stokes, F., Saulo Lewis, M., & Turner, M. (2022). Ethics Education for Nurses: Foundations for an Integrated Curriculum. Journal of Nursing Education, 61(3), 123–130. https://doi.org/10.3928/01484834-20220109-02
Sanchis-Giménez, L., Lacomba-Trejo, L., Prado-Gascó, V., & Giménez-Espert, M. Del C. (2023). Attitudes Towards Communication In Nursing Students And Nurses: Are Social Skills And Emotional Intelligence Important? Healthcare, 11(8), 1119. Https://doi.org/10.3390/healthcare11081119
Sharifikia, I., Khoshnood, Z., Hosseinnejad, A., Farokhzadian, J., & Rohani, C. (2024). Exploring a guide for codes of ethics for the development of ethical competence in Iranian nursing students: a systematic review and meta-synthesis. BMC nursing, 23(1), 519. https://doi.org/10.1186/s12912-024-02208-0
Shojaei, A., Raziani, Y., Bernstein, C., Asgari, A., Alazmani‐Noodeh, F., Arab, M., & Ranjbar, H. (2023). The Experiences Of Psychiatric Patients, Their Caregivers And Companions In Upholding Patient Dignity During Hospitalization: A Qualitative Study. Health Expectations, 26(5), 1915–1922. Https://doi.org/10.1111/hex.13799
Shorey, S., Chan, V., Rajendran, P., & Ang, E. (2021). Learning styles, preferences and needs of generation Z healthcare students: Scoping review. Nurse Education in Practice, 57, 103247. https://doi.org/10.1016/j.nepr.2021.103247
Spekkink, A., & Jacobs, G. (2020). The development of moral sensitivity of nursing students: A scoping review. Nursing Ethics. https://doi.org/10.1177/0969733020972450
Tan, S. H. E., & Chin, G. F. (2023). Generational Effect On Nurses’ Work Values, Engagement, And Satisfaction In An Acute Hospital. BMC Nursing, 22(1), 88. Https://doi.org/10.1186/s12912-023-01256-2
Turan, Z., Öner, Ö., & Atasoy, I. (2021). Male and female nursing students’ opinions about gender and nursing as a career in Turkey: A qualitative study. Nurse Education in Practice, 53, 103078. https://doi.org/10.1016/j.nepr.2021.103078
Zemlak, J., Rodney, T., Mangano, E., & Baptiste, L. (2024). Professionalism in pre-licensure nursing education: Core values, didactic coursework and clinical training. Journal of Clinical Nursing, 33(2), 702-709. https://doi.org/10.1111/jocn.16926
Zhu, X., Hu, H., Xiong, Z., Zheng, T., Li, L., Zhang, L., & Yang, F. (2021). Utilization And Professionalism Toward Social Media Among Undergraduate Nursing Students. Nursing Ethics, 28(2), 297–310. Https://Doi.Org/10.1177/0969733020952105
