Level of Professional Identity Among Student Nurses
DOI:
https://doi.org/10.64397/nepj.v02i01.2026.a46Keywords:
professional identity of student nurses, year level, educational program choice, cultural affiliatio, educational background of the familyAbstract
Introduction:Professional identity is the professional self-concept of a nurse, which shapes how nurses and student nurses perceive their profession and the values and beliefs that guide their careers. Understanding and strengthening professional identity is considered essential for workforce retention, quality patient care, and the advancement of the nursing profession.
Aim: To determine the level of professional identity among student nurses across the following dimensions: personal, social, historical, and interpersonal. It also aimed to determine whether there was a significant difference in professional identity levels when student nurses were grouped by year level, cultural affiliation, educational program choice, and family educational background.
Methods: A quantitative descriptive design was employed among 180 student nurses selected through proportionate random sampling. Data were gathered using the Professional Identity Scale for Nursing Students (PISNS) with Cronbach’s alpha of 0.83 and split-half reliability of 0.84. Average scores, independent-sample t-tests, and one-way ANOVA were used for data analysis.
Results: Findings revealed a high overall level of professional identity (average = 4.13), with the highest score in the Social and Historical dimension (4.26), followed by the Interpersonal (4.09) and Personal dimensions (4.05). Significant differences in professional identity were observed across year levels (p = 0.003) and educational program of choice (p < 0.001). However, no significant differences were found in cultural affiliation (p = 0.30) or family educational background (p = 0.56).
Conclusion: The study found that the professional identity of student nurses was dynamic and closely connected to the nursing profession, with year level and choice of educational program influencing its development. It indicated that different factors influenced the professional identity of student nurses. It is recommended that nursing schools implement regular annual professional identity assessments and strengthen support programs, such as peer tutoring and career orientation, to monitor and further develop student nurses' professional identity throughout the nursing curriculum.
References
Amin, S. M., Demerdash, D. E., Othman, A. A., Zoromba, M. A., El-Gazar, H. E., Atta, M. H. R., Albzia, A., Abdelrahman, M. M., Alasqah, I., & Abdallah, H. M. M. (2025). The mediating role of professional identity in the relationship between gender misconceptions and occupational stigma among male nursing students. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-03552-5
Amin, S. M., Karim, N. A. H. A., Osman, M. A., Abdallah, H. M. M., El-Sayed, A. A. I., Tawfik, A. F., Madian, A. A. E., El-Sherbini, H. H., & Atta, M. H. R. (2025). Exploring the relationship between professional identity, cultural sensibility, and empathy among nursing students: evidence from path analysis. BMC Nursing, 24(1), 628. https://doi.org/10.1186/s12912-025-03235-1
ATI Nursing Education. (2025). Why Professional Identity Matters in Nursing Education. ATI Testing. https://www.atitesting.com/educator/blog/knowledge/2025/05/21/why-professional-identity-matters-in-nursing-education
Biala, R. L. (2026). Comparative study of clinical learning evaluation, self-efficacy, and practice readiness among nursing students in a selected school in Quezon City. International Journal of Sustainability and Advanced Integrated Research, 2(2), 739–748. https://doi.org/10.65339/ijsair.V2.I2.248
Bontog, M. A. M., Cervales, R. M. A., Enriquez, R. L. A., Guevarra, G. H., Longos, X. A. S., Martin, D. R. L., Olipano, M. C. B., Reyes, C. J. E., Sison, M. P., Venigas, J. O., & Francisco, M. G. S. (2025). Relationship of campus culture and values orientation in shaping the professional identity of nursing students. Far Eastern University - Dr. Nicanor Reyes Medical Foundation Medical Journal, 31(1), 92–98. http://journal.feu-nrmf.edu.ph/abstract/relationship-of-campus-culture-and-values-orientation-in-shaping-the-professional-identity-of-nursing-students/
Clanchy, K., Minahan, C., Cardell, E., & Bialocerkowski, A. (2021). Describing pre-professional identity in higher education: A case study of exercise science students. Journal of University Teaching and Learning Practice, 18(6), 174–192. https://doi.org/10.53761/1.18.6.12
De La Fosse, K. R. (2023). Professional identity for nursing students: Development and enhancement in the academy. International Research in Higher Education, 8(2), 1. https://doi.org/10.5430/irhe.v8n2p1
Diampuan, A. (2026). Personal, Social, and Institutional Factors Influencing Nursing Career Decisions: Evidence from a Post-Conflict Philippine Setting. International Journal of Nursing Education, 18(1), 1–11. https://doi.org/10.37506/nvy8fy84
Estudillo, S. Y., Fernan, M. F., Fortin, E. M., Hanginan, C., Ignacio, T. M., Julaili, R., Lacastesantos, J., Librado, K. E., Lim, K. L., Lomboy, S. M., Maravilla, J. A., & Montezon, T. (2024, November 12). The Effect of Clinical Placement on Level IV Nursing Students’ Professional Identity Formation. https://ojs.upmin.edu.ph/index.php/jcsh/article/view/45/49
Ewertsson, M., Bagga-Gupta, S., Allvin, R., & Blomberg, K. (2017). Tensions in learning professional identities – nursing students’ narratives and participation in practical skills during their clinical practice: an ethnographic study. BMC Nursing, 16(1), 48. https://doi.org/10.1186/s12912-017-0238-y
Fitzgerald, A. M., & Butcher, D. (2025). Professional Identity Among Soon-To-Graduate Nursing Students: An International Comparison study. Journal of Nursing Education, 64(11), 689–695. https://doi.org/10.3928/01484834-20250624-04
Guerrero, J. G., Ali, S. A. A., & Attallah, D. M. (2022). The acquired critical thinking skills, satisfaction, and self confidence of nursing students and staff nurses through high-fidelity simulation experience. Clinical Simulation in Nursing, 64, 24-30.
Gong, B., Chen, X., Wang, N., Zhan, Y., Zhong, H., Zhang, R., Luo, Y., Zhang, Z., & Li, L. (2025). The relationship between psychological capital, stress, micro-learning environment, and professional identity in nursing interns: a structural equation modeling study. Frontiers in Psychology, 16. https://doi.org/10.3389/fpsyg.2025.1458384
Güner, Y., Turhal, E., Üçüncüoğllu, M., Tuncel, B., Akturan, S., & Keleş, Ş. (2021). The formation of professional identity in nursing. Turkish Journal of Bioethics, 8(2), 82–89. https://doi.org/10.5505/tjob.2021.72677
Gusar, I., Tokić, A., & Lovrić, R. (2021). Psychometric analysis of the professional identity questionnaires in Croatian Nursing Student context. SAGE Open Nursing, 7. https://doi.org/10.1177/23779608211044600
Ha, E., & Lim, E. (2023). The effect of objective structured clinical examinations for nursing students. PLoS ONE, 18(6), e0286787. https://doi.org/10.1371/journal.pone.0286787
Hanum, A. L., Hu, Q., Wei, W., Zhou, H., & Ma, F. (2022). Professional identity, job satisfaction, and intention to stay among clinical nurses during the prolonged COVID‐19 pandemic: A mediation analysis. Japan Journal of Nursing Science, 20(2). https://doi.org/10.1111/jjns.12515
Hao, Y., Niu, H., Li, L., Yue, S., & Liu, X. (2014). Measurement of professional identity in Chinese nursing students. International Journal of Nursing Sciences, 1(2), 137–144. https://doi.org/10.1016/j.ijnss.2014.05.002
Heyrati, F., Taheri, F., Abdullahi, M., & Reyhani, N. (2024). Examining the relationship between professional identity and psychological well-being among nurses. Preventive Care in Nursing and Midwifery Journal, 14(1), 10–18. https://doi.org/10.61186/pcnm.14.1.10
Ho, P. (2025). Professional identity among nursing students: A longitudinal analysis of student experiences and developmental pathways. Journal of Professional Nursing, 58, 104–111. https://doi.org/10.1016/j.profnurs.2025.03.009
Hoeve, Y. T., Jansen, G., & Roodbol, P. (2014). The nursing profession: public image, self‐concept and professional identity. A discussion paper. Journal of Advanced Nursing, 70(2), 295–309. https://doi.org/10.1111/jan.12177
Hu, P., Kong, L., Chen, S., & Luo, L. (2024). The mediating effect of self-directed learning ability between professional identity and burnout among nursing students. Heliyon, 10(6), e27707. https://doi.org/10.1016/j.heliyon.2024.e27707
International Society for Professional Identity in Nursing. (2025). What is Professional Identity in Nursing. https://www.professionalidentity.org/about/what-is-pin
Kang, H. (2021). Sample size determination and power analysis using the G*Power software. Journal of Educational Evaluation for Health Professions, 18, 17. https://doi.org/10.3352/jeehp.2021.18.17
Keshmiri, F., Farahmand, S., Bahramnezhad, F., & Nedaei, H. H. (2020). Exploring the challenges of professional identity formation in clinical education environment: A qualitative study. DOAJ (DOAJ: Directory of Open Access Journals), 8(1), 42–49. https://doi.org/10.30476/jamp.2019.74806.0
Kim, J., Chae, D., & Yoo, J. Y. (2021). Reasons behind generation Z nursing students’ intentions to leave their profession: A cross-sectional study. Inquiry, 58, 46958021999928. https://doi.org/10.1177/0046958021999928
King, A. M. (2021). Social Identity and the Book of Amos. Bloomsbury Publishing.
Levis, B., Bhandari, P. M., Neupane, D., Fan, S., Sun, Y., He, C., Wu, Y., Krishnan, A., Negeri, Z., Imran, M., Rice, D. B., Riehm, K. E., Azar, M., Levis, A. W., Boruff, J., Cuijpers, P., Gilbody, S., Ioannidis, J. P. A., Kloda, L. A., . . . Group, D. S. D. P. (2024). Data-Driven Cutoff Selection for the Patient Health Questionnaire-9 Depression Screening Tool. JAMA Network Open, 7(11), e2429630. https://doi.org/10.1001/jamanetworkopen.2024.29630
Magpantay-Monroe, E. R., Koka, O., & Aipa, K. (2020). Community engagement leads to professional identity formation of nursing students. Asian/Pacific Island Nursing Journal, 5(3), 181–184. https://doi.org/10.31372/20200503.1105
Mao, A., Lu, S., Lin, Y., & He, M. (2021). A scoping review on the influencing factors and development process of professional identity among nursing students and nurses. Journal of Professional Nursing, 37(2), 391–398. https://doi.org/10.1016/j.profnurs.2020.04.018
Marriott, P. H. M., Weller-Newton, J. M., & Reid, K. J. (2024). Preparedness for a first clinical placement in nursing: a descriptive qualitative study. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01916-x
Mbalinda, S. N., Najjuma, J. N., Gonzaga, A. M., Livingstone, K., & Musoke, D. (2024). Understanding and barriers of professional identity formation among current students and recent graduates in nursing and midwifery in low resource settings in two universities: a qualitative study. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01795-2
McLeod, S. (2025, March 19). Kolb’s Learning Styles & Experiential Learning Cycle. Simply Psychology. https://www.simplypsychology.org/learning-kolb.html
Mbalinda, S. N., Najjuma, J. N., Mubuuke, A. G., Kamoga, L., & Musoke, D. (2023). Understanding and barriers to formation Professional Identity among current and recent graduates of nurses and midwifery in two universities in a low resource setting: A qualitative study. Research Square. https://doi.org/10.21203/rs.3.rs-3423723/v1
Miao, C., Liu, C., Zhou, Y., Zou, X., Song, L., Chung, J. W., Tan, W., Li, X., & Li, D. (2024). Nurses’ perspectives on professional self-concept and its influencing factors: A qualitative study. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01834-y
Mukherjee, A., Saravanan, A., Kamaraj, A., & Radhakrishnan, V. (2024). A Correlational Study on Professional Identity and Self-Efficacy among Nursing Students. Cureus, 16(8), e67508. https://doi.org/10.7759/cureus.67508
Norouzi, N., Ahmadi, M., & Mohammadi, S. (2025). Professional self-efficacy and identity as predictors of spiritual care competence in nursing and midwifery students. BMC Nursing, 24(1), 1498. https://doi.org/10.1186/s12912-025-04138-x
Opiniano, J., & Ang, A. (2024). The Philippines’ Landmark Labor Export and Development Policy Enters the Next Generation. Migration Policy Institute. https://www.migrationpolicy.org/article/philippines-migration-next-generation-ofws
Opoku-Danso, R., Commey, I. T., Agyare, D. F., Owusu, G., Amoadu, M., & Abraham, S. A. (2025). Quality faculty-nursing students’ relationship: a systematic review of facilitators, barriers, and impact on students. BMC Nursing, 24(1), 925. https://doi.org/10.1186/s12912-025-03580-1
Patel, S. E., Varghese, J., & Hamm, K. (2024). Defining sense of belonging in nursing - An evolutionary concept analysis. Journal of Professional Nursing, 54, 151–163. https://doi.org/10.1016/j.profnurs.2024.07.003
Philippa, R., Ann, H., Jacqueline, M., & Nicola, A. (2021). Professional identity in nursing: A mixed method research study. Nurse Education in Practice, 52, 103039. https://doi.org/10.1016/j.nepr.2021.103039
Pineda, M. J. M. (2025). Bridging theory and practice: An assessment of nursing students’ experiences in psychiatric clinical practicum. International Journal of Research and Innovation in Social Science, 9(3). https://dx.doi.org/10.47772/IJRISS.2025.903SEDU0598
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
Rakkarn, J., Visaetsilapanonta, P., Jiawiwatkul, U., & Puckpinyo, A. (2023). Professional socialization of nurses in Humanized Care: a Qualitative study. Iranian Journal of Nursing and Midwifery Research, 28(4), 474–481. https://doi.org/10.4103/ijnmr.ijnmr_78_22
Rumjaun, A., Narod, F. (2025). Social Learning Theory—Albert Bandura. In Akpan, B., Kennedy, T.J. (eds) Science Education in Theory and Practice. Springer Texts in Education. Springer, Cham. https://doi.org/10.1007/978-3-031-81351-1_5
Saint Louis University. (2025, November 27). SLU SONAHBS is Top Performing School in the November 2025 Nurses Licensure Examination, achieves 100% passing rate with 8 topnotchers. Saint Louis University, Philippines. Retrieved April 25, 2026, from https://www.slu.edu.ph/2025/11/27/slu-sonahbs-is-top-performing-school-in-the-november-2025-nurses-licensure-examination-achieves-100-passing-rate-with-8-topnotchers/
Saint Louis University. (2024). Third-year nursing curriculum (SY 2024–2025). Retrieved April 25, 2026, from Student portal.
Saint Louis University. (n.d.). School of nursing, allied health, and biological sciences. Retrieved April 25, 2026, from https://www.slu.edu.ph/school-of-nursing-allied-health-and-biological-sciences/
Saint Louis University. (n.d.). SONAHBS-Nursing program school of nursing, allied health and biological sciences program catalog bachelor of science in nursing. Retrieved April 25, 2026, from https://www.slu.edu.ph/wp-content/uploads/2024/11/SLU-BS-Nursing.pdf
Saint Louis University. (n.d.). Quality education and management. Saint Louis University, Philippines. Retrieved April 25, 2026, from https://www.slu.edu.ph/quality-assurance-and-accreditation-status/
Salameh, B., Malak, M. Z., Obiedate, K. M., & Bani-Hani, M. (2025). Relationship between professional identity, professional self-concept, and academic burnout among palestinian fourth-year nursing students. International Journal of Educational Research, 133, 102743. https://doi.org/10.1016/j.ijer.2025.102743
Sanderson, C. A., & Huffman, K. (2024). Real world psychology (4th ed., p. 456). Wiley
Serafin, L., Strząska-Kliś, Z., Kolbe, G., Brzozowska, P., Szwed, I., Ostrowska, A., & Czarkowska-Pączek, B. (2022). The relationship between perceived competence and self-esteem among novice nurses – a cross-sectional study. Annals of Medicine, 54(1), 484–494. https://doi.org/10.1080/07853890.2022.2032820
Sun, J., Wang, A., & Xu, Q. (2022). Exploring midwifery students’ experiences of professional identity development during clinical placement: A qualitative study. Nurse Education in Practice, 63, 103377. https://doi.org/10.1016/j.nepr.2022.103377
Teskereci, G., Boz, İ., & Buldukoğlu, K. (2020). The effect of caregiver instructor and clinical learning environment on professional socialization process in nursing. Journal of Academic Research in Nursing, 6(1), 171–178. https://doi.org/10.5222/jaren.2020.97659
Tu, H., Liu, J., Li, F., Lin, T., Jin, P., Li, P., & Li, J. (2024). The mediating effect of coping on perceived stress and professional identity among nursing interns: A cross-sectional study conducted in a medical university in China. BMC Psychology, 12(1). https://doi.org/10.1186/s40359-024-02208-4
Vabo, G., Slettebø, Å., & Fossum, M. (2021). Nursing students’ professional identity development: An integrative review. Nordic Journal of Nursing Research, 42(2), 62–75. https://doi.org/10.1177/20571585211029857
Wu, C., Palmer, M. H., & Sha, K. (2020). Professional identity and its influencing factors of first-year post-associate degree baccalaureate nursing students: A cross-sectional study. Nurse Education Today, 84, 104227. https://doi.org/10.1016/j.nedt.2019.104227
Yazid, H. A., & Mohd Sa’ad, F. (2024). Validity and Reliability of the Patient Health Questionnaire (PHQ-9) Instrument among School Students. Jurnal Pendidikan Bitara UPSI,17, 59–70. https://doi.org/10.37134/bitara.vol17.sp2.6.2024
Zeng, L., Chen, Q., Fan, S., Yi, Q., An, W., Liu, H., Hua, W., Huang, R., & Huang, H. (2021). Factors influencing nursing students’ professional identity in a clinical learning environment in Hunan, China. Research Square. https://doi.org/10.21203/rs.3.rs-272707/v1
Zeng, L., Chen, Q., Fan, S., Yi, Q., An, W., Liu, H., Hua, W., Huang, R., & Huang, H. (2022). Factors influencing the professional identity of nursing interns: a cross-sectional study. BMC Nursing, 21(1), 200. https://doi.org/10.1186/s12912-022-00983-2
Zhao, Y., Zhou, Q., Li, J., Luan, J., Wang, B., Zhao, Y., Mu, X., & Chen, H. (2021). Influence of psychological stress and coping styles in the professional identity of undergraduate nursing students after the outbreak of COVID‐19: A cross‐sectional study in China. Nursing Open, 8(6), 3527–3537. https://doi.org/10.1002/nop2.902
Zhao, S., Liang, Q., Tao, H., Fan, S., Xia, Y., Zeng, L., Wang, G., Liu, H., Huang, H., & Xiao, J. (2024). Transition shock among nursing interns and its relationship with patient safety attitudes, professional identity and climate of caring: a cross-sectional study. BMC Nursing, 23(1), 64. https://doi.org/10.1186/s12912-024-01722-5
Zhang, H., He, W., Cao, D., Liu, J., Yang, Y., Zhu, X., & Jiang, M. (2025). Epidemic-induced changes in nursing students’ professional identity: a qualitative investigation. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1565212
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Copyright (c) 2026 Reanne Marie L. Bagorio, Harvey S. Baruela, J-Louise Ornela B. Bernal, Louise Faith T. Chantioco, Janna Patricia V. Coloma, Christian Angelo D. Fabros, Althea Izzy B. Lao-ang, Royd Christian C. Moldero, Chealsea Ann Moss G. Morales, Jel Alynna F. Vigo, Sahlee B. Florendo, MN, RN (Author)
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