title: Typologies of professional identity among graduating baccalaureate-prepared nurses.
abstract: OBJECTIVE
  The purpose of this study was to identify patterns of professional identity arising from the Quality and Safety Education for Nurses (QSEN) attitudes among students completing their prelicensure education.
  
  
  METHODS
  This mixed-method study used a modified Q-methodology design with a purposeful sample of 36 baccalaureate students graduating from three campuses of a large Midwestern university. Data were collected near the end of the spring semester of 2013.
  
  
  METHODS
  Participants rank-ordered their agreement or disagreement with a set of subjective statements reflecting the 46 QSEN attitudes. Data were analyzed using a standard three-step approach that included generating a correlation matrix, completing factor analysis followed by varimax rotation, and calculating the factor scores.
  
  
  RESULTS
  Twenty statements represented consensus among the participants, and there was strong agreement that patient safety was both an individual and a team effort. Three professional identity typologies emerged: champions, collaborators, and individualists.
  
  
  CONCLUSIONS
  Evidence was found that these students internalized the QSEN attitudes to varying degrees, but more work may be needed to internalize all attitudes, especially those related to patient-centered care. Future research is needed to evaluate how students with different perspectives transition to practice and to explore other factors that comprise professional identity.
  
  
  CONCLUSIONS
  This study expands on what is known about patterns of professional identity among nurses and helps provide a beginning framework for understanding the values new graduates bring to practice.
authors.affiliation: Alpha, Assistant Professor, Indiana University, Bloomington Indiana School of Nursing, Bloomington, IN.
authors.forename: Desiree
authors.initials: D
authors.lastname: Hensel
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004508:Education, Nursing, Baccalaureate; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D015402:Nursing Education Research; D061214:Patient Safety; D011787:Quality of Health Care; D012933:Social Identification; D013338:Students, Nursing / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Nursing education; patient safety; professional identity; quality and safety education for nurses