Dedication in nursing: A concept analysis


1 Department of Paediatric Nursing, Faculty of Nursing, Necmettin Erbakan University, Konya, Turkey

2 Department of Nursing, School of Nursing and Midwifery, Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran


Background: Dedication is one of the components of professional nursing. However, no clear consensus exists on the definition of dedication in nursing, and it is difficult to understand and operationalize this concept in clinical settings. Objectives: This study aimed to analyze the concept of dedication in nursing. Methods: This concept analysis was done using the hybrid model from February to June 2021. In the theoretical phase, the existing literature on dedication in nursing was reviewed in international databases of PubMed, Science Direct, ProQuest, Ovid, and Scopus. The keywords were “dedication” and “nursing”. After excluding duplicate and irrelevant records, 34 documents were reviewed. In the field phase, semistructured interviews were conducted with six nurses to gather new qualitative data on their experiences of dedication. In the integration phase, the findings of the earlier phases combined to provide a comprehensive definition of the concept. Content analysis was used to analyze the data. Results: Dedication in nursing was defined as a feeling and state of mind and heart, like an untiring commitment that is the art and essence of nursing. It is caring from one's heart with all human beings and technical resources available, doing beyond regular work hours and organizational and legal duty. This act usually happens without expectation for any reward or incentives in such a way that may lead to neglecting one's own needs. Conclusion: This concept analysis can be a good guide for nurses, teachers, and managers to know the meaning of dedication and recognize how to breed the spirit of dedication in nursing and prevent its negative consequences.


1.     Malpas P. Florence nightingale: Appreciating our legacy,
envisioning our future. Gastroenterol Nurs 2006;29:447-52. 2.     GarfieldR, Dresden E,RaffertyAM.Commentary:The evolving role
of nurses in terrorism and war. Am J Infect Control 2003;31:163-7.
3.     Tillman P. Disaster preparedness for nurses: A teaching guide. J
Contin Educ Nurs 2011;42:404-8.
4.     Liu YE, Zhai ZC, Han YH, Liu YL, Liu FP, Hu DY. Experiences
of front-line nurses combating coronavirus disease-2019 in china:
A qualitative analysis. Public Health Nurs 2020;37:757-63.
5.     Meiring A. Courage dedication and teamwork saving lives. Prof
Nurs Today 2020;24:2.
6.     Bargagliotti LA. Work engagement in nursing: A concept analysis.
J Adv Nurs 2012;68:1414-28.
7.     RaatikainenR.Nursingcare as a calling.JAdvNurs1997;25:1111-5.
8.     Seo K, Kim M. Professional identity of Korean nurse practitioners
in the united states. J Am Assoc Nurse Pract 2017;29:195-202.
9.     Ebrahimi H, Nikravesh M, Oskouie F, Ahmadi F. Ethical behavior
of nurses in decision-making in Iran. Iran J Nurs Midwifery Res
10.     Jenaro C, Flores N, Orgaz MB, Cruz M. Vigour and dedication
in nursing professionals: Towards a better understanding of work
engagement. J Adv Nurs 2011;67:865-75.
11.     Heggen K, Terum LI. Coherence in professional education:
Does it foster dedication and identification? Teach High Educ
12.     Van Bogaert P, Clarke S, Willems R, Mondelaers M. Staff
engagement as a target for managing work environments in
psychiatric hospitals: Implications for workforce stability and
quality of care. J Clin Nurs 2013;22:1717-28.
13.     Van Bogaert P, Wouters K, Willems R, Mondelaers M, Clarke S.
Work engagement supports nurse workforce stability and quality
of care: Nursing team-level analysis in psychiatric hospitals. J
Psychiatr Ment Health Nurs 2013;20:679-86.
14.     Sohrabizadeh S, Sayfouri N. Antecedents and consequences
of work engagement among nurses. Iran Red Crescent Med J
15.     Walker L, Avant K. Strategies for theory construction in nursing
6th ed: Pearson; 2018. 272 p.
16.     Rodgers B, Knafl K. Concept development in nursing: Foundations,
techniques, and applications. second ed. Philadelphia, PA: W.
B. Saunders Company; 2000.
17.     Graneheim UH, Lundman B. Qualitative content analysis in
nursing research: Concepts, procedures and measures to achieve
trustworthiness. Nurse Educ Today 2004;24:105-12.
18.     Streubert JH, Carpenter DR. Qualitative research in nursing:
Advancing the humanistic imperative. 5th ed. China: Lippincott
Williams & Wilkins; 2011.
19.     Dedication:Meaning in theCambridgeEnglishDictionary.Cambridge
University Press; 2021 Available from: https://dictionary.cambridge.
org/dictionary/english/dedication. [Last accessed on 2021 May 05].
20.     Oxford university D. Oxford learners dictionary United
Kingdom: Oxford University Press; 2021 [Available from:
important%20synonym%20commitment. [Last accessed on
2021 May 05].
21.     Meriam-Webster. Dedication definition Meriam-Webster; 2021
[Available from:
dedication. [Last accessed on 2021 May 05].
22.     Orgambídez A, Almeida H. Predictors of organizational
commitment in nursing: Results from Portugal. Invest Educ
Enferm 2018;36:e14.
23.     Shwu-Jiuan L. What caring means to geriatric nurses. J Nurs Res
24.     Othman N, Nasurdin AM. Job characteristics and staying engaged
in work of nurses: Empirical evidence from Malaysia. Int J Nurs
Sci 2019;6:432-8.
25.     Grøthe Å, Biong S, Grov EK. Acting with dedication and expertise:
Relatives’ experience of nurses’ provision of care in a palliative
unit. Palliat Support Care 2015;13:1547-58.
26.     Liébana-Presa C, Fernández-Martínez ME, Gándara AR, MuñozVillanueva MC, Vázquez-Casares AM, Rodríguez-Borrego MA.
Psychological distress in health sciences college students and
its relationship with academic engagement. Rev Esco Enferm
27.     Pan X, Mao T, Zhang J, Wang J, Su P. Psychological capital
mediates the association between nurses’ practice environment
and work engagement among Chinese male nurses. Int J Nurs Sci
28.     Ruokolainen M, Mauno S, Cheng T. Are the most dedicated nurses
more vulnerable to job insecurity?Age-specific analyses on familyrelated outcomes. J Nurs Manag 2014;22:1042-53.
29.     Ziedelis A. Perceived calling and work engagement among nurses.
West J Nurs Res 2019;41:816-33.
30.     Wynd CA. Current factors contributing to professionalism in
nursing. J Prof Nurs 2003;19:251-61.
31.     Xian M, Zhai H, Xiong Y, Han Y. The role of work resources
between job demands and burnout in male nurses. J Clin Nurs
32.     Wan Q, Li Z, Zhou W, Shang S. Effects of work environment
and job characteristics on the turnover intention of experienced
nurses: The mediating role of work engagement. J Adv Nurs
33.     Wu LT, Low MM, Tan KK, Lopez V, Liaw SY. Why not nursing?
A systematic review of factors influencing career choice among
healthcare students. Int Nurs Rev 2015;62:547-62.
34.     Ehrenfeld M, Tabak N. Value of admission interviews in selecting
of undergraduate nursing students. J Nurs Manag 2000;8:101-6.