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“Convince Your Patients and You Will Convince Society†: Career Decisions and Professional Identity Among Nurses in India

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  • Sonali E. Johnson

Abstract

This article reports on the results of qualitative research to investigate the career plans of Indian nurses working in the southern Indian city of Bangalore. The globalized health care market in Bangalore has generated opportunities for an increasingly diversifying profession, many of whose members are keen to pursue global careers, work in specialized clinical settings, and pursue further education, and whose sense of professional identity is strongly influenced by these career choices. The research drew upon interviews with 56 nurses employed across six sites, including public and private health facilities. Decision-making related to the setting of nursing work and the negotiation of boundaries between medical “treatment†were of analytical interest in understanding career drivers and the professional identity of nurses working predominantly in the context of hospital care. Lateral trajectories were found to be important to the construction of a career in nursing—where the extent to which nurses could demonstrate competencies in clinical skill and knowledge and maintain professional control over the practice of nursing are key aspects in constructing a career. The renegotiation of nursing’s public image is at the heart of professionalizing strategies being adopted by nursing’s leaders and is also evident in the accounts presented by hospital nurses in their depictions of nursing practice and career plans. The findings suggest that greater attention to the professional project of nursing in India and the construction of nursing careers would benefit the development of more responsive human resource policies around the retention of nurses.

Suggested Citation

  • Sonali E. Johnson, 2018. "“Convince Your Patients and You Will Convince Society†: Career Decisions and Professional Identity Among Nurses in India," SAGE Open, , vol. 8(1), pages 21582440187, March.
  • Handle: RePEc:sae:sagope:v:8:y:2018:i:1:p:2158244018763014
    DOI: 10.1177/2158244018763014
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    References listed on IDEAS

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    1. Timmons, Stephen & Evans, Catrin & Nair, Sreelekha, 2016. "The development of the nursing profession in a globalised context: A qualitative case study in Kerala, India," Social Science & Medicine, Elsevier, vol. 166(C), pages 41-48.
    2. Niezen, Maartje G.H. & Mathijssen, Jolanda J.P., 2014. "Reframing professional boundaries in healthcare: A systematic review of facilitators and barriers to task reallocation from the domain of medicine to the nursing domain," Health Policy, Elsevier, vol. 117(2), pages 151-169.
    3. Liberati, Elisa Giulia, 2017. "Separating, replacing, intersecting: The influence of context on the construction of the medical-nursing boundary," Social Science & Medicine, Elsevier, vol. 172(C), pages 135-143.
    4. Tomoko Ono & Gaétan Lafortune & Michael Schoenstein, 2013. "Health Workforce Planning in OECD Countries: A Review of 26 Projection Models from 18 Countries," OECD Health Working Papers 62, OECD Publishing.
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    1. Osman M. Karatepe & Turgay Avci, 2019. "Nurses’ Perceptions of Job Embeddedness in Public Hospitals," SAGE Open, , vol. 9(1), pages 21582440198, February.
    2. Das, Priya & Newton-Lewis, Tom & Khalil, Karima & Rajadhyaksha, Madhavi & Nagpal, Phalasha, 2022. "How performance targets can ingrain a culture of ‘performing out’: An ethnography of two Indian primary healthcare facilities," Social Science & Medicine, Elsevier, vol. 300(C).

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