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Background: In a patriarchal social system, a women-dominated profession like nursing is mostly seen as a disempowered group due to its stereotypical image and negative connotations. The low social prestige of this profession is based on the roles typically assigned to men and women to maintain gender identity according to their performance and embodiment. The aim of this study was to explore the social and cultural challenges faced by nurses while creating their professional image within the regional context of Lahore (Punjab) in Pakistan.
Methods: A qualitative research design was chosen to conduct one-to-one, in-depth interviews with twelve nurses. Recruitment was based on purposive sampling from three large public hospitals in Lahore to learn about nurses’ perceptions of social and cultural challenges in the nursing profession. A thematic analysis was conducted using the data analysis software package NVIVO 12 Plus.
Results: Cultural values give preference for female nurses. We have identified four major themes related to the social and cultural challenges facing the nursing profession: 1) gender-segregated profession, 2) inappropriate portrayals by the media, 3) issues around marriage settlement, and 4) identity from a religious perspective. These conflicts are affecting the professional status and changing perceptions of nurses, who either do not choose to remain in the nursing profession or do not recommend nursing as a career option. These ongoing constraints are still perpetuating and increasing shortage of nurses within the Pakistani healthcare system.
Conclusion: The present study solely highlights nurses’ perspectives on redefining gender roles and gender integration within the nursing profession. It argues that there is a need for positive portrayals in the media for the removal of public misperceptions related to nursing. This would reduce the shortage of nurses along with increasing retention and improving the quality of healthcare delivered to the public.
Keywords
nurse, nursing, social challenge, cultural challenge, gender-segregation.
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View the published article at BMC Nursing.
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Posted 01 Apr, 2020
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Submission checks complete
On 30 Mar, 2020
Editorial decision: Accept
On 30 Mar, 2020
No comments provided
Editorial decision: Minor revision
On 26 Mar, 2020
Editor assigned
On 22 Mar, 2020
Submission checks complete
On 21 Mar, 2020
Editor invited
On 21 Mar, 2020
No comments provided
Editorial decision: Major revision
On 17 Feb, 2020
Review #3 received
Received 05 Feb, 2020
Review #1 received
Received 05 Feb, 2020
Review #2 received
Received 05 Feb, 2020
Reviewer #3 agreed
On 23 Jan, 2020
Reviewer #2 agreed
On 21 Jan, 2020
Reviewer #1 agreed
On 14 Jan, 2020
Reviewers invited
Invitations sent on 13 Jan, 2020
Editor assigned
On 30 Dec, 2019
Submission checks complete
On 29 Dec, 2019
Editor invited
On 29 Dec, 2019
First submitted
On 27 Dec, 2019
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Nursing.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Nursing.
Version 3
Posted 01 Apr, 2020
No community comments so far
Submission checks complete
On 30 Mar, 2020
Editorial decision: Accept
On 30 Mar, 2020
No comments provided
Editorial decision: Minor revision
On 26 Mar, 2020
Editor assigned
On 22 Mar, 2020
Submission checks complete
On 21 Mar, 2020
Editor invited
On 21 Mar, 2020
No comments provided
Editorial decision: Major revision
On 17 Feb, 2020
Review #3 received
Received 05 Feb, 2020
Review #1 received
Received 05 Feb, 2020
Review #2 received
Received 05 Feb, 2020
Reviewer #3 agreed
On 23 Jan, 2020
Reviewer #2 agreed
On 21 Jan, 2020
Reviewer #1 agreed
On 14 Jan, 2020
Reviewers invited
Invitations sent on 13 Jan, 2020
Editor assigned
On 30 Dec, 2019
Submission checks complete
On 29 Dec, 2019
Editor invited
On 29 Dec, 2019
First submitted
On 27 Dec, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Nursing.
Background: In a patriarchal social system, a women-dominated profession like nursing is mostly seen as a disempowered group due to its stereotypical image and negative connotations. The low social prestige of this profession is based on the roles typically assigned to men and women to maintain gender identity according to their performance and embodiment. The aim of this study was to explore the social and cultural challenges faced by nurses while creating their professional image within the regional context of Lahore (Punjab) in Pakistan.
Methods: A qualitative research design was chosen to conduct one-to-one, in-depth interviews with twelve nurses. Recruitment was based on purposive sampling from three large public hospitals in Lahore to learn about nurses’ perceptions of social and cultural challenges in the nursing profession. A thematic analysis was conducted using the data analysis software package NVIVO 12 Plus.
Results: Cultural values give preference for female nurses. We have identified four major themes related to the social and cultural challenges facing the nursing profession: 1) gender-segregated profession, 2) inappropriate portrayals by the media, 3) issues around marriage settlement, and 4) identity from a religious perspective. These conflicts are affecting the professional status and changing perceptions of nurses, who either do not choose to remain in the nursing profession or do not recommend nursing as a career option. These ongoing constraints are still perpetuating and increasing shortage of nurses within the Pakistani healthcare system.
Conclusion: The present study solely highlights nurses’ perspectives on redefining gender roles and gender integration within the nursing profession. It argues that there is a need for positive portrayals in the media for the removal of public misperceptions related to nursing. This would reduce the shortage of nurses along with increasing retention and improving the quality of healthcare delivered to the public.
This is a list of supplementary files associated with this preprint. Click to download.
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