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www.ijrasb.com ISSN (ONLINE): 2349-8889
15 Copyright © 2018. IJRASB. All Rights Reserved.
Volume-5, Issue-5, September 2018
International Journal for Research in Applied Sciences and Biotechnology
Page Number: 15-19
DOI: doi.org/10.31033/ijrasb.5.5.3
Public Perception of Nursing as a Profession
Sreeja1
and Dr. Nageshwar V.2
¹M.Sc. Nsg. 2nd
Year Student, Department of Psychiatric Nursing, Teerthanker Mahaveer College of Nursing, TMU,
Moradabad, INDIA
²Assistant Professor, Department of Psychiatric Nursing, Teerthanker Mahaveer College of Nursing, TMU, Moradabad,
INDIA
1
Corresponding Author: nshona27@gmail.com
ABSTRACT
A person who has completed a basic nursing
education programmed and is licensed in hisher country to
practice professional nursing is a professional nurse. This
paper aims to identify public perception of nursing as a
profession. Method: A comprehensive systematic search of
published literature and journal articles from PubMed and
EBSCOHOST databases was done. Search strategy specific
to each database was used. During initial search 1642 titles
were retrieved and after screening 11 articles were selected
for full text screening. Finally 5 research articles were
selected based on the inclusion criteria. Result: Out of 5
articles, 3 research studies finding showed positive
perception of nursing as a profession. Almost all of
participant in these study perceived nursing as an
opportunity to serve humanity; Participants agreed that
our prejudice society has great influence on nursing
students in choosing nursing profession as their career.
Conclusion: The social media having an impact over image
of nursing as a profession. As several study findings showed
thatnursing career is not respected career, society have
negative view to the nursing profession. Because of this
image students don’t want to choose nursing as their
profession. On other hand some study results says that
nursing students are motivated by extrinsic factor such as
good salary, stability and low stress.
Keywords-- Public Perception, Nursing as a Profession
I. INTRODUCTION
Nursing has been named as oldest of the arts
and the newest of the profession. Nurses are most
important person in health team as they constitute a large
portion of manpower health services; nurses are having
major responsibilities in prevention of disease,promotion
of health and provision of care for the sick as well as
meeting the health needs. Therefore, nurses have a
essential contribution in maintaining and upgrading the
health and health services of the community. Despite of
this nurses face lot of hurdles in their profession because
of the negative image nurses in public. In India about
90% of people have minimum knowledge regarding
nursing (Swamy 2009).General public take nursing as a
simple task and that anyone can be or become nurse.
Public also consider nurses to be physician’s assistant
and perform menial work like cleaning, bathing, and
grooming of patients.
II. NEED FOR IMPROVING PUBLIC
PERCEPTION
There are vast literatures suggesting
improvement in nurses’ perceived image. Nursing
profession is not respected career option, society have
negative view to the nursing profession, joining to
nursing, cause embarrassment to their family and
themselves(Abd el-halim s 2012).Minimal interest has
been noticed in choosing nursing as a carrieroption
compared withmedicine, computer science, teaching,
and business administration(Badran A. Al-Omar 2003).
A study conducted at Dar-es-salaam on medical
students shows that students are poor awareness of most
of the issues regarding the nursing profession.But
students do not want to choosenursing as their
professions due to the image nurses have in the public(
Kiwanukaachilles 2009).
There are some studies which suggest that still
many negative perception exist in nursing profession
because of which many people choose alternate career
option. Also on the other hand many students after
graduation are interested to select nursing as a profession
and strongly attracted to it. Serious efforts should
therefore be made to maintain and promote the positive
image of nursing (Raghda K. Shukri, Bakkar S. Bakkar
2013).
Difficult work and emotional challenges
detracted people from choosing nursing as a career.
More interesting is the perception that nurses work long,
inflexible hours. Nursing is not perceived to fulfill most
of the top-ranking expectations of an ideal career.
However, the root of this expectation-gap is, once again,
www.ijrasb.com ISSN (ONLINE): 2349-8889
16 Copyright © 2018. IJRASB. All Rights Reserved.
misconceptions or lack of information about the benefits
of nursing (Mkhize & Nzimande 2007).
Male students are motivated primarily by
extrinsic factors such as good salary, stability and low
stress. The reason for this could be because men are
expected to be the breadwinners of the family and
perceive that this could be fulfilled with a well-paying
stable job. The students are having stress because of
academic and the modern lifestyle they live in. Because
of this after the completion of the academic year students
want stability in term of their job and salary. Students
believe that choosing nursing as a carrier will be having
job stress and low salary. (Kniveton 2004).
An urgent need is seen in the area of nursing to
improve the image of nurses in the society to develop
positive attitudes towards nursing profession, to
empower the nurses and also train nurses for role
performance and maintain their dignity and respect.
(Poredd, Ramachandra).
Keeping this in view, a systematic search was
conducted to evaluate the perception of nursing as a
profession.
Aim
The aim of this review is to identify the various
publicperceptions of nursing as a profession.
Objective
To identify and describe the public perception
of nursing as profession.
III. METHODOLOGY
Search strategy
An electronic search of articles published in
various journals till 2017 (Aug) was conducted. Search
was restricted to only English language. The database
search done was PubMed and EBSCOHOST. Articles
containing following key search terms were retrieve.
Table 1: Mesh and Non-mesh terms
Mesh term Non-mesh term
Common
Helping behavior
Help
Assess
Determine
Insight
Comprehension
Occupation
Community
Assist
Understanding
Vocation
IV. PUBMED SEARCH STRATEGY
common[All Fields] OR "residence
characteristics"[MeSH Terms] OR community[Text
Word] AND "helping behavior"[MeSH Terms] OR
assist[Text Word] OR help[All Fields] AND assess[All
Fields] OR determine[All Fields] AND insight[All
Fields] OR "comprehension"[MeSH Terms] OR
understanding[Text Word] AND career[All Fields] OR
"occupations"[MeSH Terms] OR occupation[Text
Word] OR "occupations"[MeSH Terms] OR
vocation[Text Word]
Type of study
Descriptive study, exploratory, survey.
Type of participant
Nursing professionals including student nurses and nurse
educators.
Setting
Hospital, Academic Institution.
Outcome
Public perception of nursing as a profession.
V. RESULT
The systematic search was conducted by
framing the terms individually and in combination with
all synonyms, also according to the database. In addition
to this, a manual search was undertaken using the
keywords and synonyms from already found articles.
Addition of 5 articles were found. Initial search retrieved
10516 articles over which 4265 articles were selected.
Duplicates were removed and reviewed 200articles for
eligibility. 4065 articles were excluded because of
duplications in two databases. 191 studies were excluded
due to unavailability of full text. 16 articles were
removed due to not similar to the study. Hence 5articles
were screened which includes quantitative study.
www.ijrasb.com ISSN (ONLINE): 2349-8889
17 Copyright © 2018. IJRASB. All Rights Reserved.
Prisma Flow Chart
DATA EXTRACTION TABLE
Table 2: Data extraction table
www.ijrasb.com ISSN (ONLINE): 2349-8889
18 Copyright © 2018. IJRASB. All Rights Reserved.
VI. SUMMARY OF FINDING
The available literature refined to get 1
qualitative, 3 quantitative, 1 mixed approach. Out of 5
articles, 3 research studies finding are showing positives
perception of nursing as a profession also most of
students are motivated to join in nursing to settle early
and get government job.(Swarna S. 2015). Almost all of
them perceived nursing as an opportunity to serve
humanity subjects agreed that social prejudice has great
influence on nursing students in choosing nursing
profession as their career.
VII. IMPORTANCE IN EDUCATION
There were significant differences between
perceptions of an ideal career and nursing. The greatest
discrepancies were centered around the items relating to
“making decisions for myself,” “being very
busy,”“working with my hands a lot,” “making a lot of
money,” and “always having a job.” Nursing was seen as
having less decision-making, being more busy, having
more hands on, and making less money than the ideal
career.
Future significance
The result extended in this review supports
positive self-image and perception of nursing as a
profession. In contrast to all the studies which conducted
only on nursing students and nursing professional, future
studies should engage in with other population and
setting other than hospital and nursing colleges.
Limitation
• Database search was limited
• Search strategy was refined to perception of
nursing as a profession
• Meta- analysis will give more accuracy
• Confined to area of Nursing
Strength
• Article search was carried out on a significant
criteria.
• Review could find the perception of nursing as
a profession.
Weakness
• Articles mainly focus on perception of nursing
as a profession.
• Only 5 quantitative articles were included for
data synthesis due to limitations.
Recommendations
Review would have been better if it could have:
If the sample included general population other
than students.
VIII. CONCLUSION
Perception of nursing as a profession can be
enhanced through awareness and also by enhancing
nurses’ self-esteem. Since nurses are the only one who
can make change in perceived image of nursing as a
profession.
ACKNOWLEDGEMENT
I would like to express my special thanks to my
guide Mr. Nageshwar V. Department of Psychatric
Nursing for his most support, encouragement and
valuable advices. I would also like thank our principal
Dr. Prof. N.V. Munninarayanappa, Principal of
Teerthanker Mahaveer College of Nursing
Moradabad, who gave me the opportunity to this
wonderful project on the topic “public perception of
nursing as a profession”, which also helped me in doing
a lot of research and I came to know about so many new
things I am really thankful to them.
REFERENCES
[1] Mohammed K. Marwa(2015). Identifying knowledge
and attitude of secondary school students toward nursing
profession .Medical journal volume83 pp. 443-
447http://medicaljournalofcairouniversity.net/home2/im
ages/pdf/2015/June/54.pdf
[2] Zulu Caroline and Dr. Ngoma C (2015) . A survey on
perception of the image of nursing profession. Unified
journals volume 1 pp. 1-14
http://www.unifiedjournals.org/ujnm/pdf/2015/caroline-
et-al.pdf
[3] I. Peter et al (2005). Nursing students perceptions of
a career in nursing and impact of a national campaign
designed to attract people into nursing profession.
Journal of professional nursing volume21 pp. 75-
83https://www.ncbi.nlm.nih.gov/pubmed/15806504
[4] Swarna S. (2015). Nursing students perception
towards profession and future intentions. IOSR Journal
of nursing and health science volume4 pp. 30-
34http://www.iosrjournals.org/iosr-jnhs/papers/vol4-
issue5/Version-1/G04513034.pdf
[5] Cohen judith A. et al (2004). Middle school students
perception of an ideal career and career in nursing.
Journal of professional nursing volume20 pp. 202-
210http://www.professionalnursing.org/article/S8755-
7223(04)00031-6/abstract
[6] AL-Omar badran A. (2004). Knowledge, attitudes
and intention of high school students towards the nursing
profession. Saudi Med journal volume25 pp. 150-
155https://www.ncbi.nlm.nih.gov/pubmed/14968208
[7] Takasemiyuki et al (2005). Impact of the perceived
public image of nursing on nurses work and behavior.
Journal of advanced nursing volume53 pp. 333-
343https://www.ncbi.nlm.nih.gov/pubmed/16441539
[8] Shukriraghda K. et al (2013). Attitudes of students at
sultan qaboos university towards the nursing profession.
SQU medical journal volume13 issue4 pp. 539-
544https://www.ncbi.nlm.nih.gov/pubmed/24273664
[9] Tseng hui-chen et al (2013). Nursing students
perceptions toward the nursing professional from clinical
practicum in a baccalaureate nursing program.
Kaohsiung journal of medical sciences volume29 pp.
161-
168https://www.ncbi.nlm.nih.gov/pubmed/23465420
www.ijrasb.com ISSN (ONLINE): 2349-8889
19 Copyright © 2018. IJRASB. All Rights Reserved.
[10] Hoeveyvonne ten et al (2013). The nursing
professsion: public image, self- concept and professional
identity. Journal of advanced nursing volume3 pp. 1-
15http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)
1365-2648
[11] Al jarrahibrahimalitawfiq (2013). Associate nursing
students perceptions toward nursing profession.
European scientific journal volume9 pp. 147-
166http://eujournal.org/index.php/esj/article/view/822

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Public perceptionofnursingasa profession

  • 1. www.ijrasb.com ISSN (ONLINE): 2349-8889 15 Copyright © 2018. IJRASB. All Rights Reserved. Volume-5, Issue-5, September 2018 International Journal for Research in Applied Sciences and Biotechnology Page Number: 15-19 DOI: doi.org/10.31033/ijrasb.5.5.3 Public Perception of Nursing as a Profession Sreeja1 and Dr. Nageshwar V.2 ¹M.Sc. Nsg. 2nd Year Student, Department of Psychiatric Nursing, Teerthanker Mahaveer College of Nursing, TMU, Moradabad, INDIA ²Assistant Professor, Department of Psychiatric Nursing, Teerthanker Mahaveer College of Nursing, TMU, Moradabad, INDIA 1 Corresponding Author: nshona27@gmail.com ABSTRACT A person who has completed a basic nursing education programmed and is licensed in hisher country to practice professional nursing is a professional nurse. This paper aims to identify public perception of nursing as a profession. Method: A comprehensive systematic search of published literature and journal articles from PubMed and EBSCOHOST databases was done. Search strategy specific to each database was used. During initial search 1642 titles were retrieved and after screening 11 articles were selected for full text screening. Finally 5 research articles were selected based on the inclusion criteria. Result: Out of 5 articles, 3 research studies finding showed positive perception of nursing as a profession. Almost all of participant in these study perceived nursing as an opportunity to serve humanity; Participants agreed that our prejudice society has great influence on nursing students in choosing nursing profession as their career. Conclusion: The social media having an impact over image of nursing as a profession. As several study findings showed thatnursing career is not respected career, society have negative view to the nursing profession. Because of this image students don’t want to choose nursing as their profession. On other hand some study results says that nursing students are motivated by extrinsic factor such as good salary, stability and low stress. Keywords-- Public Perception, Nursing as a Profession I. INTRODUCTION Nursing has been named as oldest of the arts and the newest of the profession. Nurses are most important person in health team as they constitute a large portion of manpower health services; nurses are having major responsibilities in prevention of disease,promotion of health and provision of care for the sick as well as meeting the health needs. Therefore, nurses have a essential contribution in maintaining and upgrading the health and health services of the community. Despite of this nurses face lot of hurdles in their profession because of the negative image nurses in public. In India about 90% of people have minimum knowledge regarding nursing (Swamy 2009).General public take nursing as a simple task and that anyone can be or become nurse. Public also consider nurses to be physician’s assistant and perform menial work like cleaning, bathing, and grooming of patients. II. NEED FOR IMPROVING PUBLIC PERCEPTION There are vast literatures suggesting improvement in nurses’ perceived image. Nursing profession is not respected career option, society have negative view to the nursing profession, joining to nursing, cause embarrassment to their family and themselves(Abd el-halim s 2012).Minimal interest has been noticed in choosing nursing as a carrieroption compared withmedicine, computer science, teaching, and business administration(Badran A. Al-Omar 2003). A study conducted at Dar-es-salaam on medical students shows that students are poor awareness of most of the issues regarding the nursing profession.But students do not want to choosenursing as their professions due to the image nurses have in the public( Kiwanukaachilles 2009). There are some studies which suggest that still many negative perception exist in nursing profession because of which many people choose alternate career option. Also on the other hand many students after graduation are interested to select nursing as a profession and strongly attracted to it. Serious efforts should therefore be made to maintain and promote the positive image of nursing (Raghda K. Shukri, Bakkar S. Bakkar 2013). Difficult work and emotional challenges detracted people from choosing nursing as a career. More interesting is the perception that nurses work long, inflexible hours. Nursing is not perceived to fulfill most of the top-ranking expectations of an ideal career. However, the root of this expectation-gap is, once again,
  • 2. www.ijrasb.com ISSN (ONLINE): 2349-8889 16 Copyright © 2018. IJRASB. All Rights Reserved. misconceptions or lack of information about the benefits of nursing (Mkhize & Nzimande 2007). Male students are motivated primarily by extrinsic factors such as good salary, stability and low stress. The reason for this could be because men are expected to be the breadwinners of the family and perceive that this could be fulfilled with a well-paying stable job. The students are having stress because of academic and the modern lifestyle they live in. Because of this after the completion of the academic year students want stability in term of their job and salary. Students believe that choosing nursing as a carrier will be having job stress and low salary. (Kniveton 2004). An urgent need is seen in the area of nursing to improve the image of nurses in the society to develop positive attitudes towards nursing profession, to empower the nurses and also train nurses for role performance and maintain their dignity and respect. (Poredd, Ramachandra). Keeping this in view, a systematic search was conducted to evaluate the perception of nursing as a profession. Aim The aim of this review is to identify the various publicperceptions of nursing as a profession. Objective To identify and describe the public perception of nursing as profession. III. METHODOLOGY Search strategy An electronic search of articles published in various journals till 2017 (Aug) was conducted. Search was restricted to only English language. The database search done was PubMed and EBSCOHOST. Articles containing following key search terms were retrieve. Table 1: Mesh and Non-mesh terms Mesh term Non-mesh term Common Helping behavior Help Assess Determine Insight Comprehension Occupation Community Assist Understanding Vocation IV. PUBMED SEARCH STRATEGY common[All Fields] OR "residence characteristics"[MeSH Terms] OR community[Text Word] AND "helping behavior"[MeSH Terms] OR assist[Text Word] OR help[All Fields] AND assess[All Fields] OR determine[All Fields] AND insight[All Fields] OR "comprehension"[MeSH Terms] OR understanding[Text Word] AND career[All Fields] OR "occupations"[MeSH Terms] OR occupation[Text Word] OR "occupations"[MeSH Terms] OR vocation[Text Word] Type of study Descriptive study, exploratory, survey. Type of participant Nursing professionals including student nurses and nurse educators. Setting Hospital, Academic Institution. Outcome Public perception of nursing as a profession. V. RESULT The systematic search was conducted by framing the terms individually and in combination with all synonyms, also according to the database. In addition to this, a manual search was undertaken using the keywords and synonyms from already found articles. Addition of 5 articles were found. Initial search retrieved 10516 articles over which 4265 articles were selected. Duplicates were removed and reviewed 200articles for eligibility. 4065 articles were excluded because of duplications in two databases. 191 studies were excluded due to unavailability of full text. 16 articles were removed due to not similar to the study. Hence 5articles were screened which includes quantitative study.
  • 3. www.ijrasb.com ISSN (ONLINE): 2349-8889 17 Copyright © 2018. IJRASB. All Rights Reserved. Prisma Flow Chart DATA EXTRACTION TABLE Table 2: Data extraction table
  • 4. www.ijrasb.com ISSN (ONLINE): 2349-8889 18 Copyright © 2018. IJRASB. All Rights Reserved. VI. SUMMARY OF FINDING The available literature refined to get 1 qualitative, 3 quantitative, 1 mixed approach. Out of 5 articles, 3 research studies finding are showing positives perception of nursing as a profession also most of students are motivated to join in nursing to settle early and get government job.(Swarna S. 2015). Almost all of them perceived nursing as an opportunity to serve humanity subjects agreed that social prejudice has great influence on nursing students in choosing nursing profession as their career. VII. IMPORTANCE IN EDUCATION There were significant differences between perceptions of an ideal career and nursing. The greatest discrepancies were centered around the items relating to “making decisions for myself,” “being very busy,”“working with my hands a lot,” “making a lot of money,” and “always having a job.” Nursing was seen as having less decision-making, being more busy, having more hands on, and making less money than the ideal career. Future significance The result extended in this review supports positive self-image and perception of nursing as a profession. In contrast to all the studies which conducted only on nursing students and nursing professional, future studies should engage in with other population and setting other than hospital and nursing colleges. Limitation • Database search was limited • Search strategy was refined to perception of nursing as a profession • Meta- analysis will give more accuracy • Confined to area of Nursing Strength • Article search was carried out on a significant criteria. • Review could find the perception of nursing as a profession. Weakness • Articles mainly focus on perception of nursing as a profession. • Only 5 quantitative articles were included for data synthesis due to limitations. Recommendations Review would have been better if it could have: If the sample included general population other than students. VIII. CONCLUSION Perception of nursing as a profession can be enhanced through awareness and also by enhancing nurses’ self-esteem. Since nurses are the only one who can make change in perceived image of nursing as a profession. ACKNOWLEDGEMENT I would like to express my special thanks to my guide Mr. Nageshwar V. Department of Psychatric Nursing for his most support, encouragement and valuable advices. I would also like thank our principal Dr. Prof. N.V. Munninarayanappa, Principal of Teerthanker Mahaveer College of Nursing Moradabad, who gave me the opportunity to this wonderful project on the topic “public perception of nursing as a profession”, which also helped me in doing a lot of research and I came to know about so many new things I am really thankful to them. REFERENCES [1] Mohammed K. Marwa(2015). Identifying knowledge and attitude of secondary school students toward nursing profession .Medical journal volume83 pp. 443- 447http://medicaljournalofcairouniversity.net/home2/im ages/pdf/2015/June/54.pdf [2] Zulu Caroline and Dr. Ngoma C (2015) . A survey on perception of the image of nursing profession. Unified journals volume 1 pp. 1-14 http://www.unifiedjournals.org/ujnm/pdf/2015/caroline- et-al.pdf [3] I. Peter et al (2005). Nursing students perceptions of a career in nursing and impact of a national campaign designed to attract people into nursing profession. Journal of professional nursing volume21 pp. 75- 83https://www.ncbi.nlm.nih.gov/pubmed/15806504 [4] Swarna S. (2015). Nursing students perception towards profession and future intentions. IOSR Journal of nursing and health science volume4 pp. 30- 34http://www.iosrjournals.org/iosr-jnhs/papers/vol4- issue5/Version-1/G04513034.pdf [5] Cohen judith A. et al (2004). Middle school students perception of an ideal career and career in nursing. Journal of professional nursing volume20 pp. 202- 210http://www.professionalnursing.org/article/S8755- 7223(04)00031-6/abstract [6] AL-Omar badran A. (2004). Knowledge, attitudes and intention of high school students towards the nursing profession. Saudi Med journal volume25 pp. 150- 155https://www.ncbi.nlm.nih.gov/pubmed/14968208 [7] Takasemiyuki et al (2005). Impact of the perceived public image of nursing on nurses work and behavior. Journal of advanced nursing volume53 pp. 333- 343https://www.ncbi.nlm.nih.gov/pubmed/16441539 [8] Shukriraghda K. et al (2013). Attitudes of students at sultan qaboos university towards the nursing profession. SQU medical journal volume13 issue4 pp. 539- 544https://www.ncbi.nlm.nih.gov/pubmed/24273664 [9] Tseng hui-chen et al (2013). Nursing students perceptions toward the nursing professional from clinical practicum in a baccalaureate nursing program. Kaohsiung journal of medical sciences volume29 pp. 161- 168https://www.ncbi.nlm.nih.gov/pubmed/23465420
  • 5. www.ijrasb.com ISSN (ONLINE): 2349-8889 19 Copyright © 2018. IJRASB. All Rights Reserved. [10] Hoeveyvonne ten et al (2013). The nursing professsion: public image, self- concept and professional identity. Journal of advanced nursing volume3 pp. 1- 15http://onlinelibrary.wiley.com/journal/10.1111/(ISSN) 1365-2648 [11] Al jarrahibrahimalitawfiq (2013). Associate nursing students perceptions toward nursing profession. European scientific journal volume9 pp. 147- 166http://eujournal.org/index.php/esj/article/view/822