Literature DB >> 16793043

Career choices in health care: is nursing a special case? A content analysis of survey data.

Margaret E Miers1, Caroline E Rickaby, Katherine C Pollard.   

Abstract

BACKGROUND: As demand for nurses and other health professionals continues to outstrip supply it is important to understand what motivates individuals to join a non-medical health profession.
OBJECTIVES: The objectives of this study were to investigate students' reasons for choosing a particular nursing specialism, midwifery or other non-medical health profession, and to compare motivation factors across professions, gender, age, level of award, prior qualifications, prior experience and over time.
DESIGN: A prospective follow-up study collected survey responses at the beginning and end of pre-qualifying professional programmes.
SETTING: The study took place in one large United Kingdom faculty. PARTICIPANTS: The study participants were 775 first-year students undertaking non-medical health professional programmes and 393 qualifying students.
METHODS: An open-ended question was included in a self-completed questionnaire administered at entry and at qualification. Content analysis identified themes.
RESULTS: Altruism was the most frequently cited reason for wishing to join a non-medical health profession, followed by personal interest/abilities, professional values/rewards, and prior experience of the area. Students entering nursing were less likely to cite an altruistic motivation than those entering other non-medical health professions (chi(2)=21.61, df=1, p<0.001). On entry, adult nursing, children's nursing and radiotherapy students were least likely to cite professional values/rewards (chi(2)=20.38, df=8, p=0.009). Students on degree level programmes were more likely to report altruism than those on diploma level courses (chi(2)=17.37, df=1, p<0.001). Differences were also identified between the two data collection points. The number of students identifying altruism (chi(2)=3.97, p=0.046) and professional values/rewards (chi(2)=6.67, p=0.010) decreased over time.
CONCLUSION: Findings suggest that although a service orientation remains a key factor in choosing nursing, students also look for a career which matches their interests and attributes, as well as offering professional values and rewards. Nursing may be in danger of losing service orientated recruits to other non-medical health professions.

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Year:  2006        PMID: 16793043     DOI: 10.1016/j.ijnurstu.2006.04.010

Source DB:  PubMed          Journal:  Int J Nurs Stud        ISSN: 0020-7489            Impact factor:   5.837


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