Qualitative Study of Socio-Cultural Challenges in the Nursing Profession in Pakistan
Abstract 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 Certain social and cultural stigmas attached to the nursing profession affect its status and changing perceptions of nurses, who either do not choose to remain or do not recommend nursing as a career option. This is still a major barrier that perpetuates the shortage of nurses in the healthcare system. Four major themes relating to the social and cultural challenges facing the nursing profession were identified: 1) it is a gender-segregated profession with less acceptance of male nurses; 2) inappropriate portrayal as low-profile professionals having little visibility in the media; 3) issues around finding a marriage partner or being refused when introduced as a nursing professional; 4) nurses’ identity from a religious perspective with the label of being impure due to touching male patients during caring work.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.