Academisation of nursing: An ethnography of social transformations in Chile.
Background: Nursing in Chile is considered to be the leading example of professional development in Latin America - nurses must undertake five years of university education on a full-time programme. Academisation of nursing education is a key aspect in the evolution into professional status. The con...
| Publicado en: | International Journal of Nursing Studies Vol. 51; no. 4; pp. 603 - 612 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104045307&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104045307 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00207489 JHV jtl: International Journal of Nursing Studies issn: 00207489 maglogo: N pubinfo: dt: 2014 vid: 51 iid: 4 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 104045307 94840216 10.1016/j.ijnurstu.2013.08.010 NLM24054069 104045307 ppf: 603 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Academisation of nursing: An ethnography of social transformations in Chile. aug: au: Ayala, Ricardo A. Fealy, Gerard M. Vanderstraeten, Raf Bracke, Piet affil: Department of Sociology, Ghent University, Belgium sug: subj: Nursing Staff, Hospital Professionalism Social Identity Social Mobility Intraprofessional Relations Educational Status Human Funding Source Ethnographic Research Academic Medical Centers Chile Grounded Theory Schools, Nursing Education, Nursing Purposive Sample Semi-Structured Interview Interview Guides Professional Development Nursing Units Work Environment Narratives Career Mobility Nursing Role Certified Nursing Assistants Field Notes Social Values ab: Background: Nursing in Chile is considered to be the leading example of professional development in Latin America - nurses must undertake five years of university education on a full-time programme. Academisation of nursing education is a key aspect in the evolution into professional status. The consequences of education, however, are commonly related to the replication of social institutions and structures that perpetuate social inequalities. Objective: The study's aim was to comprehend the consequences of nursing academisa- tion and its relationships with the social transformations which that country has witnessed. Methods: We draw upon ethnographic data, gathered between 2010 and 2011 in a 500-bed, high-quality university hospital in Chile. Participants were nurses ranging from beginners to experienced professionals and recruited from wards representing technically expert nursing and caring-oriented nursing. The data were organised to allow the development of concepts and patterns, using the Grounded Theory approach. Results: Despite the fact that Chilean nursing originated from the educated elite class, today's nurses share a middle-class consciousness, and a sense of class distinction is encouraged throughout academic training - the 'eliteness' of professional groups. This discourse antagonises middle-class people who 'should' adopt a professional-class identity. A tension among nurses surfaced, based on a competition for a scarce resource: social mobility. Furthermore, an antagonist stratification between university-trained nurses and auxiliary nurses has developed, and in the process the title 'nurse' and the practice of 'nursing' have been monopolised by university-trained nurses, resulting in a relationship of domination-subordination. Conclusions: The academisation process followed by Chilean nursing is rooted in the social-class transformations of that country. Such process has been ineffective in preventing social inequalities, resulting in the reproduction of earlier historical class differences in nursing, inhibiting nurses' individual development. Class differences are manifest in the socially constructed distinction between the nurse and the auxiliary nurse, resulting in a schism of the nursing family. By reconstituting a broken-up occupation, the political power of nursing could be strengthened. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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