Title:
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Motivation to nurse : what is the place of vocation and altruism in primary care careers?
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The British nursing workforce is vast and well established but the
recruitment and retention of qualified, competent, affordable and
motivated individuals is an enduring challenge. The work of nurses and
nursing has always been a complex subject to investigate partly
because of its complex history and especially because it is in a state of
continual change and development. For nurses working in primary care
settings these changes are having a particular impact as they undergo
the biggest organisational change in the NHS since 1948 (DH 1998,
2002, 2006 and 2008). Understanding these changes and their impact
on the experience and motivation of nurses to practise is central to
workforce and practice development.
The theoretical ideas of French scholar Pierre Bourdieu (1930-2002)
have been used to explore and interpret the way that career
motivations have been expressed in nursing with a particular focus on
vocation and altruism. These ideas have been applied to community
nursing to explore motivation through the process of acquisition and
exchange of various forms of capital during a life and career history.
The concepts of field and habitus have also been applied to the
analysis of data. This has been undertaken within a reflexive
methodology that has attempted to take into consideration the social'
world of both the researcher and the researched.
Twelve community nurses (health visitors, district nurses and practice
nurses) were recruited from peTs in the South West of England. They
volunteered to participate in the study within which, in the course of a
long interview, they related their life history and views about the place
of vocation and altruism in their own career journey. Through these
interactive interviews, the nurses recount memories of their earliest
experiences of becoming nurses and the events and issues that shaped
their careers. A thematic analysis of the content of these interviews
was undertaken. These vivid and challenging accounts offered insight
into the experiences that have shaped and motivated their careers.Through an application of the ideas of Bourdieu the following have
been discussed:
• Atrocity stories: the emergence of difficult experiences in the
field and their epiphanic role;
• Symbolic capital and violence in the pursuit of a long nursing
career;
• Vocation and altruism as features of the habitus in women's
work.
These findings raise some questions about the continuing dependence
on vocation, altruism and other emotional and ideological expressions
of goodwill. The findings challenge the ongoing reliance on such factors
amongst policy makers and others with a responsibility for developing
and directing the nursing workforce. This thesis argues that the
generalised use of such terms is limiting and somewhat blind to the
conditions of society in terms of situation, class, gender and culture
where women's work is concerned. Moreover it is stated that it is also
a risky position to have patients' experience subject to such arbitrary
and individually defined motives. A deeper understanding of the
motivation to nurse matters for all these reasons especially if such
motives are not to be undermined or misunderstood.
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