Exploring the Dominant Discourse of Baccalaureate Nursing Education in Iran
Abstract
Introduction: Understanding how academic dominant discourse is implicated in the shaping of nursing identity, professional aspirations and socialization of nursing students is useful as it can lead to strategies that promote nursing profession.
Materials and Methods: This is a qualitative research conducted through discourse analysis approach. Semi‑structured interviews, focus group, and direct observation of undergraduate theoretical and clinical courses were used to collect the data. Participants were 71 nursing students, 20 nursing educators, and 5 nursing board staffs from five universities in Iran.
Results: Data analysis resulted in the development of four main themes that represent essential discourses of nursing education. The discourses explored are theoretical and scientific nursing, domination of biomedical paradigm, caring as an empty signifier, and more than expected role of research in nursing education discourse.
Conclusions: The results indicated that academics attempt to define itself based on “scientific knowledge” and faculties seek to socialize students by emphasizing the scientific/theoretical basis of nursing and research, with the dominance of biomedical discourse. It fails to conceptually grasp the reality of nursing practice, and the result is an untested and impoverished theoretical discourse. The analysis highlights the need for the formation of a strong and new discourse, which contains articulation of signifiers extracted from the nature of the profession.
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Kristofferzon ML, Mårtensson G, Mamhidir AG, Löfmark A. Nursing students’ perceptions of clinical supervision: The contributions of preceptors, head preceptors and clinical lecturers. Nurse Educ Today 2013;33:1252‑7.
Del Prato D. Students’ voices: The lived experience of faculty incivility as a barrier to professional formation in associate degree nursing education. Nurse Educ Today 2013;33:286‑90.
Yousefy A, Yazdannik Ar, Mohammadi S. Exploring environment of clinical baccalaureate nursing students’ education in Iran; A qualitative descriptive study. Nurse Educ Today 2015;35:1295‑300.
Brennan D, Timmins F. Changing institutional identities of the student nurse. Nurse Educ Today 2012;32:747‑51.
Reeves S, Perrier L, Goldman J, Freeth D, Zwarenstein M. Interprofessional education: Effects on professional practice and healthcare outcomes (update). Cochrane Database Syst Rev 2013;3:CD002213. 6. Limoges J, Jagos K. The influences of nursing education on the socialization and professional working relationships of Canadian practical and degree nursing students: A critical analysis. Nurse Educ Today 2015;35:1023‑7.
Salsali M. Evaluating teaching effectiveness in nursing education: An Iranian perspective. BMC Med Educ 2005;5:29.
Tabari Khomeiran R, Deans C. Nursing education in Iran: Past, present, and future. Nurse Educ Today 2007;27:708‑14.
Peyrovi H, Yadavar‑Nikravesh M, Oskouie SF, Berterö C. Iranian student nurses’ experiences of clinical placement. Int Nurs Rev 2005;52:134‑41.
Vaismoradi M, Bondas T, Jasper M, Turunen H. Nursing students’ perspectives and suggestions on patient safety—Implications for developing the nursing education curriculum in Iran. Nurse Educ Today 2014;34:265‑70.
Cheraghi MA, Salsali M, Safari M. Ambiguity in knowledge transfer: The role of theory‑practice gap. Iran J Nurs Midwifery Res 2010;15:155‑66.
Yazdannik A, Yekta ZP, Soltani A. Soltani, Nursing professional identity: An infant or one with Alzheimer. Iran J Nurs Midwifery Res 2012;17(Suppl 1):S178‑86.
Joolaee S, Jafarian Amiri SR, Farahani MA, Varaei S. Iranian nursing students’ preparedness for clinical training: A qualitative study. Nurse Educ Today 2015;35:e13‑7.
Scully NJ. The theory‑practice gap and skill acquisition: An issue for nursing education. Collegian 2011;18:93‑8.
Démeh W, Rosengren K. The visualisation of clinical leadership in the content of nursing education—A qualitative study of nursing students’ experiences. Nurse Educ Today 2015;35:888‑93.
Crowe M. Discourse analysis: Towards an understanding of its place in nursing. J Adv Nurs 2005;51:55‑63.
Fairclough N. Critical discourse analysis: The critical study of language. Routledge; 2013. p. 5-12.
Krueger RA. Focus groups: A practical guide for applied research. Sage; 2009. p. 12-20.
Rabiee F. Focus‑group interview and data analysis. Proc Nutr Soc 2004;63:655‑60.
Edberg AK, Lilja Andersson P. The shift from a medical to a nursing orientation: A comparison of Swedish nursing students’ expectations when entering the nursing degree programme in 2003 and 2013. Nurse Educ Today 2015;35:e78‑83.
Maton K. The field of higher education: A sociology of reproduction, transformation, change and the conditions of emergence for cultural studies, University of Cambridge; 2004.
McNamara MS. Where is nursing in academic nursing? Disciplinary discourses, identities and clinical practice: A critical perspective from Ireland. J Clin Nurs 2010;19:766‑74.
Mohammadi S, Nik Y, Reza A, Yousefy A. A Glimpse in the Challenges in Iranian Academic Nursing Education. Iran J Med Educ 2014;14:323‑31.
Chua WF, Clegg S. Contradictory couplings: Professional ideology in the organizational locales of nurse training. J Manage Stud 1989;26:103‑27.
Heshmati‑Nabavi F, Vanaki Z. Professional approach: The key feature of effective clinical educator in Iran. Nurse Educ Today 2010;30:163‑8.
Roberts SJ. Development of a positive professional identity: Liberating oneself from the oppressor within. ANS Adv Nurs Sci 2000;22:71‑82.
Apesoa‑Varano EC. Educated caring: The emergence of professional identity among nurses. Qual Sociol, 2007;30:249‑74.
Kyrkjebø JM, Hage I. What we know and what they do: Nursing students’ experiences of improvement knowledge in clinical practice. Nurse Educ Today 2005;25:167‑75.
Holmström I, Larsson J. A tension between genuine care and other duties: Swedish nursing students’ views of their future work. Nurse Educ Today 2005;25:148‑55.
Williams A, Taylor C. An investigation of nurse educator’s perceptions and experiences of undertaking clinical practice. Nurse Educ Today 2008;28:899‑908.
Ewertsson M, Allvin R, Holmström IK, Blomberg K. Walking the bridge: Nursing students’ learning in clinical skill laboratories. Nurse Educ Pract 2015;15:277‑83.
Zamanzadeh V, Valizadeh L, Tabrizi FJ, Behshid M, Lotfi M. Challenges associated with the implementation of the nursing process: A systematic review. Iran J Nurs Midwifery Res 2015;20:411‑9.
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