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Self-perception of occupational stigma among nurses - experience from Chinese nurses: a descriptive phenomenological
Dexiu Yan1,2, Yuzhen Zhou1, Jian Chang1,2
1Department of Nursing, Shanghai General Hospital, Shanghai, China.
Objective:
This research aims to understanding of nurses' self-perceptions of professionalism and to explore their professional experiences in the workplace. It particularly focuses on the impact of occupational stigma-a key issue in nursing and mental health.
Background:
Occupational perceptions significantly influence nurses' attitudes toward work. Understanding their professional experiences and social interactions is essential. Examining the impact of occupational stigma also promotes their occupational mental health.
Methods:
We employed a phenomenological research methodology. We used a semi-structured interview question framework to gain a deep understanding of nurses' experiences at work, particularly their self-perceptions of their profession. From August 15, 2023, to October 20, 2023, we recruited 14 study participants from various departments in Shanghai, China. We conducted the interviews in their native language. The content of the interviews was analysed using Colaizzi's phenomenological approach.
Results:
The study identified three main themes: physical stigma (three sub-themes), social stigma (three sub-themes), and ambivalent self-identity (three sub-themes).
Conclusion:
Nursing work, due to its nature and hazards, can evoke a sense of physical 'stigma' among practitioners. This highlights the need for nurses to prioritise occupational protection. It also calls for managers and health authorities to raise awareness. However, public bias and misconceptions about nursing show the need for positive media and government advocacy. Interestingly, nurses' perceptions of their profession are often contradictory. They experience both the dangers and advantages associated with the role. This creates tension between their recognition of the profession's importance and possible denial of it due to pressure and risk. By improving occupational protection and providing positive guidance, managers can help nurses strengthen their professional identity, reduce occupational denial, and ensure the nursing profession develops stably.
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