Career Advancement: The Experiences of Minority Nurses in Accessing Leadership Positions in a Tertiary Care Setting
Keywords:minority nurses, social capital, leadership, nurse managers, diversity, Othering
Minority nurses are underrepresented in leadership roles in the Canadian healthcare system. The purpose of this study was to explore MNs’ perceptions and experiences with regards to career development and MNs in leadership positions. Twelve nurses, four Caucasian and eight from the Caribbean and Africa in a tertiary care setting were recruited through purposive sampling. Face-to-face semi-structured interviews were conducted, transcribed, coded, and analyzed using critical ethnography. Findings revealed lack of social support, of equal opportunities, of recognition and of trust. Despite negative experiences, minority nurses recognized the value of their work experience at the hospital where they were employed. Committing to a diverse workforce in leadership roles can ultimately have an effect on patient care. Minority nurses’ leadership is needed to provide role models and to ensure the delivery of competent care to diverse populations.
Alexis, O. & Vydelingum V. (2004). The lived experiences of overseas black and minority ethnic nurses in the National Health Service in the south of England. Diversity Health Social Care, 1(1), 13-20.
Bouabdillah, N., Holmes, D. & Tourigny, J. (2016). Visible minority nurses and vertical mobility in hospitals. Recherche en soins infirmiers, no 127(4), 71-81. DOI: https://doi.org/10.3917/rsi.127.0071
Ayoola, A. (2013). Why diversity in the nursing workforce matters. Princeton, NJ: Robert Wood Johnson Foundation.
Banister, G., & Winfrey, M. E. (2012). Enhancing diversity in nursing: A partnership approach. JONA: The Journal of Nursing Administration, 42(3), 176-181. DOI: https://doi.org/10.1097/NNA.0b013e3182480a97
Bessent, H. (2002). Minority nurses in the new century. Characteristics and workforce utilization patterns: A survey. Washington, DC:American Nurses Association
Boréus, K. (2006). Discursive discrimination: A typology. European Journal of Social Theory, 9(3), 405-424. DOI: https://doi.org/10.1177/1368431006065721
Bourdieu, P. (1980). Le capital social, notes provisoires. Actes de la recherche en sciences sociales, 31:2-4.
Bourdieu, P. (1986). The Forms of Capital. In J. Richardson (Ed.), Handbook of Theory and Research for the Sociology of Education (pp. 241-258). New York: Greenwood.
Bourdieu, P. and Wacquant, L. JD. (1992), An Invitation to Reflexive Sociology, Chicago: University of Chicago Press.
Canales M. K. (2010). Othering: Difference understood?: A 10‐year analysis and critique of the nursing literature. Advances in Nursing Science, 33, 15–34. DOI: https://doi.org/10.1097/ANS.0b013e3181c9e119
Commission des droits de la personne et des droits de la jeunesse, Rapport triennal 2013- 2016, Loi sur l’accès à l’égalité en emploi dans des organismes publics, décembre 2016, p. 20-39.
Covell, C., Primeau, M., Kilpatrick, K., & St-Pierre, I. (2017). Internationally educated nurses in Canada: Predictors of workforce integration. Human Resources for Health, 15(1), 26. DOI: https://doi.org/10.1186/s12960-017-0201-8
Daniel, P., Chamberlain, A. & Gordon, F. (2001). Expectations and experiences of newly recruited Filipino nurses. British Journal of Nursing, 10(4), 254-265. DOI: https://doi.org/10.12968/bjon.2001.10.4.5374
Etowa, J.B., Price, S., Debs-Ivall, S. (2011). Strengthening the ethno-cultural diversity of the nursing workforce in Canada. International Journal of Arts & Sciences, 4(26), 75–87.
Georges, C. A. (2012). Project to expand diversity in the nursing workforce. Nursing Management. 19(2), 22-26. DOI: https://doi.org/10.7748/nm2012.05.19.2.22.c9061
Granovetter, M. (1995). Getting a Job: A Study of Contacts and Careers, 2nd edn. Chicago and London: University of Chicago Press. DOI: https://doi.org/10.7208/chicago/9780226518404.001.0001
Grove, NJ., Zwi,AB. (2006) Our health and theirs: Forced migration, othering, and public health, Social Science and Medicine, vol. 62, pp. 1931 - 1942, 10.1016/j.socscimed.2005.08.061 DOI: https://doi.org/10.1016/j.socscimed.2005.08.061
Hawthorne, L. (2006). Labour market outcomes for migrant professionals: Canada and Australia compared-executive summary. Report prepared for Citizenship and Immigration Canada, Ottawa.
Hirschman, D., Berrey, E. & Rose-Greenland, F. (2016). Dequantifying diversity: affirmative action and admissions at the University of Michigan. Theor Soc, 45, 265–301. DOI: https://doi.org/10.1007/s11186-016-9270-2
Larsen, JA. (2007). Embodiment of discrimination and overseas nurses’ career progression. Journal of Clinical Nursing, 16: 2187–95. DOI: https://doi.org/10.1111/j.1365-2702.2007.02017.x
Mapedzahama, V., Rudge, T., Westa, S., Perron, A., (2012). Black nurse in white space? Rethinking the in/visibility of race within the Australian nursing workplace. Nursing Inquiry. 19(2): 153–164. DOI: https://doi.org/10.1111/j.1440-1800.2011.00556.x
Paillé, P. (1994). L'analyse par théorisation ancrée. Cahiers de recherche sociologique, 23, 147-181. DOI: https://doi.org/10.7202/1002253ar
Phillips, J.M., & Malone, B. (2014). Increasing Racial/Ethnic Diversity in Nursing to Reduce Health Disparities and Achieve Health Equity. Public Health Reports, 129(1_suppl2), 45–50. DOI: https://doi.org/10.1177/00333549141291S209
Pickering, M. (2001). Stereotyping: the politics of representation. Palgrave. DOI: https://doi.org/10.1007/978-1-137-08051-6
Putnam, R.D. (2001). Bowling alone: The collapse and revival of American community. New York: Simon and Schuster. DOI: https://doi.org/10.1145/358916.361990
Rosenberg, L., & O’Rourke, M. E. (2011). The diversity pyramid: An organizational model to structure diversity recruitment and retention in nursing programs. Journal of Nursing Education, 50(10), 555-560. DOI: https://doi.org/10.3928/01484834-20110616-02
Schwalbe, M., Holden, D., Schrock, D., Godwin, S., Thompson, S., & Wolkomir, M. (2000). Generic processes in the reproduction of inequality: An interactionist analysis. Social forces, 79(2), 419-452. DOI: https://doi.org/10.1093/sf/79.2.419
Smith, L.T. (2012). Decolonizing methodologies: Research and indigenous peoples. London: Zed.
Statistics Canada, (2018). Census Profile, 2016 Census. Statistics Canada Catalogue no. 98-316-X2016001. Released November 29, 2017. Ottawa, ON.
Tajfel, H., & Turner, J.C. (1986). The social identity theory of intergroup behavior. In S.
Worchel & W.G. Austin (Eds), Psychology of intergroup relations (pp.7-24). Chicago: Nelson-Hall.
Tang, S. Y., & Browne, A. (2008). ‘Race’ matters: Racialization and egalitarian discourses involving Aboriginal people in the Canadian health care context. Ethnicity & Health, 13, 109–127. DOI: https://doi.org/10.1080/13557850701830307
Thomas, B. (2014), Health and health care disparities: The effect of social and environmental factors on individual and population health, International Journal of Environmental Research Public Health 11, 7492–7507 DOI: https://doi.org/10.3390/ijerph110707492
Villarruel, A., Washington, D., Lecher, WT., Carver, NA. (2015). A more diverse nursing workforce: Greater diversity is good for the country's health. American Journal of Nursing, 115(5):57–62. DOI: https://doi.org/10.1097/01.NAJ.0000465034.43341.b1
Weis, L. (1995). Identity formation and the processes of "othering": unraveling sexual threads. Educational foundations 9(1), 17-33.
Wilson, E. (2014). Diversity, culture and the glass ceiling. Journal of Cultural Diversity, 21(3), 83-89.
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