Nursing Practice Today 2017. 4(2):67-78.

Reasons nursing students choose the nursing profession and their nursing image perceptions: A survey study
Esengül Elibol, Arzu Kader Harmancı Seren


Background & Aim: When choosing a profession, there are many factors that influence a person’s decision, including the profession's image, personal future plans, and the prospect of life-long success. In reference to the nursing profession, this decision is extremely important. This study aims, therefore, to determine the reasons why vocational high school students choose the nursing profession by examining their image perceptions and the future plans related to this choice.

Methods & Materials: This study was carried out with 352 nursing students who were selected from four medical vocational high schools in Istanbul. A demographic questionnaire and the “Nursing Image Scale” (NIS) were used for gathering data. For data analysis, percentages were calculated, and independent sample t-test and chi-square test were performed.

Results: The average age of the students was 16.7±0.785, with most of the students being female (87.2%) and in their fourth year of attendance (42.6%). A majority of the students had chosen nursing for the ease of securing a job (46.9%), and a majority had a dream profession other than that of nursing but still related to the field of health (65.8%). NIS score averages of the second-year students were lower than those of both the third- and the fourth- year students (p<0.05). Participants who did not have a nurse in the family had higher NIS score averages.

Conclusion: Overall, it was determined that the majority of the participating students chose nursing for the purpose of easily securing a job, that the students held a negative perception of the profession and that the students had a dream profession other than that of nursing.


career choice; nursing; perception; students; education; health occupations

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Bradley C, Pennbridge J. Nursing Workforce: Shortages and diversity. A report to the California Endowment. California, USA: A Joint Project of the National Health Foundation and the Hospital Association of Southern California; 2003. Available at: ment_Diversity_Report.pdf

Likupe G. The skills and brain drain what nurses say? Journal of Clinical Nursing.2013; 22(9-10): 1372-1381.

OECD. Health at a glance: Europe 2012: OECD Publishing; 2012. Available at:

Fletcher K. Image: changing how women nurses think about themselves. Journal of Advanced Nursing. 2007; 58(3): 207-215.

Hoeve Yt, Jansen G, Roodbol P. Thenursing profession: public image, self‐concept and professional identity: A discussion paper.Journal of Advanced Nursing. 2014;70(2):295-309

Yilmaz AA, Ilce A, Cicek SC, YuzdenGE, Yigit U. The effect of a career activity on the students' perception of the nursing professionand their career plan: A single-group

experimental study. Nurse education today.2016;39:176-80

McKenna L, McCall L, Wray N.Clinical placements and nursing students’ career planning: A qualitative exploration. International Journal of Nursing Practice. 2010; 16(2): 176-182.

Dost A, Bahcecik AN. Developing A Scale for the Image of Nursing Profession. Journal of Academic Research in Nursing. 2015;1(2): 51-59. [Turkish]

Dunlap JM, Olshansky E. Why not become an M.D.? A perspective from a student nurse on the profession’s image. Journal ofProfessional Nursing. 2009; 25(2): 65-66.

Hayes LJ, Orchard CA, MacgillisHall L, et al. Career intentions of nursing students and new nurse graduates: A review of the literature. International Journal of Nursing Education Scholarship. 2006; 3(1): 1-15.

Perry L. Choosing nursing: becoming, staying, flourishing. Journal of Advanced Nurse.2012; 66(2): 1441-1442.

Kloster T, Hoie M, Skar R. Nursing students’ career preferences: A Norwegian study. Journal of Advanced Nursing. 2007;59(2): 155-162.

Lai H-L, Lin Y-P, Chang H-K, Chen C- J, Peng T-C, Chang F-M. Is nursing profession my first choice? A follow up survey in pre- registeration student nurses. Nurse education today. 2008;28(6):768-76.

Yıldırım D, Kececi A, Bulduk S. How do Turkish nursing students plan their career after graduation?: A questionnaire survey. Asia Pacific Education Review. 2010; 12(3): 373-380.

Ozsoy SA. Defining the nursing image in society. Nursing School Journal of EgeUniversity. 2000; 16(2-3): 1-19.

Cınar S, Demir Y. Nursing Image in Community:A Scale Development Study. Journal of Ataturk University School of Nursing.

Sis Celik A, Pasinlioglu T, Kocabeyoglu T, Cetin S,. Determination of the image of nursing profession in community. Florence Nightingale Nursing Journal. 2013; 21(3): 147-153 .[Turkish]

Taskın Yılmaz F, Tiryaki Sen H,Demirkaya F. Perception forms of profession expactationsfot the future of nurses and midwifes. Journal of Health and Nursing Management. 2014; 3(1): 130-139. [Turkish]

Erkin O, Tokem Y. Turkish and Belgian Nursing Students’ Perceptions of Nursing Profession and Reasons for Choosing Nursing Career. Second European Nursing Congress. Kosova; 2007 .

Unlu S, Ozgur G, Gumus A. School of nursing students’ views and expectations related to nursing profession and education. Journal of Ege University School of Nursing. 2008;24:43-56. [Turkish]

Vujicic M, Sparkes S, Mollahaliloglu S. Health workforce policy in Turkey, recent reforms and issues for the future. 2009.Available at: https://openknowledge.worldbank org/bitstream/handle/10986/13784/494840WP0 Box341ePolicyinTurkeyFinal.pdf?sequence=1. Accessed Mart 22, 2017.

Kopyala H,. The person who studies nursing is not unemployed. 2012 Available at: Accessed Mart 20, 2017. [Turkish]

Sayın F. Analysing of the impact of the education and the growth in Turkey from 1988 to 2010 on youth unemployment. Journal of Social Sciences Institute of Dokuz Eylul University. 2011; 13(4): 33-53. [Turkish]

Yang C, Gau ML, Shiau SJ, Hu WH, Shih FJ. Professional career development for male nurses. Journal of Advanced Nursing.2004; 48(6): 642-650.

Lai HL, Peng TC, Chang FM. Factors associated with career decision in Taiwanese nursing students: A questionnaire survey.International Journal of Nursing Studies. 2006;43(5): 581-588.

Civci H, Sener E. Determining the Nurse candidates’ Level of Vocational Motivation and Factors Affecting. Dokuz Eylul University School of Nursing Electronic Journal,2012; 5(4): 142-149.

Tan M, Yuncu S, Senturk O, et al. Point of view on nursing of university students. Nursing School Journal Ataturk University 2007; 10(1): 22-29. [Turkish]

Bozkır G, Tascı N, Altuntas C, Arsak A, Balgı O, Kaya E. Views of the male students who are studying at high school and college of health. University and Society. 2008; 8(1): 54-71. [Turkish].

Zamanzadeh V, Jasemi M, Valizadeh L, Keogh B, Taleghani F. Lack of preparation: Iranian nurses’ experiences during transition from college to clinical practice. Journal of Professional Nursing. 2015; 31(4): 365-373.

Dinc S, Kaya O, Simsek Z. Knowledge, opinion and expectations of students in Harran Universıty school of nursing. Nursing School Journal Ataturk University. 2007; 10(1): 1-9. [Turkish]

Sirin A, Ozturk R, Bezci G, Cakar G,Coban A. Nursing Students' Opinions Related to Selection and Application of Profession. World Medical Journal. 2008; 83: 69-75. [Turkish]

Eskimez Z, Oztunç G, Alparslan N. Opinions of last year girl students about nursing in a high school. Nursing Journal of Health Sciences Faculty of Hacettepe University. 2008;15(1): 58-67. [Turkish]

Cınar YS, Kocacal GE, Eser I, Khorshid L. The Comparison of the Perceptions of Nursing Professions among Senior Nursing Students Receiving Education in Two Different Education Systems. Nursing High School Journal of Ege University 2011; 27(3): 1-8. [Turkish]


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