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Conflicts and Adjustments
Indian Nurses in Urban Milieu
Ranjana Raghavachari
Hard bound book;  Pages : 292
1990 Edition; ISBN - 81-7188-000-2
Price : Rs. 395.00 ; US $ 35.00
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About The Book :

Studies in Social Anthropology in India have, by and Large, concerned themselves with original traditional groups with identifiable cultural norms in non-urban settings. But with more and more urban development on the one hand and an awareness of the need to understand and improve the status of women on the other, nurses emerge as an important identifiable group in an urban setting. NURSES, thus, provide an ideal study group where it is Possible to discern rural-urban traits within a constant mix of traditional and modern values. Moreover, in any effort to improve the status of women, one cannot fail to identify nurses as an important social group requiring attention.
This study investigates the many conflicts that nurses face in their transformation from traditional upbringing to a modern occupation in an urban milieu and, in particular, examines the conflicts that emerge from the low status accorded to their profession.
Based on a Purposive sample of nurses in a metropolitan hospital (New Delhi), the study points out that the low status accorded to the nursing profession in India cannot be simply explained in terms of the western concepts of antecedents, investment of the network of resources, the complex phenomena of role structures or the functional variables; rather, it is a sex based inequality derived from the deep rooted Hindu Philosophy practising traditional hierarchy. Females are assigned the role of service to the men of their family.
The author observes that, among other factors, the low prestige of the profession is explainable in terms of the traditional Guna theory which forms an integral part of the Sankhya System of Hindu Philosphy. Menial service has been assigned the lowest evaluation under this system and hence had been classified under Tamasic Guna. Under the traditional hierarchy also women are assigned the service role. The nursing profession, being female dominated and dealing with bodily impurities, is accorded a low status.
The study comes out with specific suggestions for improving the status and professional life of nurses who form an indispensable group in the modern society.
The NURSING PROFESSION serves an important social need. The efficiency of the service rendered by the profession depends to a large extent on the care given to the personnel. There is every need for improvement. A policy directed towards the betterment of any profession or group which feels deprived of its due legitimate social and economic status requires constant rethinking, imagination and the will and willingness to push through conscious priorities.

 

CONTENTS IN DETAIL :

1. Introduction and Perspective
 
  • Introduction
  • Historical Perspective 
  • Pre-Nightingale Phase
    i.   Ancient Period
    ii.  Early Christian Period
    iii. The Middle Ages
    iv. Renaissance and After
  • Nightingale Phase (The Era of Modern Nursing) 
  • History of Nursing in India - A Brief Account 
  • General Information about Nursing in India 
  • Review of Existing Literature : Salient Features of Selected Studies 
  • Problem Identification and Objective of Study
  • Appendix to Chapter 1 - The Hospital and the Nurse 
    i.   Hospital Organization
    ii.  Division of Labour in Hospital
    iii. Social Structure of the Hospital
         a. Doctors and Nurses
         b. The Patient and the Nurse
2. Methodology and Sample Design
  • Field of Study and its Relevance 
  • Organization of the Hospital Studied 
  • The Pilot Survey
  • The Sample
  • Sample Design and Methodology of Fieldwork 
  • The Schedule
  • Difficulties and Experiences
3. Social Background
  • Introduction 
  • General Particulars
    i.   Age and years of Experience
    ii.  Marital Status
    iii. Religion
    iv. Mother Tongue
    v.  Home State
    vi. Place of Origin (Urban-Rural Background)
    vii. Educational Background
    viii. Occupational Background
    ix.  Income
    x.   Family Size
4. Nurse at Home and Leisure
  • Introduction
  • Household Structure
    i.  Current Household Type 
    ii. Preference for Household Type and Reasons
    iii. Reasons for preferring Joint Households
    iv. Reasons for preferring Nuclear Households
    v. The Official Quarters
  • Division of Labour in the Family 
  • The Nurse and Her Salary
    i.  Saving
    ii. Support of the Family
    iii. Spending on Self
  • Oritation Towards Religion
    i.  Description of Self
    ii. Visits to Places of Worship
    iii. Role of Religion in Everyday Life
    iv. Regularity of Scripture reading
  • Leisure and Interactions 
    i.   Adequacy of Off Duty Hours
    ii.  Activities during Off Duty Hours
    iii. Interaction with Family, Relatives and Others
  • Reading Habits
5. The Nurse at Work
  • Introduction
  • Working Conditions in the Hospital
    i.  A Working Day in the Hospital
    ii. Salary Scales and Leave Entitlements
    iii. Interrelationship with other Hospital Personnel
        a. Relations with Fellow Nurses
        b. Relations with Class-IV
        c. Nurse-Doctor Relations
        d. Relationship with Patients and Relatives
  • Attitudes towards Work and Profession
    i.  Why Nursing was Chosen 
    ii.  Other Aspirations and why they were rejected
    iii. Continuance of the Nursing Profession in the Family : Their Views
    iv. Job Mobility
6. Status of Nurses in India
  • Status : A Discussion 
  • The Indian Ethos : An Explanation of the Low Status of Nurses 
  • The Status of Women and Nursing
  • The Relative Status of Doctors and Nurses 
  • Suggestions Put Forward by the Nurses
7. Conclusions
  • Family and Personal Background
  • Nurse at Home and Leisure Time Activities 
  • Working Conditions 
  • Status and Attitudes
  • A Theoretical Explanation of the Low Status of Emerging Suggestions
Bibliography
 
Appendix-1
Questionnaire Canvassed in Pilot Survey
 
Appendix-2
Schedule Canvassed in Main Survey
 
Index
 

ABOUT THE AUTHOR :

Ranjana Raghavachari: Ms. Ranjana Raghavachari received her M.A. degree in Sociology in 1985 and M.Phil in Social Anthropology in 1988 from University of Delhi. She was the recipient of National Scholarship under the Centre for Advanced Study Scheme for Sociology. In 1986 she was awarded the National Junior Research Fellowship of the University Grants Commission for pursuing research in Social Anthropology.
Widely travelled, she has had occasion to observe the differing social conditions in Europe, especially in U.K. and France, and also in the Asian Nations like India, Bangladesh, Burma, Thailand and Singapore. These wide observations fuelled her interest in the underprivileged social groups.
She joined the Indian Civil Services and is currently working as Assistant Collector in the Indian Customs and Central Excise Service.
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