title: Career choices in health care: is nursing a special case? A content analysis of survey data.
abstract: BACKGROUND
  As demand for nurses and other health professionals continues to outstrip supply it is important to understand what motivates individuals to join a non-medical health profession.
  
  
  OBJECTIVE
  The objectives of this study were to investigate students' reasons for choosing a particular nursing specialism, midwifery or other non-medical health profession, and to compare motivation factors across professions, gender, age, level of award, prior qualifications, prior experience and over time.
  
  
  METHODS
  A prospective follow-up study collected survey responses at the beginning and end of pre-qualifying professional programmes.
  
  
  METHODS
  The study took place in one large United Kingdom faculty.
  
  
  METHODS
  The study participants were 775 first-year students undertaking non-medical health professional programmes and 393 qualifying students.
  
  
  METHODS
  An open-ended question was included in a self-completed questionnaire administered at entry and at qualification. Content analysis identified themes.
  
  
  RESULTS
  Altruism was the most frequently cited reason for wishing to join a non-medical health profession, followed by personal interest/abilities, professional values/rewards, and prior experience of the area. Students entering nursing were less likely to cite an altruistic motivation than those entering other non-medical health professions (chi(2)=21.61, df=1, p<0.001). On entry, adult nursing, children's nursing and radiotherapy students were least likely to cite professional values/rewards (chi(2)=20.38, df=8, p=0.009). Students on degree level programmes were more likely to report altruism than those on diploma level courses (chi(2)=17.37, df=1, p<0.001). Differences were also identified between the two data collection points. The number of students identifying altruism (chi(2)=3.97, p=0.046) and professional values/rewards (chi(2)=6.67, p=0.010) decreased over time.
  
  
  CONCLUSIONS
  Findings suggest that although a service orientation remains a key factor in choosing nursing, students also look for a career which matches their interests and attributes, as well as offering professional values and rewards. Nursing may be in danger of losing service orientated recruits to other non-medical health professions.
authors.affiliation: Faculty of Health and Social Care, University of the West of England, Bristol, Glenside Campus, Blackberry Hill, Stapleton, Bristol BS16 1DD, UK. margaret.miers@uwe.ac.uk
authors.forename: Margaret E
authors.initials: ME
authors.lastname: Miers
authors.forename: Caroline E
authors.initials: CE
authors.lastname: Rickaby
authors.forename: Katherine C
authors.initials: KC
authors.lastname: Pollard
mesh_terms: D000328:Adult; D000533:Altruism; D001291:Attitude of Health Personnel; D002321:Career Choice; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009042:Motivation; D015404:Nursing Methodology Research; D009788:Occupational Therapy / Q000193:education; D026761:Physical Therapy Specialty / Q000193:education; D011446:Prospective Studies; D011878:Radiotherapy; D012938:Social Perception; D012945:Social Values; D013041:Specialties, Nursing / Q000193:education; D013336:Students, Health Occupations / Q000523:psychology*; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires; D006113:United Kingdom