title: In their own words: The experience of professional nurses in a Northern Vietnamese women's hospital.
abstract: Nurses in Vietnam, as is typical of many low-income countries, are hampered from impacting health outcomes by low occupational status, overcrowded hospitals and few career development opportunities. In order to understand the current practice environment encountered by nurses in Vietnam in the most realistic way, we listened to the voices of nurses currently performing nursing roles in Vietnam.
  
  
  
  The purpose of this study was to explore the emic (insider) perspectives on cultural meaning applied by nurses at a northern Vietnamese women's hospital to influence professional practice and interpret experience.
  
  
  
  A micro-ethnography approach was used.
  
  
  
  Seven nurses and one Vice Dean of a school of nursing were interviewed. Data collection consisted of open-ended interviews, participant observation and journal recordings. Spradley's (1979, 1980) Development Research Sequence was used to guide data collection and analysis.
  
  
  
  Five themes emerged. These were the big number of patients is a burden for nurses; nurses do not, cannot make their own decisions (but they can and do); my feeling depends on doctor's feeling; nurses learn more from doctor; and just a few nurses can attend the [Vietnamese Nurses Association] meeting.
  
  
  
  The experiences described by the nurses and the Vice Dean of a nursing school reflect the challenges of practicing nursing in one Vietnamese hospital and the resourcefulness of nurses in overcoming those challenges. Recurrent themes highlight the need to better position nurses in Vietnam to advance toward full expression of the professional nursing role.
authors.affiliation: Columbia University School of Nursing, New York, NY, United States of America.
authors.forename: Njoki
authors.initials: N
authors.lastname: Ng'ang'a
authors.forename: Mary Woods
authors.initials: MW
authors.lastname: Byrne
authors.forename: Toan Anh
authors.initials: TA
authors.lastname: Ngo
mesh_terms: D005260:Female; D006782:Hospitals, Special; D006801:Humans; D009741:Nursing Staff, Hospital / Q000523:psychology*; D014744:Vietnam; D014932:Women's Health Services / Q000458:organization & administration*
keywords: Vietnam; ethnography; low-income countries; nursing; professionalism