One Size DOES NOT Fit All: Black British-Born Mental Health Nurses and Factors Influencing their ‘National’ Health Service Career Progression

Deborah Isaac

Abstract


Evidence suggests that Black and Minority Ethnic nurses in England’s National Health Service significantly lag behind their White counterparts in Bands 8a, 8b, 8c, 8d & 9 and ‘Very Senior Managers’ positions. Some attribute unequal positions of these nurses to discrimination, racism, exclusion, classism and other forms of disadvantage. Other factors however, are obscured through the accounts of predominantly Black overseas nurses. National Health Service Trusts’ workforce data tends to be gathered using the acronyms BME or BAME. Narrow ascriptions of skin colour or ethnicity to signify experiences of nurses as BME or BAME overlook complexed factors influencing their career. The aim of this study is to understand the career progression of Black British-born nurses as current literature fail to meaningfully account for their experiences. To understand the issues influencing the apparent lag, this study utilised a qualitative approach. Data collection was supported by semi-structured interviews. Unlike other studies, participants revealed very little to suggest discrimination as a hindering factor of career progression. Such a finding indicated that socialised ‘British cultural capital’ constitutes a strong ‘helping factor’ to override the ‘hindering factor’ of their ‘Black ethnic identity’. This implies that National Health Service Trusts equal opportunities policy drivers should apply more robust ethnic monitoring and reporting systems. Consequently, its grading structures would be best placed to represent and compare intergroup nuances between ethnic minority nurses. It will become inescapable for the UKs National Health Service not to address intersectional factors of ethnic identity, due to historical and persistent exposure of workforce inequities.


Keywords


Black, British, Career, Ethnicity, Nurses, and qualitative study

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References


Ali, P., & Watson. R. (2018). Language barriers and their impact on provision of care to patients with limited English proficiency: Nurses’ perspectives. Journal of Clinical Nursing, 27(56), 1-17. https://doi.org/10.1111/jocn.14204

Ali, S. (2020, June 5). ‘BAME’ is an outdated term, struggling to define the experiences of those who do not identify as White. Varsity. varsity.co.uk/opinion/19351

Andersen, S. (2019). eHealth Systems’ User Experiences from Healthcare Workers. Research in Social Sciences and Technology, 4(1), 51-72. https://doi.org/10.46303/ressat.04.01.3

Aspers, P., & Corte, U. (2019). What is qualitative in qualitative research. Qualitative Sociology, 42, 139-160. https://doi.org/10.1007/s11133-019-9413-7

Atewologun, D. (2018, August). Intersectionality theory and practice. The Oxford Encyclopaedia, Business and Management. Oxford University Press USA. https://doi.org/10.1093/acrefore/9780190224851.013.48

Bakalar, B. (2018). Book Review: Justice on both sides: Transforming education through restorative justice. American Journal of Qualitative Research, 2(2), 145-149.

Banks, P. A. (2011). Cultural socialisation in Black middle-class families. Cultural Sociology, 6(1), 61-73.

Baxter, C. (1988). The Black nurse: An endangered species: A case for equal opportunities in nursing. Nursing Times Research, 3(5), 325-338. https://doi.org/10.1177/174498719800300502

Booth, R. (2014). Main parties are still lumping ethnic minorities together, think tank warns. https://www.theguardian.com/world/2014/may/06/political-parties-ethnic-minorities-policy-exchange

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77 101.

Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589-587.

Brodie, K., Abel, G., & Burt, J. (2016). Language spoken at home and the association between ethnicity and doctor patient communication in primary care: Analysis of survey data for South Asian and White British patients. BMJ Open, 6, e010042. https://doi.org/10.1136/bmjopen-2015-010042

Burr, V., & Dick, P. (2017). Social constructionism. In B. Gough (Ed.), The Palgrave handbook of critical social psychology (pp. 58-80).

Carlson, H. K., & McHenry, M. A. (2006). Effect of accent and dialect on employability. Journal of Employment Counselling 43.

Coghill, Y. (2017). Increase in number of senior BME nurses and midwives is great news. Nursing standard (Royal College of Nursing (Great Britain): 1987), 31(37), 30. https://doi.org/10.7748/ns.31.37.30.s27

Creese, G., & Kambere, E. N. (2003). What Colour Is Your English? Canadian review of Sociology and Anthropology, 40(5), 565-573.

Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43, 1241–1299. https://doi.org/10.2307/1229039

Denzin, N. K., Lincoln, Y. S., MacLure, M., Otterstad, A. M., Torrance, H., Cannella, G. S., Koro-Ljungberg, M., & McTier, T. (2017). Critical qualitative methodologies: Reconceptualizations and Emergent Construction. International Review of Qualitative Research, 10(4), 482-498. https://doi.org/10.1525/irqr.2017.10.4.482

Dhaliwal, S., & McKay. S. (2008). The work- life experiences of Black nurses in the UK: A report for the Royal College of Nursing. Working Lives Research Institute.

Dwyer, S. C., & Buckle, J. L. (2009). The space between: On being an insider-outsider in qualitative research. International Journal of Qualitative Methods, 8(1), 1-7.

Evans, C. (2018). Analysing semi-structured interviews using thematic analysis: Exploring voluntary civic participation among adults. SAGE Research Methods Datasets. http://dx.doi.org/10.4135/9781526439284.

Guyan, K. (2018) Analysing Qualitative Data - A Guide for University and College Practitioners. Advance HE.

Hammond, J., Marshall-Lucette, S., Davies, N., Ross, F., & Harris, R. (2017). Spotlight on equality of employment opportunities: A qualitative study of job seeking experiences of graduating nurses and physiotherapist from black and minority ethnic backgrounds. International Journal of Nursing Studies, 74, 172-180.

Henry, L. (2007). Institutionalized disadvantage: Older Ghanaian nurses’ and midwives’ reflections on career progression and stagnation in the NHS. Journal of Clinical Nursing, 16, 2196–2203.

Hill Collins, P., & Bilge, S., (2020). Intersectionality (Key Concepts) (2nd ed.). Polity Press.

Idang, G. E. (2015). African culture and values. Phronimon, 16(2), 97-111.

Iganski, P., & Mason, D. (2018). Ethnicity, equality of opportunity and the British National Health Service (2nd ed.). Routledge. https://doi.org/10.4324/9781315190396

Kline, R. (2014). The “snowy white peaks” of the NHS: A survey discrimination in governance and leadership and the potential impact on patient care in London and England. Middlesex University Research Depository.

Kratt, D. (2018). Teachers’ perspectives on educator mental health competencies: A qualitative case study. American Journal of Qualitative Research, 2(1), 22-40.

Kressler, B. (2020). Critical Self-Reflection as Disruption: A Black Feminist Self-Study. Journal of Culture and Values in Education, 3(1), 21-38. https://doi.org/10.46303/jcve.03.01.2

Kuckartz, U., & Radiker, S. (2019). Analysing qualitative data with MAXQDA. Springer International Publishing. https://doi.org/10.1007/978-3-030-15671-8

Larsen, J. A. (2007). Embodiment of discrimination and overseas nurses’ career progression. Journal of Clinical Nursing 16, 2187–2195.

Levitt, H. M., Creswell, J. W., Josselson, R., Bamberg, M., Frost. D. M., & Suaraz-Orozco, C. (2018). Journal Article Reporting Standards for Qualitative Primary, Qualitative Meta-Analytic, and Mixed Methods Research in Psychology: The APA Publications and Communications Board Task Force Report. American Psychologist, 73(1), 26-46. http://dx.doi.org/10.1037/amp0000151

Likupe, G. (2015). Experiences of African nurses and the perception of their managers in the NHS. Journal of Nursing Management, 23(2), 231-241. https://doi.org/10.1111/jonm.12119

Mann Wall, B. (2015) ‘I Am a Nurse’ Oral Histories of African Nurses. The American Journal of Nursing, 115(8), 22-32. doi: 10.1097/01.NAJ.0000470396.61855.cd

Meier, B., Scholer, A., & Fincher-Kiefer, R. (2013). Conceptual metaphor theory and person perception. American Psychological Association, 43-64.

Miller, P. (2016). ‘White sanction’, institutional, group and individual interaction in the promotion and progression of black and minority ethnic academics and teachers in England. Power and Education, 8(3), 205-221.

Moore, K. (2008). Class formations: Competing forms of black middle-class identity. Ethnicities, 8(4), 492-517. https://doi.org/10.1177/1468796808097075

NHS Confederation. (2019) Expo 2019: NHS Confederation BME Leadership Network offers influence, voice and opportunity for BME leaders. https://www.nhsconfed.org/news/2019/09/expo-2019-bme-leadership-network

NHS Confederation. (2020). NHS England and NHS Confederation launch expert research centre on health inequalities. https://www.england.nhs.uk/2020/05/nhs-england-and-nhs-confederation-launch-expert-research-centre-on-health-inequalities/

Norrie., R. (2015) What’s in an acronym? A BAME by any other name. INTEGRATION HUB. https://www.integrationhub.net/whats-in-an-acronym-a-bame-by-any-other-name/

Okolosie, L., Harker, J., Green, L. and Dabiri, E. (2018). Is it time to ditch the term ‘Black, Asian and minority ethnic’ (BAME)? The Guardian. https://www.theguardian.com/commentisfree/2015/may/22/black-asian-minority-ethnic-bame-bme-trevor-phillips-racial-minorities.

Pendleton, J. (2017). The experiences of Black and minority ethnic nurses working in the UK. British Journal of Nursing, 26(1), 37-42.

Pollard, D., & Alexander, P. (2019). ‘An attempt to tip the scales’: Music and embodied capital in an English secondary school. British Journal of Sociology of Education. 40(3).

Rasmitadila, R., Aliyyah, R. R., Rachmadtullah, R., Samsudin, A., Syaodih, E., Nurtanto, M., & Tambunan, A. R. S. (2020). The Perceptions of Primary School Teachers of Online Learning during the COVID-19 Pandemic Period: A Case Study in Indonesia. Journal of Ethnic and Cultural Studies, 7(2), 90-109. Doi: http://dx.doi.org/10.29333/ejecs/388

Rollock, N., Vincent, C., Ball, S., & Gilborn, D. (2015). Three generations of racism: Black middle-class children and schooling. British Journal of Sociology of Education, 34(5-6), 929-946. https://doi.org/10.1080/01425692.2013.816032

Ryan, L. (2007). Who do you think you are? Irish nurses encountering ethnicity and constructing identity in Britain. Ethnic and Racial Studies. 30(3), 416-438. https://doi.org/10.1080/01419870701217498.

Saeed, A. E., Neil, R., Connell-Hall, V., & Munro, F. (2019). To BAME or not to BAME: The problem with racial terminology in the civil service. Civil Service World. www.civilserviceworld.com/articles/opinion/bame-or-not-bame-problem-racial-terminologycivil-service

Saggar, S., Norrie, R., Bannister, M., & Goodhart, D. (2016, November 18). Bittersweet success? Glass ceilings for Britain’s ethnic minorities at the top of business and the professions. Policy Exchange. https://policyexchange.org.uk/publication/bittersweet-success-glass-ceilings-for-britains-ethnic-minorities-at-the-top-of-business-and-the-professions/

Serrant-Green, L. (2002). Black on Black: Methodological issues for black researchers working in minority ethnic communities. Nurse Researcher, 9(4), 30-44.

Smith, A. (2020). Critical Race Theory: Disruption in Teacher Education Pedagogy. Journal of Culture and Values in Education, 3(1), 52-71. https://doi.org/10.46303/jcve.03.01.4

Swarts, G. (2020). Re/coding Global Citizenship: How Information and Communication Technologies have Altered Humanity… and Created New Questions for Global Citizenship Education. Research in Social Sciences and Technology, 5(1), 70-85. https://doi.org/10.46303/ressat.05.01.4

West, E., Nayar, S., Taskila, T., & Al-Haboubi, M. (2017). A review of the literature on the experiences of Black, minority and internationally recruited nurses and midwives in the UK healthcare system. Royal College of Nursing.

Woofter, S. (2019). Book Review: Building Equity: Policies and Practices to Empower All Learners. American Journal of Qualitative Research, 3(1), 136-139. https://doi.org/10.29333/ajqr/5815

Workforce Race Equality Standard (WRES). (2019). A model employer: Increasing Black and minority ethnic representation at senior levels across the NHS. https://www.england.nhs.uk/publication/a-model-employer/




DOI: http://dx.doi.org/10.29333/ejecs/417

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