Factors Influencing Students' Choice To Pursue Nursing
Factors Influencing Students' Choice To Pursue Nursing
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A Research Presented to
The Faculty of Education and Health Sciences
Notre Dame of Dadiangas University
General Santos City
By:
April 2022
Factors Influencing Students’ Choice To Pursue Nursing 2
CHAPTER I
INTRODUCTION
Nursing has evolved from caring for the sick and the poor to meeting all of a person's
health needs, with the goal of promoting, preventing, and restoring health, as well as promoting
coping through rehabilitation services (Geyer, Mogotlane & Young, 2009). Moreover, nurses
are on the "front lines" of most health-care systems, and their contribution is recognized as
critical to meeting development goals and providing safe and effective care. Nurses are not
only responsible for restoring health and alleviating suffering for patients, but they are also
expected to promote health and prevent illness in the general population. Nursing as a career is
widely regarded as desirable by society because it provides job security, mobility, and
According to the study of Shrestha et al., 2021 in Nepal, there is paucity of data
regarding the factors that influence choosing it. So, a cross sectional study was carried out
purposively among first year nursing students who were just enrolled to study nursing in
different nursing colleges in the said country. Meanwhile, in Kenya, the factors influencing the
choice of nursing career among newly admitted nursing students in campuses of a medical
training institution that the choice of a career is based on some motivating factors which an
individual considers to be crucial to his satisfaction and performance on the job. (Law &
Arthur, 2003). To add to that, these findings also highlighted the strong influence that
Singaporean parents might have on their children's career choices. In a study conducted in
Hong Kong, the effect of parents' influences was found to be significantly associated with
Factors Influencing Students’ Choice To Pursue Nursing 3
students' considerations of nursing as a career. Asian parents from other countries, including
China and Taiwan, have also reported to have high career expectations in their children. (Wu
Ling, 2017)
Therefore, in order to attract more applicants into nursing especially those who are truly
interested, there is a need to identify the factors influencing their decision. Hence, the purpose
of this study is to identify the main factors that influence the nursing students’ decision to
choose nursing as their career, By examining specific individual factors that influence students'
views on a nursing career, this study will add to the body of knowledge in nursing education,
The study aims to determine the factors influencing students’ choice to pursue nursing
A. Social
B. Emotional
C. Mental
D. Physical
E. Economic
The study evaluated the factors influencing students’ choice of pursuing nursing in
Notre Dame of Dadiangas University. The result of the study are beneficial to the following:
Institution. The results could therefore be used to provide the relevant nursing school
authorities with information that may be used to improve recruitment strategies and admission
criteria.
Administrators. This study will make the administrators of the University aware of the
fact that there are a variety of factors that influence students' career and professional choices.
Professor. This could also contribute to improving the way educators provide targeted
support to nursing students for enhanced retention and further career planning.
Researchers. The information on factors that influence career choice in nursing may
contribute to the retention of nursing students in nursing programmes and so, contribute to
Future Researchers. The information could give insight to career advisors during their
career guidance sessions, to assist students in addressing the challenges they encounter.
Nursing Students. This study will aid students in understanding that people's
perceptions have a significant impact on their career decisions, and that career decisions have
This study focuses on determining the Factors Influencing Students’ choice to pursue
Nursing among nursing students of Notre Dame of Dadiangas University. The respondents
of the study are the 1st, 2nd, and 3rd year nursing students either male or female currently
studying at the said institution. It will be conducted on the summer of school year 2022-2023
through the use of self- made questionnaire that will be validated by the panels and research
adviser with a degree of Bachelors of Science in Nursing, before it will be distributed and
Definition of Terms
This section will provide the understanding of the various variables used in the study
for better understanding of the readers and other researchers. The terms was defined as to
Economic Factors. An economic factor is a factor that can affect and influence an
individuals' financial status. They include education, employment status and income (Tutor,
2022). In this study, it refers to the perceived benefits and rewards that students feel will
Emotional Factors. An emotional factor is all about a performer's feelings and how
these can influence the outcome of any activity. This includes emotions which affect
confidence, resilience and self-control (BBC, 2022). In this study, it refers to the factors that
Factors Influencing Students’ Choice To Pursue Nursing 7
influences the respondent’s personal fulfilment with a particular activity and have significant
Mental Factors. A mental factor is defined as the aspect of the mind that apprehends
non-neutrality, it has the ability to color the mind in dependence on the way it manifests
(Wikimedia Foundation, 2022). In this study, it refers to the factors that concerns cognitive
processes which includes level of arousal, concentration and decision-making. This includes
the wavering commitment and desire for long-term objectives that significantly influences
Physical Factors. Physical factors refer to fitness, skills and tactics. Fitness covers
agility, CRE, flexibility and power (BBC, 2021). In this study, it refers to the quality or state
of being able or competence of pursuing nursing. This means, the possession of means or
Social Factors. Social factors are those causes where the individual is affected by
social support, social networking, etc. (IGI Global, 2020). In this study, it refers to how the
society views the nursing profession influence the students; pursuit of nursing as a career.
Factors Influencing Students’ Choice To Pursue Nursing 8
CHAPTER II
This chapter introduces the study's conceptual framework and reviews the various
literatures and studies that are relevant and significant to the research study.
Conceptual Framework
Figure 1 shows the conceptual paradigm of the study as presented the independent
variable which is the social factor, emotional factor, mental factor, physical factor and
economical factor that affects the dependent variable which is their choice of pursuing
nursing.
Factors Influencing Students’ Choice To Pursue Nursing 9
Demographic Profile
Age
Sex
Year Level
Social Factor
Emotional Factor
Mental Factor
Physical Factor
Economical Factor
RELATED LITERATURE
high school students when entering into the nursing profession (Steven and Walker,
1993), and the decision to choose or refuse nursing was significantly influenced by the
Few parents appear to recognize this impact and continue to believe that they have
little influence over their children's career choices (Taylor, Harris, & Taylor, 2004).
(Taylor, Harris, & Taylor, 2004), nearly half of freshman parents believe they should
remain neutral in their child's career development. Additional research shows that parents
have a greater influence on career choice than teachers (Kniveton, 2004) and can even
influence what major their children choose in college (Simpson, 2003). Parents clearly
believe they have less control over their children's career choices than research suggests.
This perception seems to differ from the perception of children, who often report their
parents to be of the highest influence (Ferry, 2006; Kniveton, 2004). Due to this
Nursing has remained a predominantly female-dominated field, with men accounting for
only a small percentage of the nursing workforce. Some authors believe that more women
than men have worked in nursing because women have a more positive attitude toward
the profession (May et al., 1991) (Tang et al., 1998) (Williams et al., 1991).
The media has played a big role in discouraging male students from choosing
nursing as a career (Cabaniss, 2011). Specifically, the media has portrayed nursing as a
medicine (Tan-Kuick, 2012). This line of thinking is evident in South Africa, where the
image and status of nursing have been battered, resulting in a declining number of
applicants in general, regardless of gender (Van Zyl, 2011; Mphahlele, 2011; Meiring,
society perceives a nursing career as a female profession and has a negative perception of
males who choose and practise nursing (Abudari, Ibrahim & Aly, 2016; Oliver, 2010;
Mooney et al., 2008). Law and Arthur (2003) and Phillips et al. (2014) found that
occupation (Abudari et al., 2016; Law et al., 2003). Secondly, they found that a male
nurses’ motivation for doing nursing might be practical, psychosocial, and based on a
desire to care for others and a feeling of power or of being empowered (Law et al, 2003)
Law and Arthur (2003) and Phillips et al. (2014) found that students’ background
Factors Influencing Students’ Choice To Pursue Nursing 12
factors such as gender, parents’ education level, and occupation (Abudari et al., 2016;
Marcinowicz et al. (2016) in their study in Poland, show that young people
perceive nursing as a career with low prestige. The authors argue that improvement of the
image of nursing will increase respect for the profession and make it more attractive. This
result was similar to the findings of McCabe et al. (2005) which was that the intrinsic
attraction, such as perceiving nursing as a caring and prestigious career, scored lower
(28.4%) on the very important reason of choosing nursing but scored higher (43.4%) in
Dr. Chukujindu Joyce Okafor and Nkiruka Monica Onokwai (BSUJEM Vol. 2
No. 1 2020) 263 influence their choice and perception, the study revealed that 83.33%
were of females and 16.67% were males who chose nursing as a career while 80% made
their career choice willingly, 7.50% were influenced by role models. In addition, 91.25%
of respondents revealed that nurses are respected and valued while 2.5% and 6.25% of
carried out at an Australian Regional University, it was found out that males in nursing
have low self-confidence and no career satisfaction. The findings also proved that lack of
male in nursing profession was as a result of inherent belief in the naturalism of women
as nurses, poor working condition, low pay and inability of males to shake off the low
Factors Influencing Students’ Choice To Pursue Nursing 13
It has been observed that many students who enter nursing at the age of 35-40
years have both disadvantages and advantages because they have a shorter working life in
service, but they are more mature, responsible and focused on their nursing career
Associate’s degree in Nursing in the United States takes 2-3 years and is offered
at community colleges, or senior colleges and universities. The studies include course
work in general education and nursing and it prepares graduates for licensure and
registered nursing and students are prepared to practice in structured care settings. The
baccalaureate is studied in senior colleges and universities and the graduates are licensed
as registered nurses and employment in a variety of inpatient setting and ambulatory care
settings. The program lasts for four years and upon completion of a state approved
program, graduates may take the Registered Nurse state licensing examination. (Gilbert
2013.)
subject, used as a qualification for entrance into a university (The American heritage,
2009).
A study done in Rio de Janeiro by Spindola, Seibert, Francisco and Clos (2005),
of 62 high school students indicated that the students associate the nurse figure to the
Factors Influencing Students’ Choice To Pursue Nursing 14
assisting function and they visualize nurses as an auxiliary of the physician and that they
were not aware of the different categories of the nursing profession and the education
before entering college for them to know what nursing is all about so that they choose the
profession knowing what it entails therefore reducing the rate of dropouts and therefore
Reasons for choosing nursing career and factors that influence the choice of the
career
Various reasons have been given by students for choosing nursing (McCabe,
Nowak, & Mullen, 2005; Chauke, 2014; Mooney, Glacken & O’Brien, 2008; Dal,
Arifoğlu, & Razi, 2009; Natan et al., 2010). One of the most prominent factors which can
influence nursing students’ career choice is prior exposure to nursing (Liaw, Wu, Chow,
Lim & Tan 2017; Wu, Low, Tan, López & Liaw, 2015; Harding, 2009).
The one of the reasons students choose to study nursing are firstly, the education
and career aspirations which include the student’s belief that nursing is their choice of
career and that there is advancement in the nursing career or nursing education. (Tan-
kuick & Ng, 2011.) Another reason would be the expectations of employment. This boils
down to job security, knowing that after studying it is easy to acquire a job and that as a
healthcare professional, one cannot go without a job. (Gutierrez , Maranon, Poch & Prat
2010, 236-42.)
Factors Influencing Students’ Choice To Pursue Nursing 15
A study revealed that registered nurses and nursing students chose to study
nursing because of the opportunity for caring and that it was their vocation in life which
were congruent with the character and temperament found in the participants (Eley D,
On the other hand, some students are motivated by extrinsic factors in choosing
nursing as a career. For instance, job opportunities available in nursing or support from
parents, friends and other family members (Jebakani & Rani, 2016; Nilsson & Stomberg,
motivational behaviour aimed at achieving concrete reward, for instance, job security, a
high salary, comfortable working conditions and behaviour influenced by family and
friends. Financial reasons such as job opportunities and security were seen to be the main
extrinsic reasons for students choosing nursing as a career (Al Jarrah, 2013).
Knowledge about the career can be the main factor to influence one’s decision to
study nursing and this could come through family members and exposure to work
Young people are significantly inspired by others in their lives; hence they need
good role models to guide them as on their own they have difficulty making major life
decisions such as the choice of a career (Price, Hall, Angus & Peter, 2013; Pool, 2012).
Thus, students generally need intensive guidance from their support structures, such as
families, teachers and friends, to recognize their abilities and interests (Walker et al.,
Several studies have revealed that encouragement from friends and relatives,
nursing students, family members and successful nurses were the main factors that
promoted nursing candidates’ aspirations to become nurses (Ferri, Laffi, Rovesti, Artioli,
this situation may also provide a role model for students who may want to follow in the
et al., 2008).
career choice with respect to nursing shows 26 that 60.6% of students were influenced by
A good role model nurse who has the characteristics of caring and a passion for
nursing would be admired by potential students and can be very influential in their career
decision making (ten Hoeve et al., 2017; Emeghebo, 2012, Price, 2009).
perceive nursing as a career which offers opportunities in caring for people and the
own personal growth. However, Mendez and Louis (1991), say that nursing students do
not always regards nursing as an ideal career. Therefore the students choose nursing for
Vanhanen and Janhonen (2000), refer to prior research results by Vanhanen et al.
Factors Influencing Students’ Choice To Pursue Nursing 17
orientation to caring, students’ own experiences and nursing expertise. These orientations
differ with regard to the student’s preeducational experiences of nursing and caring, the
meaning of nursing as work to them, and the students’ expectations of nursing education
A study revealed that registered nurses and nursing students chose to study
nursing because of the opportunity for caring and that it was their vocation in life which
were congruent with the character and temperament found in the participants (Eley D,
A study done in Ireland came out with findings that some of the students, who
took part in the study, didn’t have nursing as their first choice career. Some preferred
physiotherapy, some were interested in teaching but due to insufficient grades, they chose
nursing, but none of them regretted the choice of nursing career. (Mooney et al. 2008,
389.)
In considering all these factors, it is important to remember that the factors that
affect decision-making process for entering into nursing may help predict success or
success of nursing students. Many students do not have a good understanding of why
they choose nursing, and this may cause them to change their career many times or leave
the nursing training without completing the course (Eick, Williamson & Heath, 2012; Lai
et al, 2008).
In most health systems, nurses are at the forefront of care, and their contributions
are critical to achieving societal health goals and providing safe and effective care (Lim
& Muhtar, 2016). Understanding why people choose to pursue a career in nursing is
critical for the profession's survival and success, especially for related leaders and
academics. Understanding the factors that influence discipline choice can aid in shaping
the curriculum to better meet the needs and expectations of students (Cho et al., 2010).
steady decline in educational standards, which costs the educational system a lot of
money and has a psychological impact on other students. One of the most common
influenced by a diligent search for information about that field before choosing that field
(Wilkes et al., 2015). A review of the literature found that factors like willingness to help
and care for others, job opportunities, social status, income, personal environmental
factors, experience caring for a loved one, having a close relative who is a nurse, and
choice (Ergün & Güzel, 2016; Liaw et al., 2016; nder et al., 2014)
Economic benefits
items such as the base salary, bonuses, and incentive payments that employees receive in
exchange for working in an organization" (Moy & Lee 2012,). A high-paying nursing
Factors Influencing Students’ Choice To Pursue Nursing 19
career is an obvious perk, it is important to consider your interests, or what you’re most
passionate about, when choosing a nursing specialty. The amount of money you’ll make
as an RN can vary depending on your location, your industry, and your level of training
and experience (Jordan,2021). Almost 70% of nurses rated salary and patient care as their
In the Philippines, The estimated total pay for a Registered Nurse is ₱44,000 per
year in the Philippines. This number represents the median, which is the midpoint of the
ranges from our proprietary Total Pay Estimate model and based on salaries collected
from our users. The estimated base pay is ₱20,000 per year. The estimated additional pay
is ₱24,000 per year. Additional pay could include cash bonus, commission, tips, and
profit sharing (Glassdorr). In the local labor market, an entry level registered nurse
receives a salary of P8,000 - P13,500 per month. Registered Nurses hired at Hospitals
commonly receive an average salary of P9,757 per month. In the government, the average
salary per month is around P13,500 while in private sector, the rate average is around
P10,000 per month (Bureu of Local Employment). The salary increase is for all public
colleges and state corporations, as well as local government units (LGUs) covered by the
Compensation and Position Classification System (CPCS) under Republic Act (RA) No.
CHAPTER III
RESEARCH METHODOLOGY
This chapter presents the research design, the locale of the study, the respondents,
the method for collecting data, the research instrument, and the statistical treatment used to
Research Design
In order to collect and establish data for the study, the study employed the
descriptive survey method. The descriptive study was utilized because it is primarily
concerned with describing the variables. This method specifically describes the factors
gathering information using relevant questions from a sample of people with the aim of
investigation. The descriptive method of research employs a survey as the primary data
collection method to describe the profile of the students, determine the factors influencing
students’ choice to pursue nursing, identify the students' career preferences, and the
influence of the factors on their career preferences. The chart below illustrates the process
Sampling Technique
Quota Sampling
Research Instrument
Self-made Questionnaire
Statistical Tool
Mean
Frequency
Percentage
Recommendations
The study is conducted at Notre Dame of Dadiangas University. The Notre Dame
Santos City NDDU is PAASCU Accredited Level IV and a Catholic Institution run by the
Marist Brothers or FMS (Fratres Maristae Scholis). It offers undergraduate and graduate
courses as well as pre-elementary and basic education. Further, it offers a broad spectrum
of academic programs through its colleges. It consist of three campuses in General Santos–
the main campus along Marist Avenue, the Notre Dame of Dadiangas University-
Campus. Today, NDDU is the only private university in General Santos. The NDDU-Ibed
The respondents of this study includes 120 nursing students, specifically, the 1st, 2nd,
and 3rd year that are currently enrolled in Notre Dame of Dadiangas University in the
school year 2021-2022. A quota is set on 40 representatives from each year level to
represents the whole population. Male and female respondents may all participate in the
study.
Sampling Technique
The study will use a quota sampling technique. Quota sampling is defined as a non-
that represent a population. Researchers will assign quotas to a group of people in order to
Factors Influencing Students’ Choice To Pursue Nursing 24
whole.
proportions of 1st, 2nd, and 3rd year nursing students of Notre Dame of Dadiangas
University. In order to achieve research objectives, the sample size consist of a total of one
twenty (120) respondents from the first and second year Bachelor of Science in Nursing
Instrumentation
descriptive-quantitative, the questionnaire is the most suitable methodology for this. The
self-made questionnaire is divided into two parts. The first part will be questions related to
acquire the data needed for demographic profile, students' profiles, including their name
(which is optional), age, sex, and year level. The second part of the survey questionnaire
consists of a set of statements for each of the five (5) factors. Each factor comprises
statements that the respondent may or may not be able to relate to. A draft of the
questionnaire will be created using readings, prior studies, related literature, and published
and unpublished thesis relevant to this study. To ensure the validity and reliability of the
questionnaire, it will undergo an evaluation and validation from panels and research
adviser who have high knowledge with regards to the items indicated.
Factors Influencing Students’ Choice To Pursue Nursing 25
This section presents the procedures which are needed to be followed to gather all the
The researchers will prepare a letter of request to conduct the study to be sent to the
Dean of College in Health Sciences. After the letter of request being approved, the self-
made questionnaire will be distributed to the respondents. Note that the researchers’ self-
made questionnaire underwent an in-depth validation and revision to ensure the credibility
and accuracy of the instrument. Succeeding the validation, the Google Form Survey
Questionnaire will then be distributed to the respondents. It will be the official beginning
The questionnaire or the Google forms link were retrieved after the students
finished answering. The data gathered will be checked, tallied, analyzed, and interpreted.
From the data gathered through the questionnaire, it will be summarized by being
statistically analyzed using frequency count expressed in percentage in the case for the
demographics and each factor. The researchers will maintain confidentiality after
Statistical Tool
Descriptive statistics will be used to analyze the data. The frequency distribution and
percentages will be used to analyze the data. To summarize the profile of the nursing
total of 20 items chosen from research questionnaires. The factors were assessed using a
Likert-scale point system ranging from 1 to 5. The factors were chosen using a scale
ranging from strongly disagree (1) to strongly agree (5). The data was analyzed using mean
and percentage to determine which items in terms of social, mental, physical, economical
and emotional factors had the highest and lowest agreement. Box 1 shows the verbal
interpretation of the mean for each factor derived from the 5-point Likert Scale.
Verbal
Rating Scale Mean
Interpretation