Authors :
Nkanu, Nkanu Ovai; Ikade Etunlube Martins; Tawo, Sarah Obi; Njagu, Francisca Mbua
Volume/Issue :
Volume 11 - 2026, Issue 6 - June
Google Scholar :
https://tinyurl.com/5ysckuw7
Scribd :
https://tinyurl.com/2p8yd2a4
DOI :
https://doi.org/10.38124/ijisrt/26jun792
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Consistent gender disparities in nursing education have generated concerns regarding workforce sustainability,
diversity, and equitable participation in healthcare professions. While nursing remains one of the most sought-after healthrelated careers among young people, evidence suggests that expressed interest does not always translate into actual
enrolment, particularly among male candidates. This study investigated gendered career conversion gaps in nursing
education across nursing and health training institutions in Cross River State, Nigeria. Specifically, the study examined
disparities between career interest and enrolment, institutional influences on career decisions, counselling support
mechanisms, socio-cultural determinants, and the implications of enrolment patterns for future health workforce
development. A mixed-methods explanatory sequential design was adopted. The population comprised 16,550 students
enrolled in nursing and allied health institutions in Cross River State. A sample of 1,200 respondents was selected using
multistage sampling techniques. Data were collected using the Gender and Nursing Career Conversion Questionnaire
(GNCCQ) and semi-structured interview schedules. Quantitative data were analysed using descriptive statistics,
independent t-test, chi-square, and multiple regression analysis, while qualitative responses were analysed thematically.
Findings revealed a significant gender gap between nursing career interest and actual enrolment, with male students
demonstrating lower conversion rates despite expressing moderate interest in nursing careers. Institutional image, parental
expectations, perceived social prestige, counselling exposure, and gender stereotypes significantly predicted enrolment
decisions. Regression analysis showed that counselling support and institutional climate jointly explained 48.6% of variance
in enrolment conversion. Qualitative findings indicated persistent perceptions of nursing as a predominantly female
profession. The study concludes that addressing gendered career conversion gaps requires integrated counselling
interventions, public awareness campaigns, institutional reforms, and gender-inclusive recruitment policies.
Recommendations are made for educational plans, nursing councils, and policymakers. career conversion gap, enrolment
decisions, health workforce, counselling, Cross River State.
References :
- American Nurses Association. (2023). Nursing workforce report.
- Buerhaus, P. I., Auerbach, D. I., & Staiger, D. O. (2022). Nursing workforce trends. Health Affairs, 41(3), 421–429.
- Cross River State Ministry of Health. (2024). Health workforce statistics report.
- Emeghebo, L. (2021). Gender issues in nursing profession. Nursing Outlook, 69(4), 555–561.
- Fawaz, M., & Hamdan-Mansour, A. (2020). Male nurses in healthcare systems. Journal of Nursing Management, 28(5), 1001–1008.
- Federal Ministry of Health. (2023). National nursing workforce policy.
- Iloh, G., & Amadi, A. (2021). Career choices among Nigerian adolescents. Nigerian Journal of Educational Research, 19(2), 88–101.
- International Council of Nurses. (2024). State of the world’s nursing report.
- Johnson, M., & Rea, R. (2020). Gender stereotypes in nursing. Journal of Advanced Nursing, 76(7), 1540–1549.
- National Universities Commission. (2024). Health education enrolment statistics.
- Nwankwo, C., & Eze, P. (2023). Career counselling and professional choice. African Journal of Guidance and Counselling, 15(1), 44–59.
- Okafor, P., & Ezeani, C. (2022). Determinants of nursing career selection. Nigerian Journal of Nursing Education, 14(2), 112–125.
- Oyetunde, M., & Nkwonta, C. (2021). Nursing education in Nigeria. West African Journal of Nursing, 32(1), 23–35.
- World Health Organization. (2024). Global strategic directions for nursing and midwifery.
- Yusuf, A., & Bello, M. (2023). Gender and professional identity formation. African Educational Review, 18(4), 301–317.
- Zhang, Y., & Tu, J. (2022). Career decision-making among health sciences students. Nurse Education Today, 113, 105363.
Consistent gender disparities in nursing education have generated concerns regarding workforce sustainability,
diversity, and equitable participation in healthcare professions. While nursing remains one of the most sought-after healthrelated careers among young people, evidence suggests that expressed interest does not always translate into actual
enrolment, particularly among male candidates. This study investigated gendered career conversion gaps in nursing
education across nursing and health training institutions in Cross River State, Nigeria. Specifically, the study examined
disparities between career interest and enrolment, institutional influences on career decisions, counselling support
mechanisms, socio-cultural determinants, and the implications of enrolment patterns for future health workforce
development. A mixed-methods explanatory sequential design was adopted. The population comprised 16,550 students
enrolled in nursing and allied health institutions in Cross River State. A sample of 1,200 respondents was selected using
multistage sampling techniques. Data were collected using the Gender and Nursing Career Conversion Questionnaire
(GNCCQ) and semi-structured interview schedules. Quantitative data were analysed using descriptive statistics,
independent t-test, chi-square, and multiple regression analysis, while qualitative responses were analysed thematically.
Findings revealed a significant gender gap between nursing career interest and actual enrolment, with male students
demonstrating lower conversion rates despite expressing moderate interest in nursing careers. Institutional image, parental
expectations, perceived social prestige, counselling exposure, and gender stereotypes significantly predicted enrolment
decisions. Regression analysis showed that counselling support and institutional climate jointly explained 48.6% of variance
in enrolment conversion. Qualitative findings indicated persistent perceptions of nursing as a predominantly female
profession. The study concludes that addressing gendered career conversion gaps requires integrated counselling
interventions, public awareness campaigns, institutional reforms, and gender-inclusive recruitment policies.
Recommendations are made for educational plans, nursing councils, and policymakers. career conversion gap, enrolment
decisions, health workforce, counselling, Cross River State.