Medical Dominance in Nursing Education: Qualitative content analysis

  • Mahdi Moosaeifard
  • Kourosh Zarea
  • Masoud Sirati Nir
  • Mohammadreza Dinmohammadi
  • Abolfazl Rahimi
Keywords: Educational management, Dominance, Nursing education, Medical dominance, Qualitative content analysis, Discrimination


Background: Training specialist manpower requires social justice in higher education and inequality leads to the emergence of hierarchies of power and types of dominant or dominated groups. Aim: The aim of the present study was to explain the perceptions and experiences of the heads of nursing departments of Iranian nursing schools regarding medical dominance in nursing education. Methods: The present study was a conventional content analysis. Data collection was carried out using purposeful sampling and in-depth semi-structured interviews with 24 participants. The data analysis process was performed according to Graneheim and Lundman’s qualitative content analysis (2004).  Findings: Data analysis led to the emergence of the theme of "Medical dominance in nursing education" and the three main categories of “physician-centered university education", "weakened educational status", and "belittling nursing education in medical system”. Conclusion: The findings of the present study indicated that physicians enjoy special and superior position in the structure of the Ministry of Health and Medical Education of Iran. Physicians manage the entire system including medical education due to their greater power in managing the system at all micro and macro levels. Thus, other disciplines including nursing education, which are closely related to medicine, are highly ignored.

Author Biographies

Mahdi Moosaeifard

PhD Candidate in Nursing, Nursing and Midwifery School, Ahvaz University of Medical Sciences, Ahvaz, Iran

Kourosh Zarea

PhD in nursing, Associate professor, Nursing Care Research Center in Chronic Diseases, Ahvaz University of Medical Sciences, Iran.

Masoud Sirati Nir

Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Mohammadreza Dinmohammadi

PhD in nursing, Associate professor, Critical Care Nursing Department, Nursing  and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran. 

Abolfazl Rahimi

PhD Assistant Professor, Health Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Islamic Republic of Iran. Corresponding Author

Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

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