ABSTRACT
This chapter focuses on how nurses perceived discriminatory practices and structures, how they responded to them, and how these can have both positive and negative outcomes when resisting or entrenching discrimination. It explores Ghanaian nurses’ and midwives’ responses to these practices, and discusses how some responses to perceived racism entrench the marginalisation and exclusion of those affected. In order to understand how migrant nurses and midwives conceptualise their experiences in the workplace, one must first contextualise them in relation to their reasons for migration. For many nurses and midwives, the result of discrimination meant career stagnation. However, the effects of discrimination led to a lack of career progression, with the nurses and midwives having effectively become agents in their own marginalisation. The process of marginalisation can become self-sustaining as it feeds back into further alienation and demoralisation. Ghanaian-trained nurses and midwives who work in the NHS perceived discrimination in career progression, leading to alienation, demoralisation and disengagement.
