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Sociology for Nurses
Second Edition

I. Clement
Principal
VSS College of Nursing
Bangalore, India

Chennai • Delhi

A01_SOCIOLOGY_FOR_NURSES_5269_A01.indd 1 6/10/2014 10:36:29 AM


No part of this eBook may be used or reproduced in any manner whatsoever without the pub-
lisher’s prior written consent.

Copyright © 2015 Dorling Kindersley (India) Pvt. Ltd.

This eBook may or may not include all assets that were part of the print version. The publisher
reserves the right to remove any material in this eBook at any time.

ISBN 978-93-325-2526-9
eISBN 978-93-325-4067-5

First Impression

Head Office: 7th Floor, Knowledge Boulevard, A-8(A) Sector 62, Noida 201 309, India.
Registered Office:11 Community Centre, Panchsheel Park, New Delhi 110 017, India.

SOCIOLOGY_FOR_NURSES_Copyright Page.indd 1 9/1/2014 11:29:17 AM


Brief Contents
Preface xv
About the Author xvii

Chapter 1 Introduction to Sociology 1


Chapter 2 Sociology and Nursing 30

Chapter 3 Man, Society, and Environment 45

Chapter 4 Primary Concepts in Sociology 79

Chapter 5 Social Process 102

Chapter 6 Culture 129

Chapter 7 Population 153

Chapter 8 Social Groups 176

Chapter 9 Marriage and Family 209

Chapter 10 Rural Communities in India 252

Chapter 11 Urban Communities in India 275

Chapter 12 Social Stratification 295

Chapter 13 Social Mobility 318

Chapter 14 Race 330

Chapter 15 Social System 347

Chapter 16 Social Organization 362

Chapter 17 Social Disorganization 375

Chapter 18 Social Problems 391

Chapter 19 Social Control 504

Chapter 20 Social Change 534

Index 557

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A01_SOCIOLOGY_FOR_NURSES_5269_A01.indd 4 6/10/2014 10:36:29 AM
Contents
Preface xv
About the Author xvii

CHAPTER 1 Introduction to Sociology 1


1. Introduction 1
2. Origin of Sociology 2
3. Nature of Sociology 5
4. Scope of Sociology 6
5. Sociology as a Science 7
6. Functions of Sociology 11
7. Sociology and Other Sciences 12
8. Medical Sociology 17
9. Hospital Sociology 18
10. Socio-Cultural and Economic Aspects in Sociology 19
11. Methods of Sociology 20
12. Social Survey 22
13. Fields of Sociology 24
14. Importance of Sociology 25
Chapter Highlights 27
Exercises 27
Answers 29
References 29

CHAPTER 2 Sociology And Nursing 30


1. Introduction 30
2. Sociological Aspects of Nursing 31
3. Need for Sociology in Nursing 31
4. Importance of Sociology in Nursing 33
5. Scope of Sociology in Nursing 34
6. Uses of Sociology in Nursing 37
7. Nursing Application of Sociology in Different Fields: Other
Fields of Sociology 39
Chapter Highlights 42
Exercises 42
Answers 43
References 43

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vi | Contents

CHAPTER 3 Man, Society, And Environment 45


1. Introduction 45
2. Theories of Man and Society 46
3. Nature of Society 48
4. Relation between Society and Individual 51
5. Relation between Society and Community 52
6. Brief Review of Growth and Development 53
7. Rights and Responsibilities of the Individual 54
8. Personal Disorganization 58
9. Socialization Process 60
10. Individualization 63
11. Environment and Health 64
12. Effects of Environmental Health on Man 66
13. Protecting Health from Climate Change 69
14. Protecting Man’s Health from Climate Change 71
15. Nurses’ Role after Learning about Man, Society,
and Environment 74
Chapter Highlights 75
Exercises 75
Answers 77
References 77

CHAPTER 4 Primary Concepts In Sociology 79


1. Introduction 79
2. Society 80
3. Community 84
4. Association 89
5. Institution 91
6. Organization 94
7. Social Structure 95
8. Social System 96
Chapter Highlights 99
Exercises 99
Answers 100
References 101

CHAPTER 5 Social Process 102


1. Introduction 102
2. Forms of Social Process 102
3. Cooperation 104
4. Accommodation 106

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Contents | vii

5. Assimilation 110
6. Conflict 113
7. Competition 118
8. Isolation 124
Chapter Highlights 125
Exercises 126
Answers 128
References 128

CHAPTER 6 Culture 129


1. Introduction 129
2. Classification of Cultures 130
3. Characteristics of Culture 132
4. Nature of Culture 134
5. Relation between Culture and Civilization 134
6. Difference between Culture and Civilization 135
7. Cultural Diversity 136
8. Components of Culture 137
9. Cultural Growth 140
10. Evolution of Culture 141
11. Need of Culture in Man 142
12. Cultural Variability 142
13. Functions of Culture 143
14. Influence of Culture on Health and Illnesses 144
15. Role of Nurses in Cultural Practices 147
Chapter Highlights 148
Exercises 149
Answers 152
References 152

CHAPTER 7 Population 153


1. Introduction 153
2. Society and Population 154
3. Population Factors and Social Structure 155
4. History and Theory of Population Growth 156
5. Demography 158
6. Population Control 161
7. Causes of Population Growth 163
8. Population Explosion 164
9. Population Distribution in India 166
10. Population Health 167
11. Family Welfare Programme 171

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viii | Contents

Chapter Highlights 173


Exercises 173
Answers 174
References 175

CHAPTER 8 Social Groups 176


1. Introduction 176
2. Characteristics of Social Groups 178
3. Classifications or Types of Social Groups 180
4. Group Cycle, Group Morale, and Group Behaviour 181
5. Primary, Secondary, and Quasi Groups 183
6. Gemeinschaft and Gesellschaft 187
7. Reference Groups 188
8. In-Group and Out-Group 189
9. Clan/Sib 189
10. Tribe 193
11. Crowd 196
12. Public 197
13. Audience 199
14. Mob 201
15. Economic Groups 202
16. Political Groups 203
17. Religious Groups 203
Chapter Highlights 204
Exercises 205
Answers 207
References 207

CHAPTER 9 Marriage and Family 209


1. Introduction 209
2. Forms of Marriage 211
3. Endogamy 212
4. Exogamy 214
5. Polygamy 215
6. Polyandry 217
7. Polygyny 218
8. Monogamy 218
9. Inter-Caste Marriage 220
10. Marriage Legislation and Family Problems in India 220
11. Marriage–Health Connection 223
12. Effects of Marital Status on Health 224

A01_SOCIOLOGY_FOR_NURSES_5269_A01.indd 8 6/10/2014 10:36:29 AM


Contents | ix

13. Family 225


14. Family as a Unit for Health and Other Services 230
15. Joint Family 234
16. Modern Family 239
17. Nuclear Family 243
18. Blended and Extended Family 246
Chapter Highlights 247
Exercises 248
Answers 251
References 251

CHAPTER 10 Rural Communities In India 252


1. Introduction 252
2. Characteristics of Indian Villages 252
3. Importance of Villages in India 255
4. Factors Shaping the Growth of Village Communities 256
5. Rural Health 259
6. Changes in Rural Life 262
7. Rural Reconstruction Programmes 264
8. Special Programmes 265
9. Community Development Programme 265
10. Twenty-Point Programme 266
11. Panchayati Raj: Democratic Decentralization 267
12. Health Facilities in Rural Society 269
13. Rural Health-Care Delivery System 270
14. National Rural Health Mission 271
Chapter Highlights 272
Exercises 272
Answers 274
References 274

CHAPTER 11 Urban Communities In India 275


1. Introduction 275
2. Urbanization 276
3. Classifications of Cities 276
4. Characteristics of Urban Communities 277
5. Features of Urban Communities 280
6. The Regional Community 281
7. Cities and Their Growth 282
8. Urban Social Problems 283

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x | Contents

9. Social Effects of Urbanization 286


10. Slums 287
11. Impact of Urbanization on Health 288
12. National Urban Health Mission in India (Nuhm) 290
Chapter Highlights 291
Exercises 291
Answers 293
References 293

CHAPTER 12 Social Stratification 295


1. Introduction 295
2. Caste System 300
3. Changes in the Caste System 306
4. Jajmani System 309
5. Social Class System 310
6. Untouchability and Discrimination 313
7. Caste and Health 313
Chapter Highlights 314
Exercises 314
Answers 317
References 317

CHAPTER 13 Social Mobility 318


1. Introduction 318
2. Meaning of Social Mobility 318
3. Classifications or Types of Mobility 319
4. Systems of Social Mobility 320
5. Structural and Individual Mobility 320
6. Factors Influencing Mobility 321
7. Dimensions of Social Mobility 322
8. Determinants of Social Mobility 323
9. Importance of Social Mobility 324
10. Changes in Mobility 325
11. Health and Social Mobility 326
Chapter Highlights 327
Exercises 327
Answers 328
References 329

CHAPTER 14 Race 330


1. Introduction 330
2. Meaning of Race 330

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Contents | xi

3. Kinds of Races 331


4. Race as a Biological Concept 332
5. Races in India 333
6. Unesco’s Concept of Race 333
7. Characteristics of Race 334
8. Racism 337
9. Ethnicity 338
10. Minorities 340
11. Race and Diseases 342
12. Ethnic Health Inequalities 343
Chapter Highlights 344
Exercises 344
Answers 346
References 346

CHAPTER 15 Social System 347


1. Introduction 347
2. Definition of Social System 348
3. Meaning of Social System 348
4. Units of Social System 349
5. Elements of Social System 349
6. Status 350
7. Characteristics of Status 351
8. Classifications of Status 351
9. Importance of Social Status 353
10. Classifications of Social System 355
11. Status and Office 355
12. Status Comparison 356
13. Role 356
14. Influence of Social Status on Health 358
Chapter Highlights 358
Exercises 359
Answers 361
References 361

CHAPTER 16 Social Organization 362


1. Introduction 362
2. Meaning of Social Organization 363
3. Characteristics of Social Organization 363
4. Elements of Social Organizations 364
5. Social Organization and Social Group 365
6. Features of Social Organization 365

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xii | Contents

7. Types of Social Organizations 366


8. Relationship between Formal and Informal Organizations 367
9. Differences between Formal and Informal Organizations 368
10. Voluntary Social Health Agencies 368
11. Role of Individuals in Organizations 371
12. Role of Social Welfare Organizations in Maintaining Health 371
Chapter Highlights 372
Exercises 372
Answers 374
References 374

CHAPTER 17 Social Disorganization 375


1. Introduction 375
2. Meaning of Social Disorganizations 376
3. Nature of Social Disorganizations 377
4. Causes of Social Disorganization 378
5. Characteristics of Social Disorganization 381
6. Social Disorganization Process 381
7. Factors of Social Disorganizations 382
8. Symptoms of Social Disorganization 384
9. Approaches to the Study of Social ­Disorganization 385
10. Difference between Social Organization
and Disorganization 385
11. Deviance and Disorganization 386
12. Personal Disorganization 387
13. Personal Disorganization
and Social Disorganization 388
14. Social Pathology 388
Chapter Highlights 388
Exercises 388
Answers 390
References 390

CHAPTER 18 Social Problems 391


1. Introduction 391
2. Poverty 394
3. Illiteracy 398
4. Food Supply 400
5. Housing Problems 403
6. Prostitution 406

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Contents | xiii

7. Rights of Women 411


8. Women Abuse 424
9. Unmarried Mothers 428
10. Rights of the Child 429
11. Vulnerable Group: The Elderly 433
12. Vulnerable Group: The Handicapped 439
13. Child Labour 443
14. Child Abuse 449
15. Juvenile Delinquency 456
16. Crime 463
17. Substance Abuse 469
18. Hiv/Aids 475
19. Dowry System 484
20. Alcoholism 489
21. Unemployment 494
Chapter Highlights 498
Exercises 498
Answers 502
References 502

CHAPTER 19 Social Control 504


1. Introduction 504
2. Meaning of Social Control 505
3. Purposes of Social Control 505
4. Essentials of Social Control 506
5. Development of the Concept of Social Control 507
6. Need for Social Control 508
7. Types of Social Control 510
8. Application of Social Control Theory 511
9. Customs 512
10. Tradition 516
11. Folkways 517
12. Norms 520
13. Mores 522
14. Law 525
15. Education 527
16. Deviance 529
17. Influence of Social Control on Health Behaviours 530
Chapter Highlights 531
Exercises 531
Answers 533
References 533

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xiv | Contents

CHAPTER 20 Social Change 534


1. Introduction 534
2. Meaning of Social Change 535
3. Nature of Social Change 535
4. Difference between Social Change and Cultural Change 536
5. Factors Involved in Social Change 537
6. Factors of Social Change in India 539
7. Cultural Lag and Social Change 539
8. Theories of Social Change 540
9. Concepts of Evolution, Development, and Progress 542
10. Social Development 543
11. Social Progress 544
12. Impact of Technological Change 545
13. Social Movement Types 548
Chapter Highlights 552
Exercises 553
Answers 554
References 554

Index 557

A01_SOCIOLOGY_FOR_NURSES_5269_A01.indd 14 6/10/2014 10:36:29 AM


Preface
It gives me immense pleasure to write the second edition of this book on sociology, which was
my long run aim, and it has been fulfilled today. I thank my God who has given me the strength
and the willpower to complete the task. Through this book, I would like to transfer my ideas to
the nursing community to become a successful nurse in the society.
Sociology is a branch of science that deals with social functions of the society. It is important
for every nursing student to understand and learn sociology because society is composed of
people living with diverse culture, thoughts, beliefs, customs, and taboos. Once a nurse learns
about different societal patterns of living, it becomes easy for the nurse to get the cooperation
from that particular people in the society. Therefore, a nurse learns how to respond to their needs
and accomplish the nursing care as they encounter those people in their nursing care setting.
Basically, sociology helps the nurse to understand the interaction between the man, society,
and environment in detail, where the nurse can act as a mediator to balance the equilibrium
between man, society, and environment in aspects of providing complete health care for healthy
living. The ultimate aim is to prepare a nurse to attain different role as a good communicator,
social researcher, counsellor, and care giver in the society in order to prevent illness and to
promote and restore health of the people in the society.
Today’s people and their view on expected nursing care has been changed, and they expect
high quality patient-oriented care from every nurse. Therefore, the nurse should be well pre-
pared before they provide care to the people in the society. This book will definitely help those
students to gain in-depth knowledge about the societal functions, existing social problems in the
society, social process, social stratification, social process, primary concepts of sociology, race,
urban and rural communities, social mobility, social control, and so on.
This revised second edition on Sociology for Nurses spans twenty chapters. The chapters
are explained and enriched with suitable diagrams, and the contents are illustrated in lucid
language. The chapters are appended with thought provoking and interesting multiple choice
questions. Moreover, the contents of this book are redesigned as per the requirements of Indian
Nursing Council, and therefore, students studying all types of courses in nursing such as general
nursing, bachelors, and even masters can use this book as a guide. I am sure whoever reading
this book will definitely attain good marks and also develop good attitude towards the people
in the society.
I wish the students my best wishes!

Acknowledgements
I am thankful to the Lord Almighty, who strengthens me with His abundant blessings through
innumerable means, helping me in all my accomplishments.
I am indebted to Shri. Sommana, former minister of Karnataka and chairman of the VSS
group of institutions, Bangalore, for his constant support and encouragement.

A01_SOCIOLOGY_FOR_NURSES_5269_A01.indd 15 6/10/2014 10:36:29 AM


xvi | Preface

I am grateful to my guru B.T. Basavanthappa, Principal, Rajarajeshwari College of Nursing,


Bangalore, and P.V. Ramachandran, Chairman, College of Nursing, Sri Ramachandra Univer-
sity, Chennai—a great philosopher and an internationally renowned teacher of nursing—who
helped me to discover the world of knowledge.
I honor-bound to acknowledge the help and encouragement provided by Ms Shylaja
­Sommana, Managing Director, Dr B.S. Arun, Dr B.S. Naveen and Ms Divya of the VSS group
of institutions. I am also obliged to Dr B.C. Bhagavan, Professor, Department of Surgery, Kem-
pegowda Institute of Medical Sciences, Bangalore, and Dr Ashwathnarayan, MLA, and Chair-
man of the Padmashree group of institutions, Bangalore.
I appreciate the support rendered by Dr T.V. Ramakrishnan, Professor of ­Anesthesiology
and Head of Clinical Services, Department of Accident and Emergency Medicine,
Sri ­Ramachandra ­University, Chennai, Dr Jeyaseelan Manickam Devadasan, Dean,
Dr Tamilmani, Principal, Prof. Jessie ­Sudarsanam, Head, Department of Medical Surgical
Nursing, Annai JKK Sampoorani Ammal College of Nursing, Komarapalayam and the good
wishes of all my teachers and students.
Special thanks are due to Ms Dheepika, Mr Balakrishnan and all staff members of Pearson
Education who worked to bring out this book to ­fruition.
Finally, I thank my beloved parents, brothers and sisters, and my wife Nisha Clement
for their continuous support and constant encouragement in each step of my life. I take this
­opportunity to thank my little ones, Cibin, Cynthia and Cavin and my beloved friend and brother
Regi T. Kurien.

I. Clement

A01_SOCIOLOGY_FOR_NURSES_5269_A01.indd 16 6/10/2014 10:36:29 AM


About the Author
I. Clement is Principal, VSS College of Nursing, Bangalore. An
­erudite scholar with PG diploma in hospital administration and
­postgraduate degree in the fields of nursing, sociology, childcare
and education, he is a recipient of the coveted Florence Nightingale
Award for nursing in 2013. He is an eminent author with a flair
for enhancing the cause of education in nursing and allied sciences.
He has contributed articles to Nightingale Nursing Times, Nurses of
India, The Journal of Christian Medical Association of India, and
Asian Journal of Cardiac Nursing.
Clement is a life member of Trained Nurses Association of India,
Christian Medical Association of India, Indian Hospital Association,
­Indian Society of Psychiatric Nurses, Asian Association of Cardiac Nurses, Indian Red Cross
­Society, National Research Society of India and Indian Society of Medical Surgical ­Nursing.
He has organized many workshops and conferences and presented research and scientific
papers at various conferences and workshops. An avid reader keen to be abreast of contem-
porary nursing practices, he is currently member of the national editorial advisory board for
International Journal of Practical Nursing, New Delhi.

A01_SOCIOLOGY_FOR_NURSES_5269_A01.indd 17 6/10/2014 10:36:30 AM


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