Abstract
This article is about improvisation, which is a term that nurses in Uganda employ to
 describe how they overcome the practical difficulties of working in an institutional
 setting, which lacks the necessary equipment, drugs and staff. On the basis of data
 from Tororo Hospital in Eastern Uganda, the article explores the meanings of the term
 improvisation, how it relates to a general discourse about the nursing profession, and
 how the nurses handle and make sense of a complex and contradictory work situation.
 Improvisation is a term that both makes customary nursing practice legitimate and
 supports a professional identity under pressure. It also articulates a nostalgic longing
 for better times – located both in the past, the golden age of nursing, and in the future
 since the term improvisation constructs current practice as an interim phenomenon.
 Thus, “improvisation” offers a way for the nurses to domesticate the contradictory
 forces, which play a prominent part in nursing in Uganda today.
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