THE CHANGING SHAPE OF NURSING PRACTICE The role of nurses in the hospital division of labour 1st edition by Davina Allen 9781134605958 1134605951

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ISBN 10: 1134605951
ISBN 13: 9781134605958
Author: Davina Allen

Bringing together sociological theories and nursing practice this text develops a dynamic conceptualisation of the nursing role which is rooted in the work setting. It looks at the factors which have shaped nursing work in the past and those which are likely to shape it in the future. Nurses’ work is changing in two respects: the place nursing occupies in the health care division of labour and the routine shifting of work boundaries that nurses experience in their daily work. Drawing on her detailed observations of the reality of nursing work in a district general hospital, Davina Allen explores these linked themes, focussing on five key work boundaries: *nurse:doctor *nurse:manager *nurse:support worker *nurse:patient *nurse:nurse The text provides new insight into many of the tensions and dilemmas nurses routinely face and the processes and constraints through which their work is fashioned. It offers a new way of thinking about the nursing role which is particularly relevant at a time when the scope of nursing practice is expanding and when the integrated approach to health and social care is seen as the key to provision and improved services.

THE CHANGING SHAPE OF NURSING PRACTICE The role of nurses in the hospital division of labour 1st Table of contents:

1. Professionalism and Managerialism

• Nursing and the New Managerialism
• Nursing and the New Professionalism
• Historical Antecedents
• The New Professionalism and the New Managerialism: Tensions and Convergence
• Summary and Conclusions

2. Conceptualizing the Nursing Role

• The Division of Labour As Social Ecology
• Gender, Work and Nursing
• The Division of Labour As Social Interaction
• Summary and Conclusion

3. The Study

• Guiding Assumptions
• The Hospital
• The Wards
• Negotiating Access
• Data Generation
• Data Management and Analysis
• Ethical Considerations
• Concluding Comments

4. The Intra-Occupational Division of Labour

• The Nurses
• Organizing Nursing Work At Woodlands
• Negotiating the Intra-Occupational Division of Labour On Treetops
• Fernlea Ward – A Comparison
• Understanding the Strains?

5. The Nurse–Support Worker Boundary

• The Nurse–Support Worker Boundary At Woodlands: An Overview
• Accomplishing the Limits of the Support Worker Role: The ‘Boundary-Work’ of Nurse Managers
• Accomplishing the Nurse–Support Worker Boundary On the Wards
• Discussion

6. The Nurse–Management Boundary

• The View from the Wards
• The View from Nurse Management
• Conclusions

7. The Nurse–Doctor Boundary

• The Changing Medical–Nursing Boundary At Woodlands: An Overview
• Accomplishing Policy Change: The ‘Boundary-Work’ of Medical and Nurse Managers
• Accomplishing the Medical–Nursing Boundary On the Wards
• Making Sense of Nurses’ Non-Negotiated Boundary-Blurring

8. The Nurse–Patient Boundary

• Changes In the ‘Technical Division of Labour’ Between Nurses and Patients
• Exploring the Limits of Change: Negotiating the ‘Moral Division of Labour’ Between Nurses and Patients
• Conclusions

9. Conclusions

• Doing Nursing At Woodlands Hospital
• The Future Shape of Nursing Work?

Notes

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