Download Nursing in Conflict by Patricia Owens, Howard Glennerster PDF

By Patricia Owens, Howard Glennerster

An exploration of nurse administration features after the Griffiths proposals. The North West Thames neighborhood well-being Authority funded the study for this learn, and the guidance Committee was once curious about an advisory potential.

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Sample text

Nurses' relationships with doctors are to some extent conditioned by the sexual division of labour, which in the past was basically a nurse/female and doctor/male dyad. The development of this pattern was a reflection of Victorian social values that upheld patriarchal control of the family. The family relationships between men and women were transferred into the health care environment. Women were 'mothers' and, by the same token, 'carers'. There is almost a biological determinism in the assumptions that lie behind these stereotypes.

The regulations that insisted on living-in training reduced the number of elderly widows and married women in the profession. Consequently, the average age of nurses fell and the loss of older women contributed to growing shortages. Internal tensions 33 Throughout the 1920s and 1930s these shortages continued and became a permanent feature of the Service. Then, as now, a large part of care was actually undertaken by un-registered nurses. This was partly because developments in medicine made increasing demands for nursing care.

Many observers would not have been so surprised. The nursing unions had been pressing for a major package ofchanges, not merely higher pay but educational The external environment 23 reform, a better working environment, more supportive management, the provision of child care facilities, better differential career prospects, and more mature students with special entrance requirements (Hildrew, 1987a}. The Fifth Report of the Review Body for Nursing Staff (1988) endorsed much of this case. In 1987, Regional Health Authority Chairmen reported on a study of nursing vacancies.

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