Class Notes (839,559)
Canada (511,394)
Sociology (2,104)
Rhona Shaw (23)
Lecture

Week 10 - Nursing Profession.docx

9 Pages
131 Views

Department
Sociology
Course Code
SOCIOL 3G03
Professor
Rhona Shaw

This preview shows pages 1,2 and half of page 3. Sign up to view the full 9 pages of the document.
Description
• Nursing Profession • nursing is – A gendered occupational ghetto for women – Is subordinated to the medical profession • nurses make up approx. 2/3’s of all medical care­givers – Approximately 90% of all workers in nursing are women nd – 2  female concentrated occupation is clerical work • small but growing number of men now working as nurses, however are over­represented in: – psychiatry – critical care – emergency – administration • Development of the Practice of Nursing • early nursing a private affair • usually performed by unpaid family member or paid family helper – Was part of the domestic economy – Linked to women’s roles as care­takers, nurturers – early founder of professional nursing (1860) – Florence Nightingale – stated that  “every woman is a nurse”  • Argued that women should not aspire to be doctors – Because nursing meshed with women’s “natural” abilities  • Development of Nursing • Nightingale envisioned genteel nurses – running hospitals as domestic managers – but who were to be completely supportive of & subordinate to the docs • Doctors were analogous to male heads of household • nurses were expected to be – Deferential, nurturing and submissive – while at same time taking an active role in patient’s care • study (1960’s) Doctor – nurse game – found series of strategies used by nurses to communicate their recommendations to docs  – but w/out appearing to do so • Development of Nursing • also found strategies used by docs asking for nurses recommendations w/out appearing to do so – (we will discuss this during week 11 – next week) • although recent studies show nurses to be more assertive than before 1960s: – Changes in doctor­nurse relationship occurred more in nurses behaviour than doctors – Emphasis on womanly qualities remains an ideological hindrance to professional  recognition  – this lead nurses to seek a distinctive way of relating to patients • Are expected to care – do emotion work • this in contrast to impersonality of biomedical model – 4 Approaches to Critical Research on Nursing Work • 1. Patriarchal/sexist nature of work – And the nurses’ location within medical labor force • 2. Impact of managerial evolution in nursing practice • 3. impact of hospital bureaucracy on – the working lives of nurses – & on patient outcomes • 4. impact of cutbacks on nos. of nurses • & safety & quality of nursing work • we will look at approaches 1 & 2 • Patriarchy/Sexism • sexism systemic in medical work place – Organizational structures based on gender hierarchy • There is a gendered division of labour • until recently (1970s), docs have traditionally have been male – & nurses female – Sexuality of male nurses suspect – except if in more masculine domains (involved physicality) • the role of the nurse is closely connected to – Cultural ideas, values and beliefs about the nature of women – & women’s social roles • to care physically & emotionally for others • Patriarchy/Sexism • From the very beginning nurses were to be subservient to doctors • a powerful ideology existed that nursing was a calling – only a certain type of woman was suited to work as a nurse – Nursing one of a few respectable occupations for women – seen as an appropriate preparation for marriage – did not challenge cultural norms of women’s work • Also powerful is the notion that the ability to provide caring nursing is innate – it cannot be taught or learned  – this idea remains today – only certain personality types make good nurses • Patriarchy/Sexism • thus various aspects of a woman’s character important to good nursing care & should include the  traits of: – selflessness – Devotion to others – Obedience to those in authority • entrance requirements of nursing schools included an interview in which these characteristics  were evaluated – To be a nurse a woman had to be successful at being a woman – A woman’s moral character was always under scrutiny  – there could be no sex scandals • student­nurses were expelled from school, nurses fired – curfews & strict hemlines were enforced – however, image of sexy nurse popular • Patriarchy/Sexism • however, women not w/out power ­ worked around these issues  – Used their feminine “wiles” to their advantage when dealing with male doctors and  administrators – some used their femininity/sexuality & charms – others used deference  – however,  “It all ended with pantsuits.” (1970s) • systemic sexism also noted in the behaviours & relships between nurses & docs & is reflected in: – Significant differences in pay – authority – responsibility – Prestige of occupation – & working conditions • Patriarchy/Sexism • docs have an advantage over nurses in all respects – Even if doctors are incorrect in their diagnosis or treatment, nurses are not allowed to  correct them – this seen as insubordination • Impact of Managerial Work • Majority of nurses work in hospitals • majority do shift work – work hours are rigid rather than flexible – work either 8hr or 12hr shifts • Are limits to what kind of work nurses can do – types of procedures – taking blood, blood pressure – work is repetitious & time consuming – decision making powers limited – doctors determine • Historically nurses were paid low wages (1971­1987) – pay raises failed to keep apace of cost of living – starting salary for RN in hospital setting $50,000 • ceiling is around $80,000 – is less for non­hospital nurses ­ $42,000 ($21.75/hr) • Impact of Managerial Work • Work environments are also dang
More Less
Unlock Document

Only pages 1,2 and half of page 3 are available for preview. Some parts have been intentionally blurred.

Unlock Document
You're Reading a Preview

Unlock to view full version

Unlock Document

Log In


OR

Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


OR

By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.


Submit