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Chapter 13

HLTHAGE 1AA3 Chapter Notes - Chapter 13: Rein, Forceps, Postpartum Infections

Health, Aging and Society
Course Code
Elena Neiterman

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Chapter 13: Nurses and Midwives in the Charging Health-Care System
Nursing The Historical Context:
-refer to page 327
Nursing Today Issues of Sexism, Managerial Ideology, Hospital Organization, and Cutbacks:
Doctors have usually been men and nurses have usually been women
Both historically and today, nursing refers both to a mother’s action in suckling or breastfeeding
her baby and to the act of caring for the sick
Since the earliest nurses were nuns, nurses have long been called sisters
The few men who train or are educated to e nurses usually end up moving up the administrative
This sexism in ideology is reflected in differences in pay, authority, responsibility, prestige and
working conditions between men and women
Physicians have the advantage over nurses in all of these respects
Most nurses work shifts but the working conditions are problematic
-Managerial Ideology in Hospitals:
Managerial ideology assumes that it is the job of managers to run organizations as efficiently as
possible so as to provide adequate service at minimal cost
-Bureaucratic hospital organization:
Opportunity consists of the available career expectations, ambitions and goals, and the probability
of reaching these
Opportunities for nurses are lacking and the only way to get more is to work the way up the
Power is the capacity to mobilize resources
Cutbacks represent a grave threat to the public nature of the health-care sector and have had
significant effects on hospitals
According to Potter et al. (2003), as hours of nursing for the patient increase: the level of patient
pain decreases, the patient’s perceptions of self-care and health status increases and the patient’s
post-discharge satisfaction increases
A recent study done by McGillis Hall and Kiesners, has documented that nurses are currently
experiencing a great deal of job strain as a result of many factors especially overwork,
understaffing and excessive overtime
72% of nurses say they do not feel safe from assault at work
Nursing as a Profession:
-the shift to university training:
Nurses with a degree in nursing and additional training to a level at least parallel with a master’s
degree have been working as independent practitioners in many Western countries for many
Nurses are being encouraged through education to engage in critical thinking, independent
decision-making, research, and leadership
-taking over the work of the physician:
Nurses have taken over some of the dirty work of the physician such as monitoring blood pressure
and giving medication
-managerial ideology and nursing:
Managerial ideology applied to nursing has led to a multitude of divisions within the occupational
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