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SOCI 3615 (1)
Chapter 4

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SOCI 3615
Stephen Bosanac

Chapter #4 Nursing’s Journey from semi- professional to professional Introduction - Q: how nurses went from semi-professional occupation to a profession and issues that still remains within this “pink profession”? - Research shows that women predominantly occupy the “subordinate(lower ranked)” positions in the field - Originally “profession” were reserved for occupations based on expert knowledge, autonomy, self regulation, monopoly, and a service orientation for the good of the public. - Men in nursing comprise a small percentage of professional nurses in north America o Male nurses do the same amount of work as females but they are over represented in administrative positions o Wages and seniority between men and women only differ by a little, however men are more likely to advance into highly visible areas EX. Emergency department, intensive care units or managers - 2 common inferences about men in nursing is homosexuality and that they choose nursing b/c they failed to become physicians (Gender discrimination) - Eliot Friedson o Health care occupations are part of a coordinated division of labour, discipline function together around patients within the hospital system o Not autonomous o Nurses struggle to claim a set of tasks with clearly defined boundaries that are stable from one circumstances to another and performed exclusively by those with special training - Hospitals are no longer assigned the task of educating and training nurses, but they still have a voice in nursing practice when it comes to nurses working in acute care - Nurses working within the hospital have little autonomy and must work according to the mandate set by the employer Pink collar work - Basically “women” work = pink collar work - Occupation culture guides and interprets the tasks and social relations of work - Occupation culture becomes the determinant of our social identity, self conception, and social status of ppl working - When women entered into the occupation of nursing, it’s the hospital bureaucracy( authorities), not nursing that controlled nursing positions - Work under the direction of physicians, they give orders to the nurse - “pink collar ghetto” a saying used to describe traditionally dominated by women EX. Teaching, nursing, early childhood ed., daycare ETC o All have implications and poor employment conditions o The excuse for putting women under these low paid jobs were that they were better at care giving, intuitive or communicative jobs o Pink collar work = nonprofessional , at best they were delegated to semi- professional status - Sexism in the hospital family o nursing has been influenced by the social conception of the nature of women o Sexist and paternalistic attitudes persists in the training nurses receive, hence the resentment that nurses have towards work o Del Bueno saw power as an important variable and must be accepted , understood and used by nurses  This power has been used by nurse leaders to transform nursing from semi- professional occupation to one which can be labelled professional The Florence nightingale pledge: A foundation of Semi-professionalism - Present day nursing developed out of the tradition of nightingale  Pledge READ PLEDGE from pg 102 - Pledge highlights the values that the leaders in nursing from the time of Nightlingale provided their members in terms of ethical behaviour, which is still part of the value system in nursing - It also shows religious ties and the devotion that nurses must have toward physician and their patients - When lay people are asked to evaluate the role of stall nurses in health care, they rely on information from mass media - Public still perceive nurses as doing what the physician says, basically the nurse as a sidekick - Nursing was seen as women’s work, and the term “profession” was reserved for male- dominated professions - Role of nurse , idealized in terms of legal, ritual, moral , and mothering characterizations How nurses perceive their occupation - Inside hospitals, staff nurses who feel oppressed will continue to feel the pressure of heavy workloads, the change in gov’t policies and funding, the lack of real input into hospital policies that influences their work and the issues of gender, race, class, albeism, heterosexualism, and entrenched hierarchies of hospital life More credentials: A way to professionalism - Nurses were initially trained in hospital schools of nursing where students worked as unpaid labour for room, board, training and small stipend o Now shifted to universities and colleges - Move to universities for nursing education was to provide a new context for learning that would ground nursing as a science and an art distinct from medicine - Curricula could be controlled by college of nurses (CNO) that provides standard exams and nurses will be taught non me
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