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| Research article summary (published 27 Feb 2002): |
Working in and around the 'chain of command': power relations among nursing staff in an urban nursing home.
Full Abstract
By most accounts, the discipline of nursing enjoys considerable hegemony in US nursing homes. Not surprisingly, the ethos of this setting is influenced, in large part, by nursing's value system. This ethos powerfully impacts both the residents who live in nursing homes and the staff who work there. Using ethnographic methods, this project explored power relations among nursing assistants and nurses in an urban nursing home in the United States. Factors contributing to tensions among nursing staff were the stigma attached to nursing homes and those who work in them, as well as the long history of class conflict and power struggles within the discipline of nursing. The latter struggles, in turn, reflected nursing's quest for professional status in the face of medicine's hegemony over health-care. Ultimately, these factors coalesced to produce a local work environment characterized by conflict--and by aides' resistance to nurses' domination.
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Author information
Author/s: Jervis, Lori L (LL);
Affiliation: Department of Psychiatry, University of Colorado Health Sciences Center, Denver 80220, USA. lori.jervis@uchsc.edu
Journal and publication information
Publication Type: Journal Article; Research Support, Non-U.S. Gov't
Journal: Nursing inquiry (Nurs Inq), published in Australia. (Language: eng)
Reference: 2002-Mar; vol 9 (issue 1) : pp 12-23
Dates: Created 2002/08/07; Completed 2002/10/04; Revised 2006/11/15;
PMID: 12164709, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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