Changing Labour Process and the Nursing Crisis in Canadian Hospitals

White, Jerry

doi:10.1080/19187033.1993.11675412

Cited by 8 publications

(8 citation statements)

References 5 publications

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“…Nurses may be distancing themselves from their patients as a self‐preservation strategy because they are emotionally drained (Greenglass et al 2001, Cheung 1998, Williams 2001, Ekstedt & Fagerberg 2005, Watson 2006). A study by White (1999) found that nurses experience greater emotional exhaustion and poorer health than other professional groups. The nursing profession as a whole, and particularly managerial leaders, would be wise to consider innovative ways to help nurses reduce work pressures and avoid burnout.…”

Section: Implications For Nursingmentioning

confidence: 99%

Lamentation and loss: expressions of caring by contemporary surgical nurses

Enns

Gregory

2007

Journal of Advanced Nursing

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Section: Implications For Nursingmentioning

confidence: 99%

Lamentation and loss: expressions of caring by contemporary surgical nurses

Enns

Gregory

2007

Journal of Advanced Nursing

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“…A recent Canadian study for example, found that nurses experience greater emotional exhaustion and poorer personal health than other occupation groups (cited in Shamian, 2000). and in another Canadian study (White, 1999), a link was observed between this suffering and nurses' exodus from the workforce. In one Canadian province, that with the greatest reported 'shortage', it was observed that fully 30% of the total nursing population were voluntarily unemployed, suggesting that while there may be unmet demand at the microlevel of the hospital, there is no absolute shortage of nurses.…”

Section: The Harms Done To Nursingmentioning

confidence: 99%

A ‘quiet’ crisis in health care: developing our capacity to hear

Ceci

McIntyre

2001

Nursing Philosophy

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In this paper we suggest that it is a mistake to understand the current situation in nursing as primarily a problem of ‘shortage’, a problem which may be solved through supplying ‘more nurses, faster’. This way of thinking is understood as reflecting an invalidation of nurses and nursing and, by fostering false beliefs about nursing, as functioning to exacerbate rather than resolve the current situation. Unlike many mainstream conceptualizations of the current situation in nursing, we begin by understanding the experiences and concerns of nurses as meaningful. Feminist and hermeneutic philosophies, as well as Foucauldian perspectives on discourse, encourage us to take seriously the gender relations of power through which nursing comes to be articulated and to cultivate ways of thinking which can generate more productive analyses of the current situation in nursing. Rather than accepting instrumental understandings of nursing as adequate, we question the everyday beliefs and assumptions, the dominant discourses at work both in the world and in ourselves, which allow the suffering of nurses to be thought irrelevant and their concerns to remain unheard. We theorize both why the suffering of nurses can be considered irrelevant in this way and the difference it would make were we to take the experiences of nurses seriously. This undertaking requires that we reflect on that which constrains – and enables – the ways we are able to write, speak and think about nursing.

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“…The rising costs of care and the introduction of management paradigms from the for-profit sector have magnified these tensions for paid workers in hospitals. The introduction of patient classification systems standardizes the number of workers, the time needed, and the procedures required for particular types of patients, thus limiting nurses in their ability to care effectively for individuals (White, 2003). Care tasks have become more rigidly specified and limited in scope; a shift to the quantitative accounting of these tasks is used to justify staEng levels (Armstrong and Armstrong, 2003;Brannon, 1994;Browne, 2003a;Neysmith, 2000).…”

Section: Carework In Health Care Institutionsmentioning

confidence: 99%

“…Itemizing work into discreet tasks overlooks the way some aspects of care are best performed in relation to a broader scope of activities (Campbell, 2000); for example, patient assessment may be done while giving a bed bath. Expecting tasks to be performed within an average time fails to account for the variations in individual needs and unexpected circumstances (Armstrong and Armstrong, 2003;White, 2003). In addition, White (2003: 131) points out that there is no way of identifying emotional support provided to patients or families in most classification systems; thus no time is allotted for emotional support and the demands of this work are overlooked when staffhg levels are determined.…”

Section: Carework In Health Care Institutionsmentioning

confidence: 99%

Hospital Volunteers and Carework*

Mellow

2007

Canadian Review of Sociology

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L'auteure analyse les soins fournis par des bénévoles d'hôpitaux en utilisant des données d'entrevues, des descriptions de täches et des statistiques concernant les bénévoles de quatre hôpitaux d'Alberta, Canada. Les employés des hôpitaux s'attendent à ce que les bénévoles fournissent des soins instrumentaux et affectifs, mais ils restreignent également leur tàche en imposant des limites aux heures de travail réalisé par les bénévoles ainsi qu'à la somme d'information qu'ils reçoivent sur les patients. Les bénévoles surmontent ces contraintes en entretenant des conversations informelles destinées à augmenter leurs connaissances, tout en étant flexibles par rapport aux heures accordées aux patients, afin de pouvoir s'occuper de leurs besoins émotionnels. L'auteure considère également la répartition des sexes chez les bénévoles et l'influence qu'elle exerce sur leurs attentes. Carework done by hospital volunteers is examined using interview data, task descriptions and volunteer statistics from four hospitals in Alberta, Canada. Hospitals expect volunteers to provide instrumental and affective care but also constrain this work by limiting volunteers' work time and the amount of information they are given about patients. Volunteers overcome these constraints by initiating informal conversation to broaden their knowledge and capitalizing on flexibility in how they spend their time to attend to patients' emotional needs. I also consider how the volunteer workforce is gendered and how this influences expectations of volunteers.

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Changing Labour Process and the Nursing Crisis in Canadian Hospitals

Cited by 8 publications

References 5 publications

Lamentation and loss: expressions of caring by contemporary surgical nurses

Lamentation and loss: expressions of caring by contemporary surgical nurses

A ‘quiet’ crisis in health care: developing our capacity to hear

Hospital Volunteers and Carework*

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