When nurse knows best: some aspects of nurse/doctor interaction in a casualty department

Hughes, David

doi:10.1111/1467-9566.ep11340102

Cited by 159 publications

(136 citation statements)

References 30 publications

(18 reference statements)

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“…Subsequently, nurses should be a group adept at overcoming identity conflict and negative emotions. Whilst nurses' leadership struggle is often attributed to the dominance of physicians within healthcare settings (Diefenbach and Sillince, 2011;Finn et al, 2010), it is also acknowledged that nurses play an influential role in medical decisions and treatments, and cannot be perceived as merely passive team members (Hughes, 1988;Svensson, 1996). Therefore, we argue, one of the main challenges for nurses in constructing leader identities is a difficulty in accommodating the discrepancies between leader and desired professional identities, rather than the influence of medical hierarchies.…”

Section: Research Contextmentioning

confidence: 99%

The Impact of Emotionally Important Social Identities on the Construction of a Managerial Leader Identity: A Challenge for Nurses in the English National Health Service

Croft

Currie

Lockett

2014

Organization Studies

124

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The ability of individuals to accommodate emotional transition into roles requiring the construction of a leader identity is a poorly explored area. In this paper we consider the experience of 32 individuals moving into middle management positions, exploring how an emotional attachment to their professional group identity may cause identity conflict during the construction of a managerial leader identity. We consider how competing desired identities can result in negative emotional experiences, calling into question existing work, which assumes that desired group identities are congruent with leader identities. We suggest that identity work can mitigate identity conflict at the individual level, enabling middle managers to function in their role, but that emotional distress will continue due to a perceived loss of professional identity and group influence. We suggest it is only by eschewing an emotional attachment to a professional group that middle managers will be able to overcome this negative emotional experience.

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Section: Research Contextmentioning

confidence: 99%

The Impact of Emotionally Important Social Identities on the Construction of a Managerial Leader Identity: A Challenge for Nurses in the English National Health Service

Croft

Currie

Lockett

2014

Organization Studies

124

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“…Professional and occupational boundaries in healthcare have been of interest since the 1960s (Stein 1967) and a variety of analytical approaches have been used to study such boundaries over the intervening years (Hughes 1988, Porter 1991, Mackay 1993, Svensson 1996, Wicks 1998, Allen 2001a. These analyses have moved from a view where medicine was completely dominant (e.g.…”

Section: Status and Professional Boundariesmentioning

confidence: 99%

Uniforms, status and professional boundaries in hospital

Timmons

East

2011

Sociology Health & Illness

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Despite their comparative neglect analytically, uniforms play a key role in the delineation of occupational boundaries and the formation of professional identity in healthcare. This paper analyses a change to the system of uniforms in one UK hospital, where management have required all professions (with the exception of doctors) to wear the same 'corporate' uniform. Focus groups were conducted with the professionals and patients. We analyse this initiative as a kind of McDonaldisation, seeking to create a new 'corporate' worker whose allegiance is principally to the organisation, rather than a profession. Our findings show how important uniforms are to their wearers, both in terms of the defence of professional boundaries and status, as well as the construction of professional identity.

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“…But although such inequalities form the fundamental features of relations between these occupational groups, they should not be seen as allembracing or absolute determinants of nurses' work. Stein (1967) and Hughes (1988) have both pointed to the ways in which nurses are themselves able to give order and direction to medical work. In consequence, inter-professional relations can be said to be flexible (Strauss 1985) and thus constituted through an arrangement of relative powers.…”

Section: The Dissemination Of Knowledge About the Bodymentioning

confidence: 99%

Nursing work, nurses' knowledge, and the subjectification of the patient

May

1992

Sociology Health & Illness

107

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Although sociologists interested in health and illness have extensively deployed the work of Michel Foucault in recent years, few studies have examined the ways in which this is of use in understanding nursing practice. This paper explores the ways in which nurses' accounts of their work and relationships with patients reflect a discourse of the social. While these accounts reflect a thoroughgoing accommodation of the importance of 'knowing' the patient as more than an object of clinical practice and procedure, they also reveal the practical problems that must be negotiated in attempting to do so. Foucault's notion of the clinical gaze is deployed in interpreting these accounts, and the question of power and resistance in nursing work is discussed.

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When nurse knows best: some aspects of nurse/doctor interaction in a casualty department

Cited by 159 publications

References 30 publications

The Impact of Emotionally Important Social Identities on the Construction of a Managerial Leader Identity: A Challenge for Nurses in the English National Health Service

The Impact of Emotionally Important Social Identities on the Construction of a Managerial Leader Identity: A Challenge for Nurses in the English National Health Service

Uniforms, status and professional boundaries in hospital

Nursing work, nurses' knowledge, and the subjectification of the patient

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