The Paradox of Socially Organized Nursing Care Work
As contemporary health care organizations struggle to control costs, yet deliver quality patient-centred care, the concept of care becomes socially transformed through the use of quality improvement models (i.e., Lean methodology) and quality assurance documentation. This research investigates how n...
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ndltd-LACETR-oai-collectionscanada.gc.ca-OTU.1807-336732014-03-05T03:43:10ZThe Paradox of Socially Organized Nursing Care WorkQuinlan, Shelleyinstitutional ethnographycare worknursesemotional labouradult educationorganizational development056905160703As contemporary health care organizations struggle to control costs, yet deliver quality patient-centred care, the concept of care becomes socially transformed through the use of quality improvement models (i.e., Lean methodology) and quality assurance documentation. This research investigates how nurses’ care work is socially organized in a system that defines care through quality management practices. I use Dorothy E. Smith’s Institutional Ethnography as a feminist mode of inquiry and as a guiding framework for my interviews with nurse participants as I explore the complex social relations within the health care system from the vantage point of nurses undertaking care work. I argue that the social reorganization of care work has affected the emotional lives of nurses as they try to balance actual patient-centred care with their reporting obligations under quality management.Jackson, Nancy2012-112012-11-29T16:44:08ZNO_RESTRICTION2012-11-29T16:44:08Z2012-11-29Thesishttp://hdl.handle.net/1807/33673en_ca |
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en_ca |
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institutional ethnography care work nurses emotional labour adult education organizational development 0569 0516 0703 |
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institutional ethnography care work nurses emotional labour adult education organizational development 0569 0516 0703 Quinlan, Shelley The Paradox of Socially Organized Nursing Care Work |
description |
As contemporary health care organizations struggle to control costs, yet deliver quality patient-centred care, the concept of care becomes socially transformed through the use of quality improvement models (i.e., Lean methodology) and quality assurance documentation. This research investigates how nurses’ care work is socially organized in a system that defines care through quality management practices. I use Dorothy E. Smith’s Institutional Ethnography as a feminist mode of inquiry and as a guiding framework for my interviews with nurse participants as I explore the complex social relations within the health care system from the vantage point of nurses undertaking care work. I argue that the social reorganization of care work has affected the emotional lives of nurses as they try to balance actual patient-centred care with their reporting obligations under quality management. |
author2 |
Jackson, Nancy |
author_facet |
Jackson, Nancy Quinlan, Shelley |
author |
Quinlan, Shelley |
author_sort |
Quinlan, Shelley |
title |
The Paradox of Socially Organized Nursing Care Work |
title_short |
The Paradox of Socially Organized Nursing Care Work |
title_full |
The Paradox of Socially Organized Nursing Care Work |
title_fullStr |
The Paradox of Socially Organized Nursing Care Work |
title_full_unstemmed |
The Paradox of Socially Organized Nursing Care Work |
title_sort |
paradox of socially organized nursing care work |
publishDate |
2012 |
url |
http://hdl.handle.net/1807/33673 |
work_keys_str_mv |
AT quinlanshelley theparadoxofsociallyorganizednursingcarework AT quinlanshelley paradoxofsociallyorganizednursingcarework |
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1716648915935166464 |