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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Bibliographic Details
Main Author: Quinlan, Shelley
Other Authors: Jackson, Nancy
Language:en_ca
Published: 2012
Subjects:
Online Access:http://hdl.handle.net/1807/33673
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spelling 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
collection NDLTD
language en_ca
sources NDLTD
topic institutional ethnography
care work
nurses
emotional labour
adult education
organizational development
0569
0516
0703
spellingShingle 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
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