Skill-Mix Changes and Work Intensification in Nursing
Recent National Health Service (NHS) structural and policy changes have brought with them shifts in the ideals, pace, and physical location of work, with significant consequences for staff. Hospital nurses have experienced increased devolution of managerial responsibility and are under pressure to e...
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| Veröffentlicht in: | Work, employment and society employment and society, 2000-09, Vol.14 (3), p.541-555 |
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| creator | Adams, Ann Lugsden, Edward Chase, Jonathan Arber, Sara Bond, Senga |
| description | Recent National Health Service (NHS) structural and policy changes have brought with them shifts in the ideals, pace, and physical location of work, with significant consequences for staff. Hospital nurses have experienced increased devolution of managerial responsibility and are under pressure to effect a faster throughput of more acutely ill patients and simultaneously contain service costs. Community nurses have experienced similar pressures, with those providing mental health and learning disability services radically reconceptualising the nature of their work to support non-institutional living (Adams et al. 1998). Nurses' work pressure has been further exacerbated by the removal of student labour due to educational changes (United Kingdom Central Council for nursing, midwifery and health visiting (UKCC) 1986). This has resulted in a lower ratio of qualified to unqualified nurses in the NHS and a static number of qualified nurses compared with a previous upward trend of approximately 4 per cent annually since 1976 (Buchan et al. 1998). |
| doi_str_mv | 10.1177/09500170022118563 |
| format | Article |
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| source | Sociological Abstracts; Periodicals Index Online; JSTOR Archive Collection A-Z Listing; SAGE Complete A-Z List |
| subjects | Breastfeeding Community mental health services Employment England Great Britain Health Care Services Health outcomes Human Resources Management Styles Medical practice NOTES AND ISSUES Nurses Obstetrical nursing Organizational Change Organizational Culture Patient care Professionalization Staffing Work Organization Work Skills Workloads |
| title | Skill-Mix Changes and Work Intensification in Nursing |
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