You are here

Medicine and Nursing
Share

Medicine and Nursing
Professions in a Changing Health Service


September 1994 | 224 pages | SAGE Publications Ltd
As the largest employer in Western Europe, The National Health Service retains an impressive staff of doctors and nurses. These men and women not only represent the current status of gender in the workplace but provide a microcosm of society as a whole. Reflecting both the strong traditional elements and contemporary political and social forces influencing professional medicine, Medicine and Nursing offers a detailed examination of the collaborative efforts of doctors and nurses within this (NHS) organization. Focusing on workers in the acute hospital ward, Walby analyzes the effects of "new wave" management on these previously autonomous teams. Discussing possible movement from Fordist to post-Fordist methods of work organization, she also considers the impact of such changes on issues including professional boundaries and interprofessional relationships. With its theoretical emphasis on the debate over the evolution of structured employment, this work will be essential reading for students in the sociology of work and professions, publis sector management, health studies, nursing studies, medical sociology, and women's studies. "Medicine and Nursing is a thought provoking book that has wide appeal and will help all members of the multiprofessional team think through their roles and responsibilities, particularly in the light of changes in junior doctors' hours and the expansion of the nurses roles." --Alison Kitson in British Medical Journal

 
Introduction
 
Professional Boundaries
 
Interprofessional Relations in Theory and History
 
Fragmented and Functioning Teams
 
Managing Professionals
 
Post-Fordism and the Health Professions

`this remarkable book examines the practical and theoretical issues concerning the relationship between doctors and nurses in a changing health sercive. The empirical base of this study is the UK National Health Service; however, its problems have a wider international scope, which are typical in other countries where health services are likewise in the process of transformation.... This book will be particularly useful to those nurses who have an interest in the transformation of contemporary health services in Europe' - Nursing Ethics

`Clearly identifies the theoretical and practical dilemmas faced by nurses and doctors as they face cost containment measures resulting from concerns about the demographic "time bomb" of a rapidly ageing population, and projections of increased excess demand for services.... provides an interesting focus on the theoretical and practical debate around employment change and will be useful to a range of academics, practitioners and students' - Medical Sociology News

`A welcome addition to the burgeoning multidisciplinary literature on workers and work organization in the health services.... Chapter two gives the most cogent rendering of the field research findings covered by the book, with an analysis of the points of conflict which exists between doctors and nurses, covering the issues of `contested authority', `care versus treatment' and `patients first'. The chapter is well-written and can easily be followed by a non-medical reader... the status given current managerialist theory means that this is a book that will certainly get read: health service managers, are now hungry for this sort of literature.... This is a research and policy area of overwhelming importance which has been neglected in the past and is only now being seriously addressed. In this respect, [the book is] to be welcomed as [a] contribution which will further promote interest' - Work, Employment & Society

`A timely and important book, of help to all of us facing our own type of change.... the book is written in a style that is both accessible and absorbing.... What is very helpful is how the authors use the evidence from their study to construct hypotheses as to how doctors and nurses are coping with the NHS reforms. Their description of the decentralised, flexible, multiskilled approach characterised by new management in the NHS is contrasted with the old habits and behaviour patterns. They ask the question, and the reader has to consider, whether, given the reality of many doctors' and nurses' experiences, the quest for a new management culture is nothing more than a puff of smoke masquerading as a `grotesque turbulence'. Medicine and Nursing is a thought-provoking book that has wide appeal and will help all members of the multiprofessional team think through their roles and responsibilities, particularly in the light of changes in junior doctors' hours and the expansion of the nurses' role' - British Medical Journal

Preview this book

For instructors

To inquire about the availability of this title for review (print and/or digital), please contact your local sales representative or call (800) 818-7243.

Select a Purchasing Option

ISBN: 9780803987425
$56.00