Subordination Of Nurses Research Articles

Role of Nursing Managers in Enhancing the Clinical Decision-Making Skills of Critical Care Nurses in Yaoundé-Cameroon: A Qualitative Study

Purpose: This study aims at exploring the role of nurse managers in decision-making in 4 referral hospitals in Yaoundé-Cameroon.
 Methodology: The study used a qualitative exploratory design using semi-structured interview guides as data collection instruments. The study population was made up of 15 nurse managers (frontline, middle-level, and top-level managers) from four referral hospitals in Yaoundé-Cameroon. Data were collected using a semi-structured interview guide from a purposeful sample of nurse managers. The saturation level determined the sample size for the study. Data were analyzed using inductive content analysis.
 Findings: There was a diversity in the role of nurse managers in developing the clinical decision-making skills of critical care nurses. Professional recognition, advocacy, and teamwork were the categories generated from the managers' views on nurses’ participation in institutional meetings. Nine managers viewed effective recognition and reward system as the main motivation system for empowering nurses in clinical decision-making. Administrative meetings and rounds, basic materials and skills, interdisciplinary collaboration and standardization of care were the main strategies used by nurse managers to support decision-making in critical care. Subordination of nurses, lack of qualified staff, and infrequent organization of seminars, and meetings involving nurses were the major challenges they faced.
 Unique contributions to theory, practice, and policy: Findings from the study proposed that hospital nurse managers should employ various strategies to motivate nurses in decision-making by installing an effective recognition and reward system, involving them in institutional meetings, and creating a collaborative environment that favors nurse’s autonomy in decision-making.

Conditioning factors for nurses to defend the autonomy of the elderly on the terminality of life

to understand the meanings attributed by nurses about conditions that interfere in defending of the elderly's autonomy on the terminality of life in the context of hospitalization. qualitative and exploratory study, which applied the Grounded Theory. Data were collected between November 2016 and May 2017, in the internal medicine wards of a hospital in Rio de Janeiro, Brazil, through non-participant observation and semi-structured interviews. Three sample groups composed of ten nurses, eight doctors, and 15 nursing technicians were investigated. the conditions are related to the medical power, subordination of nurses, family influences; the functional decline of the elderly; and biomedical model. Final considerations: the elderly's autonomy is veiled and violated since their abilities are subjugated, and the family's will and professional paternalism may prevail. However, this right must guide contemporary care models and integrate palliative care.

Who Cares? Socio-Economic Conditions of Nurses in Mumbai

Health is one of the basic human needs. The Human Rights and the International Covenant on Economic, Social and Cultural Rights (ICESCR) recognises health as central to the dignity of the person. Health is one of the indicators of development of a society. Hence, it is also included in the Millennium Development Goals. In developing countries like India, one can see large disparities in availability and access to health facilities. In India, health is the responsibility of the state and it is included in the Directive Principles. Attainment and maintenance of good health depends on access to nutritious food, clean water, appropriate and timely availability of medical services for treatment during sickness. From this point of view, providing good health services to people becomes responsibility of the state government. In India, three types of health services are available namely- hospitals run by government, hospitals run by municipal corporations and hospitals governed by public trusts and private organizations. Health workers play a vital role in taking these services to the patients. Hence, their physical and mental status matters in reaching the health services to patients. From this angle, the researcher has chosen the appropriate topic for the study. The book highlights equity issues in health services. Subordination of nurses and its ill-effects on patients are discussed keeping gender discrimination at the centre. The researcher has focused on many issues related to nursing profession. They include working conditions of nurses, their salary, shift duties and stress levels, safety at work place and violence, grievance redressal mechanism, affiliation to unions, etc. For this, the researcher has collected primary data by interviewing nurses from various sectors, which is the strength of this research. The sample of the research includes nurses employed in various health care institutions located in ward H-East and West of Mumbai district, Maharashtra.

Relationship Between Nurses and Physicians in Terms of Organizational Culture: Who Is Responsible for Subordination of Nurses?

To investigate how nurses and physicians perceive organizational culture, their integration into the organizational processes, and relations within a health care team. We performed a cross-sectional study that included 106 physicians and 558 nurses from 14 Slovenian hospitals in December 2005. The hospitals were randomly selected. We distributed the questionnaires on the same day to physicians and nurses during a morning shift. The total number of distributed questionnaires represented a 20% of each personnel category at each hospital. The following variables were studied: organizational culture, integration of nurses and physicians in hospital processes, and subordination of nurses to physicians. Physicians and nurses favored a culture of internal focus, stability, and control. Both groups estimated that they had a low level of personal involvement in their organizations and indicated insufficient involvement in work teams, while nurses also felt that they were subordinated (mean+/-standard deviation, 3.6+/-0.9 on a scale from 1 to 5) to physicians (2.7+/-1.0; P<0.001). Control orientation correlated positively with the subordination of nurses (PP<0.005) and negatively with personal integration in an organization (PP<0.005). We found out that subordination of nurses can be explained by market culture, level of personal involvement, and the level of education. Our research showed that the professional growth of nurses was mainly threatened by organizational factors such as hierarchy, control orientation, a lack of cooperation and team building between physicians and nurses, as well as insufficient inclusion of both physicians and nurses into change implementation activities.

Horizontal violence: a conundrum for nursing

Abstract Horizontal violence is described as intergroup conflict and is manifested in overt and covert non-physical hostility such as sabotage, infighting, scapegoating and criticism. The notion of horizontal violence is frequently referred to amongst nurses, and is often explained in terms of behaviours associated with: women working together; personality traits; jealousy; ambition, and lack of respect for each other. It is rarely linked to politics in nursing and health care. Nursing's subordinate position in the health care system is long established and well documented. The subordination of nurses, established early in the history of the nursing occupation, and the ideologies of women as nurses have been maintained and reinforced through primary socialisation, nursing education and professional socialisation. As a result, nurses perceive themselves as powerless to effect change and to challenge the status quo in nursing and health care. This paper explores critically the phenomenon of horizontal violence in nursing. The analysis rests on the premise that, structurally, nurses are an oppressed group. Oppression theory, therefore, provides the framework for analysis.

Gender, Work and Medicine: Women and the Medical Division of Labour.

PART ONE: INTRODUCTION Introduction - Elianne Riska PART TWO: THE MEDICAL PROFESSION Sex Stereotyping of Women Doctors' Contribution to Medicine - S Muthu Chidambaram India Women Doctors in a Changing Profession - Mary Ann Elston The Case of Britain Why Women Physicians Will Never be True Equals in the American Medical Profession - Judith Lorber Women Physicians - Elianne Riska and Katarina Wegar A New Force in Medicine? PART THREE: OTHER HEALTH PROFESSIONALS The Subordination of Nurses in Health Care - Mick Carpenter Towards a Social Divisions Approach A Cross-national View of the Status of Midwives - Raymond G de Vries Health-Manpower Planning or Gender Relations? The Obvious and the Oblique - Arnim[ac]ee Kazanjian PART FOUR: CONCLUSIONS Conclusions - Katarina Wegar

A Study on Leadership and Subordination of Nurses at a Hospital in Seoul

A Study on Leadership and Subordination of Nurses at a Hospital in Seoul