By Patricia Owens, Howard Glennerster
An exploration of nurse administration capabilities after the Griffiths proposals. The North West Thames nearby healthiness Authority funded the study for this learn, and the steerage Committee used to be taken with an advisory potential.
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Example text
Thus when District and Unit General Managers came to restructure the management arrangements, in the acute hospitals in particular, they became involved in a longer-term debate within nursing itself about the relevance of senior clinical grades. This debate was also about the appropriate level of delegation of responsibility to the Ward Sister (Kinston, 1987; Carpenter, 1977). It was not merely an argument between general managers and nurses but one that nursing was having with itself (Briggs, 1972).
Which is all assertion and nothing more .... ' The Matron, like her domestic housekeeper equivalent in Victorian England, ran the whole household economy, including the domestics and the kitchen staff. But the profession in the twentieth century moved increasingly towards a medical model of training and to a 36 Nursing in Conflict purely nursing function. This professional ideal was expressed most clearly in the Salmon Report in the 1960s and also in the reorganisation that followed, which set up a pure nursing hierarchy managed separately from other occupational groups.
In reality the projected images of nurses are diverse. Most commonly they fall into three stereotypes of bandmaiden, battle-axe, and whore (Muff, 1982; Salvage, 1985). These images are reinforced by popular novels or films, with characters such as the sex symbol army nurse, 'Hot-lips' in MASH, and the authoritarian punishing senior nurse in One Flew Over the Cuckoo's Nest. The Carry On films about hospitals ridicule the nurses who fit these stereotypes (Salvage, 1985). Some writers go so far as to say that in no other workplace are power relations so 'highly sexualised' as they are in hospitals, and that bureaucratic domination is directly reinforced by sexual power structures.