clinically combines resource usage detailing and assessing specific tasks

Clinically combines resource usage detailing and

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clinically combines resource usage - detailing and assessing specific tasks employed e.g. time taken to care for “avg. patient” with particular diagnosis, co-morbidities, interventions required - goals is to improve productivity and cost efficiency care for as many patients as possible w/in prescribed period of time & continue to provide adequate care limitations associated with this approach to care: deleterious health effects on working lives of nurses ↑ - stress to get tasks done on time demeans autonomy - patients’ needs not being met patients health & safety compromised - is a “cookie cutter” approach to care aka scientific management (Taylorism) management of workflows - amount of time and movement it takes to do a task
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work environment leads to burnout, ↓ job satisfaction Taylorism Nursing as a Profession like docs, nurses worked toward professional status did this via: ↑ - educational requirements – B.Sc - formation of own college e.g. College of Nurses of Ontario pay a yearly fee must maintain license & practice min. # of hrs/yr - created a specialized body of knowledge to distinguish selves from other healthcare workers - emphasized special skills and qualities that docs lack Friedson (1970) - nursing a paramedical occupation why - 4 reasons 1. technical knowledge developed & legitimated by docs 2. tasks designed to help docs fulfill their duties 3. – usually work at request of docs 4. have less prestige than medical profession despite attempts for ↑autonomy & full prof status - these characteristics have not changed still under control of doctors medical profession is unique - no other prof has support of other occupational groups to help it do its work modern occupation of nursing: developed out of context of historical subservience to med profession - nursing tasks/responsibilities emerged to serve the needs of doc in patient cure and care study by Krause (????) to enhance position in medicine, nursing did following: - shifted from college and on the job training to university training B.Sc. in Nursing, Masters & PhD programs in nursing ↑ specialisation - now 11 different nursing specialty certificates e.g. new position of nurse-practitioner has additional education & training in specialty have taken over # responsibilities of docs however # tensions due to ↑education & critical thinking still limited in authority & autonomy - docs have final say- even among PhD nurses - have taken over docs ‘dirty’ work monitor blood pressure set up intravenous infusions give meds - employed managerial ideology - hierarchy among nurses now exists those with university degrees vs. those with college certificates - those with higher education work less with patients became nurse managers, administrators -ideological subordination of nurses to dictates of hospital
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