2.50
Hdl Handle:
http://hdl.handle.net/10755/161416
Type:
Presentation
Title:
Organizational Domination and Staff Nurse Resistance
Abstract:
Organizational Domination and Staff Nurse Resistance
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Ballou, Kathryn
Contact Address:SON, 2220 Holmes Rd, Room 246, Kansas City, MO, 66209, USA
Purpose: Uncover hidden power imbalances between hospital structures and ideologies and staff nurses, and to reveal subsequent staff nurse resistance to those power imbalances. Theoretical/Conceptual Framework: Five critical and/or feminist systems level theories informed interpretation, including works such as Abbott’s (1988) system of professions, emotional labor theories (Steinberg & Figart, 1999), and Scott’s (1990) theory of domination and the art of resistance. Subjects: A total of 65 semi-structured interviews of hospital and nursing administrators, physicians, nurse managers, staff nurses, and allied health personnel in a 300 bed suburban hospital generated over 2000 pages of transcript data. In addition, 32 hours of observation data and more than 200 pages of document data were collected in the setting. Method: A new critical feminist qualitative design called mediational standpoint case study critique was used to re-examine existing data from a recent organizational study on the barriers and facilitators to the use of clinical pathways in a hospital. Results: Data revealed a complex interplay of organizational power imbalances and their adverse effects on staff nurses and their work. Hidden patriarchy and corporate abuse of power, emphasis on cost savings, and exploitation of primarily female nurses for organizational gain were in stark contrast to the hospital’s public rhetoric of caring and quality. Nurses at all levels in the hospital both resisted and participated in the gendered reproduction of nurse exploitation and sex-stereotyped role performance. Conclusions: Organizational domination of nurses was pervasive in this hospital. Contrary to previous literature asserting staff nurse powerlessness, this critical feminist organizational case study demonstrated that staff nurses individually, collectively, and effectively used their power to disrupt organizational goals. Unfortunately their resistance did not change underlying structures of domination or level unequal power distribution. AN: MN030245
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOrganizational Domination and Staff Nurse Resistanceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161416-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Organizational Domination and Staff Nurse Resistance </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ballou, Kathryn</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON, 2220 Holmes Rd, Room 246, Kansas City, MO, 66209, USA</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Uncover hidden power imbalances between hospital structures and ideologies and staff nurses, and to reveal subsequent staff nurse resistance to those power imbalances. Theoretical/Conceptual Framework: Five critical and/or feminist systems level theories informed interpretation, including works such as Abbott&rsquo;s (1988) system of professions, emotional labor theories (Steinberg &amp; Figart, 1999), and Scott&rsquo;s (1990) theory of domination and the art of resistance. Subjects: A total of 65 semi-structured interviews of hospital and nursing administrators, physicians, nurse managers, staff nurses, and allied health personnel in a 300 bed suburban hospital generated over 2000 pages of transcript data. In addition, 32 hours of observation data and more than 200 pages of document data were collected in the setting. Method: A new critical feminist qualitative design called mediational standpoint case study critique was used to re-examine existing data from a recent organizational study on the barriers and facilitators to the use of clinical pathways in a hospital. Results: Data revealed a complex interplay of organizational power imbalances and their adverse effects on staff nurses and their work. Hidden patriarchy and corporate abuse of power, emphasis on cost savings, and exploitation of primarily female nurses for organizational gain were in stark contrast to the hospital&rsquo;s public rhetoric of caring and quality. Nurses at all levels in the hospital both resisted and participated in the gendered reproduction of nurse exploitation and sex-stereotyped role performance. Conclusions: Organizational domination of nurses was pervasive in this hospital. Contrary to previous literature asserting staff nurse powerlessness, this critical feminist organizational case study demonstrated that staff nurses individually, collectively, and effectively used their power to disrupt organizational goals. Unfortunately their resistance did not change underlying structures of domination or level unequal power distribution. AN: MN030245 </td></tr></table>en_GB
dc.date.available2011-10-26T23:20:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:20:59Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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