The Hospital Industry, Professionalization, and the Reorganization of the Nursing Labor Process
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"Intensifying Care" contributes to overcoming this disparity by focusing on nurses and the reorganization of the nursing labor process during the cost containment era. In the expansionary decades of the 1950s and 1960s, nursing labor in hospitals was organized around a stratified work force performing differentiated tasks. Beginning in the 1970s, this system of labor was transformed by a trend toward RN-predominant staffing, the displacement of less-credentialed workers, and the reunification of nursing tasks. Nursing leaders promoted task reunification as a form of professional practice reminiscent of nursing before the widespread employment of a stratified work force in postwar hospitals.
Table of Contents
PART ONE: Political Economy, Corporatization, and Subordinate Workers
The Changing Political Economy of Health Care
Corporatization and the Reorganization of Community Hospitals
PART TWO: Reorganizing Nursing Labor
Before the Postwar Period: Hospital Apprenticeship and Private Duty
Stratified Workers, Subdivided Work: Team Nursing
Reunified Tasks: Primary Nursing and the Trend to an All-RN Work Force
Conclusion and Epilogue Author Index