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Healthcare reform and the workplace experience of nurses: Implications for patient care and union organizing

  • Paul F. Clark
  • Darlene A. Clark
  • David V. Day
  • Dennis G. Shea
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    The introduction of market-based reforms over the past twenty-five years has fundamentally changed the way healthcare is delivered in the United States. This paper reports the results of a survey of the workplace experiences and attitudes of hospital-based registered nurses under healthcare reform. The authors find that nurses who had experienced reform-related job restructuring held substantially more negative views of the climate for patient care than nurses who had not experienced restructuring. Also, nurses who had experienced reform-related mergers held more negative perceptions of the climate for patient care than those who had not been through a merger, although the relationship was less strong than it was for restructuring. Nurses concerned about a deteriorating climate for patient care indicated a desire for greater voice in the organization and staffing of hospitals and also indicated a greater readiness than other nurses to vote for a union. (Author's abstract.)

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    Article provided by ILR Review, Cornell University, ILR School in its journal ILR Review.

    Volume (Year): 55 (2001)
    Issue (Month): 1 (October)
    Pages: 133-148

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    Handle: RePEc:ilr:articl:v:55:y:2001:i:1:p:133-148
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