ERIC Number: ED342046
Record Type: RIE
Publication Date: 1991-Oct-31
Reference Count: N/A
A Cultural Analysis of Strategies of Power in Hospital-Based Health Care.
Smith, Shelley L.
This paper is based on the premise that culture creates realities that include a repertoire of symbol interpretations and communication patterns on which people automatically draw, and that this pattern is as manifest in professional cultures as it is in national or ethnic cultures. The paper takes a systematic look at hospital nursing culture, how it influences the role perceptions and communication patterns of those who are part of it, and what impact this may have on the present nursing crisis. Data for the paper came primarily from interviews with 63 nurses (aged 24-55) from 17 different hospitals in a large metropolitan area. The paper finds that among those nurses already in the profession, the disaffection and burnout rate is high. The paper hypothesizes that the roots of discontent lie within the nursing culture itself and points out that even in nursing school, education is focused at a "skills" level and that the analytical frameworks that are given to physicians are absent from most nursing curricula. The paper concludes that long-term, workable solutions can only be found if the nursing profession develops a deeper understanding of its own patterns and assumptions. A figure containing the interview questions is included, and 22 references are attached. (Author/NKA)
Publication Type: Speeches/Meeting Papers; Opinion Papers
Education Level: N/A
Authoring Institution: N/A
Identifiers: Communication Patterns; Nurse Physician Relationship; Organizational Culture; Professional Concerns
Note: Paper presented at the Annual Meeting of the Speech Communication Association (77th, Atlanta, GA, October 31-November 3, 1991).