Effects of specialization and client differentiation on the status of nurses : The case of AIDS.
This is a study ofhow change in the organization of work within hospitals affects the disputes over contested professional jurisdictions.
We employ the natural experiment in hospital work reorganization motivated by the AIDS epidemic to empirically document the effects ofspecialization and client differentiation on the increased intra-organizational status of nurses.
We demonstrate that specialized AIDS units represent a form of hospital reorganization in which responsibility, authority, and autonomy devolve toward nurses.
Measures oforganizational outcomes are derived from the aggregated evaluations of the nurses working in 40 units in 20 hospitals.
Our analyses show that different organizationalforms are mirrored in differences in the presence offeatures related to the status and autonomy ofnurses.
Our work provides some new sociological perspectives on nursing and the changing medical division of labor.
Mots-clés Pascal : SIDA, Virose, Infection, Pratique professionnelle, Infirmier, Organisation travail, Hôpital, Statut professionnel, Service hospitalier, Condition travail, Personnel sanitaire, Homme, Immunopathologie, Immunodéficit, Spécialisation
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Professional practice, Nurse, Job engineering, Hospital, Professional status, Hospital ward, Working condition, Health staff, Human, Immunopathology, Immune deficiency, Specialization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0539865
Code Inist : 002B30A05. Création : 24/03/1998.