Health care reform and transformation of nursing in Hong Kong.

by Frances Kam Yuet Wong. / Thesis (Ph.D.)--Chinese University of Hong Kong, 1996. / Includes bibliographical references (leaves 276-290). / ACKNOWLEDGEMENTS --- p.i / LIST OF FIGURES --- p.ii / LIST OF TABLES --- p.iii / ABSTRACT --- p.iv / Chapter CHAPTER 1 --- THE RESEARCH PROBLEM AND RELATED LITERATURE / Chapter 1.1 --- The research problem --- p.1 / Chapter 1.2 --- Related literature review --- p.8 / Section I / Chapter 1.2.1 --- Sociology of work --- p.9 / Chapter 1.2.2 --- Sociology of profession --- p.11 / Chapter 1.2.3 --- Change of social structure in a post-industrial society --- p.17 / Chapter 1.2.4 --- A new labouring process and control of work --- p.23 / Section II / Chapter 1.2.5 --- The health care system --- p.26 / Chapter 1.2.6 --- The reconceptualization of nursing --- p.30 / Chapter 1.2.6.1 --- Proletarianization of nursing --- p.30 / Chapter 1.2.6.2 --- Professionalization in nursing --- p.32 / Chapter 1.2.7 --- Nursing education --- p.37 / Chapter 1.2.8 --- The nursing labour process --- p.43 / Chapter CHAPTER 2 --- RESEARCH METHODOLOGY / Chapter 2.1 --- Research methodology --- p.47 / Chapter 2.2 --- Data collection --- p.48 / Chapter 2.2.1 --- Documents --- p.50 / Chapter 2.2.2 --- Interviews --- p.50 / Chapter 2.2.3 --- Participant observation --- p.53 / Chapter 2.3 --- Data analysis --- p.54 / Chapter 2.3.1 --- Extended case method --- p.54 / Chapter 2.3.2 --- Participant observation --- p.56 / Chapter 2.3.3 --- Treatment of data --- p.60 / Chapter CHAPTER 3 --- MICROLEVEL -WORK OF FRONTLINE NURSES / Chapter 3.1 --- Introduction --- p.64 / Chapter 3.2 --- Areas of work of frontline nurses at ward level --- p.70 / Chapter 3.2.1 --- Patient care --- p.70 / Chapter 3.2.2 --- Student supervision --- p.74 / Chapter 3.2.3 --- Staff development --- p.75 / Chapter 3.2.4 --- Ward in-charge --- p.75 / Chapter 3.2.5 --- Ward projects --- p.77 / Chapter 3.2.6 --- Ward resource management --- p.78 / Chapter 3.3 --- Dynamics of work transformation at microlevel nursing practice --- p.78 / Chapter 3.3.1 --- A new division of nursing labour --- p.79 / Chapter 3.3.2 --- The HA policy --- p.84 / Chapter 3.3.3 --- Medical dominance --- p.87 / Chapter 3.3.4 --- Development of the profession of nursing in hospitals --- p.90 / Chapter 3.4 --- Discussion --- p.92 / Chapter 3.4.1 --- The nexus between profession and work --- p.92 / Chapter 3.4.2 --- Professionalization and proletarianization of nursing --- p.94 / Chapter 3.4.3 --- The changing scene of medical dominance --- p.98 / Chapter CHAPTER 4 --- MESOLEVEL - WORK OF NURSES IN MIDDLE MANAGEMENT / Chapter 4.1 --- Introduction --- p.102 / Chapter 4.2 --- Areas of work of nurse managers at mesolevel --- p.107 / Chapter 4.2.1 --- Patient care --- p.107 / Chapter 4.2.2 --- Student supervision --- p.108 / Chapter 4.2.3 --- Staff development --- p.109 / Chapter 4.2.4 --- Operational and resource management --- p.110 / Chapter 4.2.5 --- Communication --- p.112 / Chapter 4.2.6 --- Planning and quality improvement --- p.115 / Chapter 4.3 --- Dynamics involved in the work of nurses at the mesolevel --- p.119 / Chapter 4.3.1 --- A clear establishment of the status of nurse managers --- p.119 / Chapter 4.3.2 --- The nurse as a manager --- p.123 / Chapter 4.3.3 --- The attenuation of medical power by management forces --- p.129 / Chapter 4.3.4 --- Management practice based on negotiation and rationality --- p.134 / Chapter 4.4 --- Discussion --- p.137 / Chapter 4.4.1 --- The Professional-Managerial Class (PMC) --- p.140 / Chapter 4.4.2 --- The emergence of a new class of nurse elite - the nurse managers --- p.143 / Chapter 4.4.2.1 --- Production of nursing care and its reproduction --- p.144 / Chapter 4.4.2.2 --- Control of the means of production --- p.146 / Chapter 4.4.2.3 --- Ideological proletarianization --- p.148 / Chapter 4.4.2.4 --- Negotiation - guanxi and rational-legal authority --- p.149 / Chapter 4.4.2.5 --- The affinity between nursing and management --- p.152 / Chapter CHAPTER 5 --- MESOLEVEL - WORK OF NURSE SPECIALISTS / Chapter 5.1 --- Introduction --- p.156 / Chapter 5.2 --- Areas of work of nurse specialists (NS) at mesolevel --- p.160 / Chapter 5.2.1 --- Client care --- p.160 / Chapter 5.2.2 --- Project work --- p.164 / Chapter 5.2.3 --- Staff development --- p.165 / Chapter 5.2.4 --- Research --- p.166 / Chapter 5.2.5 --- Management and communication --- p.168 / Chapter 5.3 --- Dynamics involved in the work of nurses at this mesolevel --- p.169 / Chapter 5.3.1 --- Removal of NS's accountability from the management hierarchy --- p.170 / Chapter 5.3.2 --- The NS Referral --- p.173 / Chapter 5.3.3 --- The emergence of a new class of nurse elite - the Nurse Specialists --- p.180 / Chapter 5.4 --- Discussion --- p.185 / Chapter 5.4.1 --- Legitimation of the work of the Nurse Specialists in the hospital --- p.185 / Chapter 5.4.2 --- Differentiation of nursing practice - Advanced Nursing Practice --- p.192 / Chapter CHAPTER 6 --- MACROLEVEL - HOSPITAL AUTHORITY AT WORK / Chapter 6.1 --- Introduction --- p.197 / Chapter 6.2 --- The work of the nurse executive in hospital --- p.198 / Chapter 6.2.1 --- Human resource management and staff development --- p.202 / Chapter 6.2.2 --- Management of departments and hospitals --- p.203 / Chapter 6.2.3 --- Quality improvement --- p.205 / Chapter 6.2.4 --- Research and professional development --- p.207 / Chapter 6.2.5 --- Communication --- p.209 / Chapter 6.3 --- The direction of nursing work at the level of hospital authority --- p.210 / Chapter 6.3.1 --- Overall nursing direction and development --- p.213 / Chapter 6.3.2 --- Nursing role delineation and work redesign --- p.215 / Chapter 6.3.3 --- Recruitment and retention of Nurses --- p.223 / Chapter 6.3.4 --- New direction for nursing education --- p.225 / Chapter 6.4 --- Discussion --- p.228 / Chapter 6.4.1 --- Corporatization of health care system in Hong Kong --- p.229 / Chapter 6.4.2 --- The control of nursing labour process --- p.233 / Chapter 6.4.3 --- Regulation of nursing through education --- p.237 / Chapter CHAPTER 7 --- CONCLUSION AND DISCUSSION / Chapter 7.1 --- Introduction --- p.249 / Chapter 7.2 --- The nexus of profession and work --- p.250 / Chapter 7.3 --- Charting a pathway for nursing towards the twenty-first century --- p.258 / Chapter 7.4 --- A micro-meso-macro approach of social analysis --- p.269 / Chapter 7.5 --- Practical implications of the study --- p.271 / Chapter 7.6 --- Limitations of the study --- p.273 / REFERENCES --- p.276 / APPENDICES / Chapter 1 --- Abbreviations --- p.291 / Chapter 2 --- Interview guide --- p.292 / Chapter 3 --- A sample of appointment specification of HCA --- p.293 / Chapter 4 --- A sample of appointment specification of RN --- p.294 / Chapter 5 --- A sample of appointment specification of NO --- p.295 / Chapter 6 --- A sample of appointment specification of NS --- p.296 / Chapter 7 --- A sample of appointment specification of WM --- p.297 / Chapter 8 --- A sample of appointment specification of DOM --- p.298 / Chapter 9 --- A sample of appointment specification of GMN --- p.299 / Chapter 10 --- Nursing strategies: Towards the year2000 --- p.300

Identiferoai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_321549
Date January 1996
ContributorsWong, Kam Yuet., Chinese University of Hong Kong Graduate School. Division of Sociology.
PublisherChinese University of Hong Kong
Source SetsThe Chinese University of Hong Kong
LanguageEnglish
Detected LanguageEnglish
TypeText, bibliography
Formatprint, iv, 300 leaves : ill. ; 30 cm.
CoverageChina, Hong Kong, China, Hong Kong, Hong Kong, Hong Kong
RightsUse of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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