Healthcare Reform and the Workplace Experience of Nurses: Implications for Patient Care and Union Organizing

Paul F. Clark, Darlene A. Clark, David V. Day and Dennis G. Shea

ILR Review, 2001, vol. 55, issue 1, 133-148

Abstract: 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.

Date: 2001
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Persistent link: https://EconPapers.repec.org/RePEc:sae:ilrrev:v:55:y:2001:i:1:p:133-148

DOI: 10.1177/001979390105500108

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