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This book examines the division of labour between nurses and other health professions and occupations. It connects classic sociological concerns with practical problems affecting the contemporary NHS, such as: skill-mix in hospitals; the emergence of new roles; the shifting boundaries between medicine and nursing; and the barriers to change that exist. The book contains a series of case studies illustrating tensions, conflict and accommodation observable when occupations, or sub-groups within occupations, negotiate new working relationships.
DAVINA ALLEN is a Research Fellow at the Nursing Research Unit, School of Nursing Studies, University Hospital of Wales, Cardiff.DAVID HUGHES is Reader in the School of Health Science at the University of Wales, Swansea.
Introduction; D, Hughes, D. Allen, L. griffiths and S. PhilpinPART ONE: INTER-PROFESSIONAL AND INTRA-PROFESSINAL RELATIONSHIPSTemporal-spatial Dimensions of teh Hospital Division of Labour; D. AllenDoctors' and Nurses' perceptions of medical and nursing roles; S. Snelgrove and D. HughesFrom Student to Nurse: the Impact of Project 2000 on Occupational Socialisation in the world; S. PhilpinNurses and Bioscience Knowledge: How New Expertise Impacts on Old Roles and Relationships; S. JordanPART TWO: BARRIERS TO CHANGEInside the Black Box: barriers to Change in the Hospital; D. Hughes and D. AllenExpanded Nursing Roles and the Hospital Division of Labour; D. Allen and D. HughesPART THREE: NEW ROLES, NEW TEAMSNurse practitioners: Shaping the New Role; A. Williams and D. RogersNegotiating the Professional Division of Labour in a Community Mental Health Team; L. Griffiths.