Nursing, Physician Control, and the Medical Monopoly Historical Perspectives on Gendered Inequality in Roles, Rights, and Range of Practice Thetis M. Group and Joan I. Roberts A history of physicians' efforts to dominate the healthcare system. Nursing, Physician Control, and the Medical Monopoly traces the efforts by physicians over time to achieve a monopoly in healthcare, often by subordinating nurses -- their only genuine competitors. Attempts by nurses to reform many aspects of healthcare have been repeatedly opposed by physicians whose primary interest has been to achieve total control of the healthcare "system," often to the detriment of patients' health and safety. Thetis M. Group and Joan I. Roberts first review the activities of early women healers and nurses and examine nurse-physician relations from the early 1900s on. The sexist domination of nursing by medicine was neither haphazard nor accidental, but a structured and institutionalized phenomenon. Efforts by nurses to achieve greater autonomy were often blocked by hospital administrators and organized medicine. The consolidation of the medical monopoly during the 1920s and 1930s, along with the waning of feminism, led to the concretization of stereotyped gender roles in nursing and medicine. The growing unease in nurse-physician relations escalated from the 1940s to the 1960s; the growth and complexity of the healthcare industry, expanding scientific knowledge, and increasing specialization by physicians all created heavy demands on nurses. Conflict between organized medicine and nursing entered a public, open phase in the late 1960s and 1970s, when medicine unilaterally created the physician's assistant, countered by nursing's development of the advanced nurse practitioner. But gender stereotypes remained central to nurse-physician relations in the 1980s and into the 1990s. Finally, Group and Roberts examine the results of the medical monopoly, from the impact on patients' health and safety, to the development of HMOs and the current overpriced, poorly coordinated, and fragmented healthcare system. Thetis M. Group is Professor Emerita at Syracuse University, where she was Dean of the College of Nursing for 10 years, and an adjunct faculty member at the University of Utah College of Nursing. She is co-author of Feminism and Nursing and has published numerous articles in professional nursing journals. Joan I. Roberts, social psychologist, is Professor Emerita at Syracuse University. A pioneer in women's studies in higher education, she is co-author of Feminism and Nursing and author of numerous books and articles on gender issues and racial and sex discrimination. June 2001 352 pages, 6 1/8 x 9 1/4, index, append. cloth 0-253-33926-X $29.95 s / £22.95

Nursing History Review, an annual peer-reviewed publication of the American Association for the History of Nursing, is a showcase for the most significant current research on nursing history. Regular sections include scholarly articles, over a dozen book reviews of the best publications on nursing and health care history that have appeared in the past year, and a section abstracting new doctoral dissertations on nursing history. Historians, researchers, and individuals fascinated with the rich field of nursing will find this an important resource. Highlights from Volume 12: Nursing in Nationalist China, John Watt Coronary Care Nursing Circa 1960s, Arlene Keeling A Memorial to Barbara Bates (1928-2002) Regulation of African-American Midwifery, Zeina Omisola Jones

Beginning in the 1960s, second-wave feminism inspired and influenced dramatic changes in the nursing profession. Susan Gelfand Malka argues that feminism helped end nursing's subordination to medicine and provided nurses with greater autonomy and professional status. She discusses two distinct eras in nursing history. The first extended from the mid-1960s to the mid-1980s, when feminism seemed to belittle the occupation in its analysis of gender subordination but also fueled nursing leaders' drive for greater authority and independence. The second era began in the mid-1980s, when feminism grounded in the ethics of care appealed to a much broader group of caregivers and was incorporated into nursing education. While nurses accepted aspects of feminism, they did not necessarily identify as feminists. Nonetheless, they used, passed on, and developed feminist ideas that brought about nursing school curricula changes and the increase in self-directed and specialized roles available to caregivers in the twenty-first century.

Women have engaged in healing from the beginning of history, often within the context of the home. This book studies the role, contributions and challenges faced by women healers in France, Spain, Italy and England, including medical practice among women in the Jewish and Muslim communities, from the later Middle Ages to approximately 1800.

Named a 2013 Doody's Core Title! "This excellent book highlights the development of the nurse practitioner movement. The current state of practice is defined and the potential growth of the role is explored. The important issues influencing the continued development of the nurse practitioner role are clearly presented and reviewed. This update is needed in light of the ever-evolving healthcare arena." Score: 100, 5 stars --Doody's "Öthere are plenty of lessons to be learned not only from the experiences and insights of these authors, but also principles and practices which they have found to be patient-centered, effective, efficient, and economical." -Loretta C. Ford, EdD, RN, PNP, FAAN, FAANP(From the Foreword) This fifth edition discusses the evolution and future of advance practice nursing, primarily for APN faculty and APN/NP practitioners as well as for leaders and administrators in education. Fully updated and expanded, the book comprehensively describes the historical, social, economic, and global contexts of advanced practice nursing. The team of expert contributors provides a wealth of insight into key issues of the day, such as the mechanics of financial recognition of NPs, the effects of managed care, and the globalization of advanced practice models. The new edition also presents a fresh perspective on the role of nurse practitioners in both small- and large-scale reform initiatives-such as health promotion, disease management, the rapid spread of global disease, and the diminished economic capacity of many countries to meet standards for health care. Enriched with case studies, key principles, and best practices, this book is a must-have for all those invested in the current and future status of advanced practice nursing. Key topics include: Public relations strategies Nurse-managed health centers Adult health and gerontology care Business, policy, and politics: success factors for practice Global health, international developments, and future challenges

Named a 2013 Doody's Core Title! "This excellent book highlights the development of the nurse practitioner movement. The current state of practice is defined and the potential growth of the role is explored. The important issues influencing the continued development of the nurse practitioner role are clearly presented and reviewed. This update is needed in light of the ever-evolving healthcare arena." Score: 100, 5 stars --Doody's " there are plenty of lessons to be learned not only from the experiences and insights of these authors, but also principles and practices which they have found to be patient-centered, effective, efficient, and economical." -Loretta C. Ford, EdD, RN, PNP, FAAN, FAANP (From the Foreword) This fifth edition discusses the evolution and future of advance practice nursing, primarily for APN faculty and APN/NP practitioners as well as for leaders and administrators in education. Fully updated and expanded, the book comprehensively describes the historical, social, economic, and global contexts of advanced practice nursing. The team of expert contributors provides a wealth of insight into key issues of the day, such as the mechanics of financial recognition of NPs, the effects of managed care, and the globalization of advanced practice models. The new edition also presents a fresh perspective on the role of nurse practitioners in both small- and large-scale reform initiatives-such as health promotion, disease management, the rapid spread of global disease, and the diminished economic capacity of many countries to meet standards for health care. Enriched with case studies, key principles, and best practices, this book is a must-have for all those invested in the current and future status of advanced practice nursing. Key topics include: ilPublic relations strategies ilNurse-managed health centers ilAdult health and gerontology care ilBusiness, policy, and politics: success factors for practice ilGlobal health, international developments, and future challenges

Policy and Politics for Nurses and Other Health Professionals, Third Edition focuses on the idea that all healthcare providers require a fundamental understanding of the healthcare system including but not limited to knowledge required to practice their discipline.

Designated a Reference Reviews Top Ten Print Reference Source 2005 The Encyclopedia of Women's Health meets this challenge by bringing together an impressive array of experts on topics from reproductive issues to gastrointestinal illnesses. This skilfully edited volume, informed by current health issues and health-care realities, offers readers practical information, historical aspects, and future directions, all meticulously researched and conveniently presented. Key features include: -Accessible A-to-Z coverage, including AIDS, birth control, hormone replacement therapy, teen pregnancy, sexual harassment, violence, body image, access to health care and more. -Entries spanning the medical, psychological, sociocultural, spiritual, and legal arenas. -Medical topics explored from both conventional and complementary perspectives. -Cross-cultural data illustrate issues as they apply to minority women, rural women, the elderly, and other underserved populations. -Special chapters on disparities in women's health and health care. -Historical overview of women in health - as patients and as professionals. -Suggested readings and resource lists.

In Making Room in the Clinic, Julie Fairman examines the context in which the nurse practitioner movement emerged, how large political and social movements influenced it, and how it contributed to the changing definition of medical care. Drawing on primary source material, including interviews with key figures in the movement, Fairman describes how this evolution helped create an influential foundation for health policies that emerged at the end of the twentieth century, including health maintenance organizations, a renewed interest in health awareness and disease prevention, and consumer-based services.

In the United States and throughout the industrialized world, just as the population of older and sicker patients is about to explode, we have a major shortage of nurses. Why are so many RNs dropping out of health care's largest profession? How will the lack of skilled, experienced caregivers affect patients? These are some of the questions addressed by Suzanne Gordon's definitive account of the world's nursing crisis. In Nursing against the Odds, one of North America's leading health care journalists draws on in-depth interviews, research studies, and extensive firsthand reporting to help readers better understand the myriad causes of and possible solutions to the current crisis. Gordon examines how health care cost cutting and hospital restructuring undermine the working conditions necessary for quality care. She shows how the historically troubled workplace relationships between RNs and physicians become even more dysfunctional in modern hospitals. In Gordon's view, the public image of nurses continues to suffer from negative media stereotyping in medical shows on television and from shoddy press coverage of the important role RNs play in the delivery of health care. Gordon also identifies the class and status divisions within the profession that hinder a much-needed defense of bedside nursing. She explains why some policy panaceas-hiring more temporary workers, importing RNs from less-developed countries-fail to address the forces that drive nurses out of their workplaces. To promote better care, Gordon calls for a broad agenda that includes safer staffing, improved scheduling, and other policy changes that would give nurses a greater voice at work. She explores how doctors and nurses can collaborate more effectively and what medical and nursing education must do to foster such cooperation. Finally, Gordon outlines ways in which RNs can successfully take their case to the public while campaigning for health care system reform that actually funds necessary nursing care.