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Caring holistically within new managerialism.

Woon Hau Wong1

  • 1PPH Community Service Centre, Blk. 115, Teck Whye Lane no. 05-700, Singapore 680115. wong_woonhau@pacific.net.sg

Nursing Inquiry
|February 14, 2004
PubMed
Summary

Nurses strive for holistic patient care, but resource limits and managerial pressures shift focus to "emptying beds." This managerial calculus redefines nursing success beyond patient well-being.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Sociology of Health

Background:

  • Nurses aim for humanistic, holistic care beyond physiological needs.
  • Professionalization strategies seek to reduce biomedical control over nursing practice.

Purpose of the Study:

  • To analyze how resource constraints and managerial definitions impact holistic nursing care.
  • To explore the influence of governmentality theory on nursing practice and resource allocation.

Main Methods:

  • Critical analysis of nursing practice within healthcare systems.
  • Application of Foucault's governmentality theory to understand managerial influences.

Main Results:

  • Holistic care concepts are constrained by a new calculus and normalizing technologies.
  • Nurses' focus shifts to resource management, particularly hospital bed availability.
  • The "emptying of beds" becomes a managerial metric, influencing nursing priorities.

Conclusions:

  • Managerial definitions and resource limitations challenge the practice of holistic nursing.
  • The administration of hospital beds is integrated into managerial power/knowledge systems.
  • Nurses' work is increasingly shaped by financial imperatives and bed management goals.

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