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Restructuring nurses' worklives and knowledge: case studies from England and Spain.

C Norrie¹, J Muller, I Goodson

¹Education Research Centre (ERC), Mayfield House, University of Brighton, Brighton, UK. c.norrie@brighton.ac.uk

International Nursing Review

|February 26, 2009

Summary

Healthcare restructuring impacts nurses differently in England and Spain. English nurses

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Area of Science:

Nursing Studies
Healthcare Management
Sociology of Health

Background:

Modernization of European healthcare systems is influenced by societal changes like aging populations, increased patient expectations, technological advancements, and evolving roles for women.
These shifts are altering the position of nurses within the healthcare landscape, impacting their professional identity and relationship with both the state and citizens.

Purpose of the Study:

To investigate the relationship between healthcare restructuring and the work lives of nurses in England and Spain.
To compare the impact of restructuring on the professional knowledge and experiences of nurses across these two distinct national contexts.

Main Methods:

Utilized a mixed-methods approach, including literature reviews, national policy summaries, and surveys.
Conducted life-history interviews and observations with nurses from different generations in case-study hospitals in England and Spain.
Employed an interpretative, narrative analysis to juxtapose global/national policy narratives with individual nurses' worklife narratives.

Main Results:

Policy analysis indicates nurses in both England and Spain have transitioned from traditional roles to reframed professionals.
Worklife narrative analysis reveals that in England, restructuring narratives are deeply integrated into nurses' daily professional lives.
In Spain, a significant disconnect exists between the rhetoric of healthcare reform and its practical implementation, leading to de-coupled narratives.

Conclusions:

Healthcare restructuring has a profound and direct impact on the lived experiences of nurses in England.
In Spain, the gap between policy discourse and on-the-ground realities suggests a less integrated impact of restructuring on nursing worklife.
Comparative analysis highlights the importance of national context in shaping the effects of healthcare reforms on nursing professionals.