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Nursing casualization and communication: a critical ethnography.
1Department of Infectious Diseases, Royal Brisbane and Womens Hospital, Queensland, Australia.
Journal of Advanced Nursing
|November 8, 2014
Summary
Nursing casualization negatively impacts communication culture by marginalizing non-standard workers within traditional healthcare models. Systemic issues create an ineffective communication environment, hindering teamwork and belonging for flexible nursing staff.
Area of Science:
- Healthcare Management
- Nursing Workforce Studies
- Organizational Communication
Background:
- Casualization, or non-standard work, is a global trend increasing flexible and contract-based labor in healthcare.
- While flexible work arrangements aim to support nurses' needs and complex work environments, their impact on communication culture remains unexplored.
- The study addresses a gap in understanding how nursing casualization affects communication dynamics within healthcare facilities.
Purpose of the Study:
- To investigate the relationship between nursing casualization and the communication culture experienced by nurses.
- To identify how non-standard work arrangements influence teamwork, belonging, and communication effectiveness.
- To analyze the systemic factors contributing to communication challenges in a healthcare setting.
Main Methods:
- Employed a critical ethnography research design.
- Utilized methods including observation, field notes, formal interviews, and focus groups.
- Conducted data collection over a two-year period (2008-2009).
Main Results:
- Traditional work models, designed for full-time staff, marginalized casualized nurses, impacting their sense of knowing and belonging.
- Medical dominance and stereotypes of full-time nursing work positioned casual workers peripherally.
- Entrenched systemic structures and processes fostered an ineffective communication culture within the contemporary work environment.
Conclusions:
- Flexible work is a significant aspect of modern nursing practice.
- Outdated traditional work models, nurse attitudes, and practices are misaligned with contemporary nursing labor management.
- Addressing systemic issues is crucial for improving communication culture and integrating flexible nursing staff effectively.
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