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Nursing's divided loyalties: an historical case study.

E D Baer1

  • 1University of Pennsylvania School of Nursing, Philadelphia.

Nursing Research
|May 1, 1989
PubMed
Summary

Nurses in a historical case study experienced conflicted loyalties between individual members and institutional needs, and local versus national concerns. These divided loyalties prevented the alumnae association from achieving its organizational goals.

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Area of Science:

  • Nursing History
  • Organizational Studies
  • Sociology of Professions

Background:

  • Historical case study method applied to a turn-of-the-century nurses' training school alumnae association.
  • Examines the complexities of professional identity and loyalty in early nursing organizations.

Observation:

  • Nurses demonstrated simultaneous loyalty to competing entities: individual graduates' attributes versus associational eligibility requirements.
  • Observed conflicts between member needs and institutional requirements.
  • Identified tension between local and national nursing concerns within the association.

Findings:

  • Divided loyalties among nurses hindered the achievement of self-set organizational goals.
  • The study illustrates the challenges of balancing diverse stakeholder interests in professional associations.

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  • Incongruence between individual and collective priorities impacted organizational effectiveness.
  • Implications:

    • Understanding historical precedents of conflicted loyalties can inform contemporary nursing leadership and organizational development.
    • Highlights the importance of aligning individual and institutional goals for effective association management.
    • Provides insights into the evolution of professional nursing standards and organizational structures.