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Pay inequity: it's still with us

C Tiffany1, L R Lütjens

  • 1Andrews University, Berrien Springs, MI 49104.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
|January 1, 1993
PubMed
Summary

Despite decades of effort, pay inequity persists due to legal limitations, flawed labor surveys, and ineffective collective bargaining. Nurses must understand pay equity to advocate for fair compensation.

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Area of Science:

  • Health Policy
  • Labor Economics
  • Sociology of Occupations

Background:

  • Pay inequity remains a persistent issue in many professions, despite numerous attempts to address it over the past three decades.
  • Existing remedies, including civil rights legislation and collective bargaining, have shown limited success in achieving true pay equity.
  • Nurses, in particular, face ongoing challenges related to pay disparities within the healthcare sector.

Purpose of the Study:

  • To explore the multifaceted reasons behind the continued existence of pay inequity.
  • To critically analyze the effectiveness of various historical and contemporary remedies for pay inequity.
  • To highlight the specific challenges and knowledge gaps related to pay equity within the nursing profession.

Main Methods:

  • The study employs a critical review and analysis of existing literature on pay equity, labor market dynamics, and professional compensation.
  • It examines the impact of civil rights legislation, labor market surveys, and collective bargaining on pay disparities.
  • The article also analyzes the role of job evaluation systems and pay structures in perpetuating inequity.

Main Results:

  • Narrow interpretations of civil rights legislation limit its effectiveness in addressing pay inequity.
  • Labor market surveys often reinforce existing pay disparities rather than resolving them.
  • Traditional collective bargaining benefits nurses less than commonly perceived, and job evaluation systems contribute to discrimination.
  • A lack of professional sophistication regarding pay equity issues can disadvantage nurses.

Conclusions:

  • The persistence of pay inequity is attributed to a combination of legal, economic, and systemic factors.
  • Current remedies are often insufficient or counterproductive, necessitating a re-evaluation of strategies.
  • Nurses need enhanced awareness and understanding of pay equity issues to effectively advocate for fair compensation and professional advancement.

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