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Healthcare Reform and the Workplace Experience of Nurses: Implications for Patient Care and Union Organizing

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  • Paul F. Clark
  • Darlene A. Clark
  • David V. Day
  • Dennis G. Shea

Abstract

The introduction of market-based reforms over the past twenty-five years has fundamentally changed the way healthcare is delivered in the United States. This paper reports the results of a survey of the workplace experiences and attitudes of hospital-based registered nurses under healthcare reform. The authors find that nurses who had experienced reform-related job restructuring held substantially more negative views of the climate for patient care than nurses who had not experienced restructuring. Also, nurses who had experienced reform-related mergers held more negative perceptions of the climate for patient care than those who had not been through a merger, although the relationship was less strong than it was for restructuring. Nurses concerned about a deteriorating climate for patient care indicated a desire for greater voice in the organization and staffing of hospitals and also indicated a greater readiness than other nurses to vote for a union.

Suggested Citation

  • Paul F. Clark & Darlene A. Clark & David V. Day & Dennis G. Shea, 2001. "Healthcare Reform and the Workplace Experience of Nurses: Implications for Patient Care and Union Organizing," ILR Review, Cornell University, ILR School, vol. 55(1), pages 133-148, October.
    • Handle: RePEc:sae:ilrrev:v:55:y:2001:i:1:p:133-148
    DOI: 10.1177/001979390105500108
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    Cited by:

    1. Ariel C. Avgar & Niti Pandey & Kiwook Kwon, 2012. "Discretion in Context: A Moderated Mediation Model of the Relationship between Discretion and Turnover Intentions," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 51(1), pages 106-128, January.
    2. Janet Currie & Mehdi Farsi & W. Bentley Macleod, 2005. "Cut to the Bone? Hospital Takeovers and Nurse Employment Contracts," ILR Review, Cornell University, ILR School, vol. 58(3), pages 471-493, April.
    3. Nick Krachler & Jennie Auffenberg & Luigi Wolf, 2021. "The Role of Organizational Factors in Mobilizing Professionals: Evidence from Nurse Unions in the United States and Germany," British Journal of Industrial Relations, London School of Economics, vol. 59(3), pages 643-668, September.
    4. Ariel C. Avgar & Julie Anna Sadler & Paul Clark & Wonjoon Chung, 2016. "Labor–Management Partnership and Employee Voice: Evidence from the Healthcare Setting," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 55(4), pages 576-603, October.

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