Nursing in the European Union: The World of Work

Nursing in the European Union: The World of Work

by Sondra Z. Koff

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Overview

Nursing in the European Union demonstrates how the European Union (EU) has refashioned the nursing world throughout the Member States via its power in many other policy domains. Volume 1 focused on the EU's impact on nursing education, regulation, and research endeavours. This volume focuses on real-life situations and problems EU nurses face—wages, stress, work environments, and dispute resolution—and places them in a comparative perspective.

In this unique work, Sondra Z. Koff develops a profile of nurses' workplaces, highlighting similarities and diversities, challenges, and nurses' opinions. Though it has limited formal authority in the health and health care sectors, the EU has had a significant impact on the working life of these practitioners in areas such as employment options, industrial relations and their outcomes, organizational and environmental features of nurses' workplaces, collective action, and more.

New policies and legalities are regulating the production, distribution, practices, and organization of nursing according to supranational standards. Koff helps to fill a gap in the literature, given the dearth of comparative, cross-national, book-length studies of the nursing profession. By adopting a framework focused on an institution, policies, and politics, Koff addresses these topics from the perspective of multiple actors, both national and international.

Product Details

ISBN-13: 9781412863957
Publisher: Transaction Publishers
Publication date: 11/30/2016
Pages: 340
Product dimensions: 6.00(w) x 9.10(h) x 0.90(d)

About the Author

Sondra Z. Koff is professor emerita of political science at the State University of New York, Binghamton. She has been involved with health-care and nursing boards as a public member at the local, state, regional, and national levels and often, in a leadership capacity.

Table of Contents

List of Abbreviations xi

List of European Union Institutions and Processes xiii

List of European Union Member States and Year of Entry xv

1 Employment 1

Introduction 1

Initial Employment-The First Position 2

The Hospital 6

Staffing Ratios 8

Nursing Care Delivery Models 10

Audit and Feedback 14

Shift Handover 15

Intentional Rounding 17

Hospital Shortages 18

Primary Care 18

Other Community Nursing Sites 23

Home Care 25

Palliative Care 29

Extended Care 35

Advanced Practice Nursing 37

Walk-In Centers and Telehealth Nursing 45

Independent Practice: The Self-Employed 46

Agency and Bank Nursing 48

Other Employment Choices 51

Skill Mix 52

The Public and Private Sectors 56

Professional Practice: Work Styles 58

Professional Practice and the New Social Scene 59

Turnover 61

Nurse Employment and the Financial Crisis 63

The European Union and Health-Care Human Resources Management 65

2 Industrial Relations and Payment Mechanisms 69

Introduction 69

Trade Unions 71

Employer Organizations 74

Collective Bargaining 75

Basic Wages 81

Supplements to Basic Wages 92

Wage Evaluation 101

Social Security and Pensions 104

Conclusion 111

3 The World of Work: Basic Organizational Features 113

Working Time 113

Overtime 123

Part-time 125

Work Patterns 132

Annual Paid and Additional Leaves 139

Public Holidays 142

Maternity and Parental Leaves 143

Childcare 146

Absenteeism 150

Conclusion 152

4 The World of Work: Its Environment 155

Introduction 155

Physical Conditions 156

Psychosocial Conditions 164

Stress 164

Effort-Reward Balance 166

Work-Family Balance 168

Job Insecurity 169

Professional Relationships 171

Burnout 180

Work Ability 183

Violence: The Physical and Psychological Facets 185

Job Satisfaction and the Meaning of Work 206

Job and Organizational Commitment 213

Intent to Leave the Place of Employment and/or the Profession 215

Conclusion 222

5 Industrial Action 225

Introduction 225

Issues Spurring Collective Action 227

Collective Action Tactics 236

Alternate Dispute Resolution 257

Dispute Resolution and the Courts 260

Summary and Conclusion 261

6 Member States, the European Union, and the Workplace 263

References 277

Index 321

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