Computing and Library Services - delivering an inspiring information environment

“Fit for nursing?” A qualitative analysis of disabled registered general nurses’ and other health professionals’ views on health and illness in relation to nursing employment.

Grainger, Angela (2008) “Fit for nursing?” A qualitative analysis of disabled registered general nurses’ and other health professionals’ views on health and illness in relation to nursing employment. Doctoral thesis, University of Huddersfield.

Download (1060kB) | Preview


    The employment of registered general nurses (RGNs) is underpinned by management’s
    need for economic utility in that the cost of salaries must be reconciled with the need to
    meet the demands inherent in service provision. Using grounded theory, interviews
    captured the experience of physically disabled RGNs, who use the phrase ‘physically
    disabled’ to describe themselves. Their collective experience was then compared with nondisabled
    RGNs working in the clinical areas of general medical wards, general surgical
    wards, and day case units, situated in three district general hospitals. Data collection was by
    partial participant observation, and interviews. The data revealed that both nurseinterviewee
    groups share an understanding of the meaning of health and illness. Both the
    physically disabled and non-disabled RGNs manipulate working time to take unauthorised
    breaks in order to ‘accommodate tiredness’ and ‘stamina lack’. ‘Accommodating need’ is
    the identified basic social process (BSP) and ‘pacing’ is the identified core category. RGNs
    distinguish between using a ‘public’ voice and a ‘private’ voice. In respect of a physically
    disabled RGN ‘doing nursing’, the data uncovered stigma relating to a spoiled identity.
    Theoretical sampling interviews with senior nurse managers, occupational health doctors,
    and trade union officials (termed ‘elite groups’), reflected the data findings of both the
    physically disabled, and non-disabled RGNs, in identifying the factors limiting the
    employability of physically disabled RGNs. Moreover, data from the elite group interviews
    revealed the importance of economic utility, in that management has to take account of
    diminishing returns. This is the crux of the employment issue. ‘Maintaining organisational
    pace’ is the generated grounded theory, and was confirmed by aligning data to the
    established literature on Labour Process Theory (LPT) in a supplementary theoretical
    sensitivity validation process.

    ▼ Jump to Download Statistics
    Item Type: Thesis (Doctoral)
    Additional Information: © The Author 2008
    Uncontrolled Keywords: nursing; RGNs; Registered General Nurse; disabled; health professionals; health and illness; nursing employment
    Subjects: R Medicine > R Medicine (General)
    R Medicine > RT Nursing
    Schools: School of Human and Health Sciences

    Abberley, P. (1992) ‘Counting Us Out: A Discussion of the OPCS Disability Surveys’.
    Disability, Handicap and Society 7 (2) pp. 139-155
    BBC (2004) ‘All in the mind’ 29th March 2004: BBC Radio 4. London: Radio Broadcast
    Allen, D (2002) ‘Time and Space on the Hospital Ward: Shaping the Scope of Nursing
    Practice’. In Allen, D., and Hughes, D. Nursing and the Division of Labour in Healthcare.
    Hampshire: Palgrave Macmillan. pp. 23-52
    Allen, D., and Hughes, D. (2002) Nursing and the Division of Labour in Healthcare.
    Hampshire: Palgrave Macmillan.
    American Sociological Association. (1997) Code of Ethics: Principle D USA: American
    Sociological Association
    Audit Commission. (1991) The Virtue of Patients: Making the Best Use of Ward Nursing
    Resources. London: HMSO
    Baly, M. (1986) Florence Nightingale and the Nursing Legacy. London: Croom Helm
    Barnes, C, Mercer, G., and Din, I. (2003) Research review on user involvement in
    promoting change and enhancing the quality of social ‘care’ services for disabled people.
    Leeds: Centre for Disability Studies, University of Leeds
    Barton, L. (1996) Disability and Society: Emerging Issues and Insights. London: Longman
    Bassett, C. (2004) Qualitative Research in Health Care. Chichester: Whurr
    Becker, H. S. (1986) Writing for Social Scientists: How to start and finish your thesis, book
    or article. Chicago: University of Chicago Press
    Bedeian, A. G. (1996) Management Louisiana: The Dryden Press, Louisiana State
    Benner, P. D. (2000) From Novice to Expert: Excellence and Power in Clinical Nursing
    Practice. Indianapolis: Prentice Hall. Commemorative edition
    Best, S. (1995) The Politics of Historical Vision: Marx, Foucault, Habermas. New York:
    The Guildford Press
    Berger, P., and Luckman, T. (1966) The Social Construction of Reality: A Treatise in the
    Sociology of Knowledge. Harmondsworth: Penguin. 6th edition (1991)
    Betros, S (1994) ‘Rights and the four principles’. In Gillan, R (ed.) Principles of Health
    Care Ethics. New York: Wiley. pp.231-241 Bhaskar, R. (1979) The Possibility of Naturalism: A Philosophical Critique of the
    Contemporary Human Sciences. Hemel Hempstead: Harvester Wheatsheaf
    Biernacki, P., and Waldorf, D. (1981) ‘Snowball sampling; problems and techniques of
    chain referral sampling’. Sociological Methods and Research, 10, (2) pp.141-163
    Bigus, O.E, Hadden, S.C, and Glaser, B.G. (1994) The Study of Basic Social Processes.
    The Handbook of Social Science Methods: Qualitative Methods New York: Irvington
    Birch, M., Miller, T., Mauthner M., and Jessop, J. (eds.) (2002) ‘Introduction’. In Birch, M.
    Miller, T., Mauthner M., and Jessop, J.(eds.) Ethics in Qualitative Research. London: Sage.
    pp. 3-6
    Birkhead, T. (2008) ‘Does it matter if researchers mis-cite the literature? Yes. Appropriate
    citation is the foundation of science’. The Times Higher Education Supplement: Jan. 4th
    2008. No.1826 p.13.
    Blaxter, M. (1981) The Meaning of Disability. London: Heinemann. 2nd edition.
    Boote, D. N., and Beile, P. (2005) ‘Scholars Before Researchers: On the Centrality of the
    Dissertation Literature Review’. Educational Researcher vol. 34 no. 6. pp 3-15
    Bourdieu, P. (1988) Homo Academicus. Cambridge: Polity Press
    Bowman, G. (1967) The Lamp and the Book. The Story of the RCN 1916-1966. London:
    Queen Anne ltd.
    Bradshaw, A. (2001) The Nurse Apprentice 1860-1977. Aldershot: Ashgate
    Braverman, H. (1974) Labor and Monopoly Capital; The Degradation of Work in the
    Twentieth Century. New York: Monthly Review Press. 2nd edition (1978)
    Brechin, A., and Liddiard, P. (eds) (1985) Look at it this way Milton Keynes: Open
    University. 4th edition.
    Brisenden, S. (1986) ‘Independent Living and the Medical Model of Disability Disability,
    Handicap and Society: vol. 3 no.3
    British Medical Association (1981) The BMA Division in the New Health Service. London:
    British Medical Association (1990) Campaign Pack for Self-Governing Trusts. London:
    British Sociological Association (2002) Statement of Ethical Practice for the British
    Sociological Association (March 2002). Durham: British Sociological Association
    Bolton, G. (2001) Reflective Practice: Writing and Professional Development. London:
    Paul Chapman Publishing Ltd.
    Buchan, J (1997) ‘Heading for a Double Whammy’. Nursing Standard 11 (21) pp. 24-25 Buchan, J. (2007 Nursing Futures, Future Nurses. Policy document for the RCN.
    Edinburgh: Queen Margaret’s University
    Burt, C. L. (1921) Mental and Scholastic Tests. London: P.S. King and Sons
    Burt C. L. (1940) The Factors of the Mind. London: P.S. King and Sons
    Bury, M (1997) Health and Illness in a Changing Society. London: Routledge
    Campling, J. (1981) Images of Ourselves. London: Routledge and Kegan Paul
    Carpenter Rinaldi, D (1995) ‘Grounded Theory Research Approach’. In Streubert Spezide,
    H. J., and Carpenter, D. R. Qualitative Research in Nursing: Advancing the Humanist
    Imperative. Philadelphia: Lippincott. 3rd edition. Chapter 8, pp. 153-19
    Carpenter, D.R. (2006) ‘Grounded Theory as Method’. In Streubert Spezide, H. J., and
    Carpenter, D.R Qualitative Research in Nursing: Advancing the Humanist Imperative.
    Philadelphia: Lippincott Williams and Wilkins. 4th edition. Chapter 7, pp. 133-151
    Charmaz, K.1987) ‘Struggling for a Self: Identity levels in the chronically ill’. In Roth, J.A.
    and Conrad, P (eds.) Research in the Sociology of Health Care: vol. 6 ‘The experience and
    management of chronic illness’. Greenwich CT: JAI Press. pp. 283-321
    Charmaz, K (2006) Constructing Grounded Theory: A Practical Guide Through
    Qualitative Analysis. London: Sage
    Clegg, H (1979) The Changing System of Industrial Relations in Great Britain. Oxford:
    Basil Blackwell
    Cobb, S., and Kasl, S.V. (1977) Termination: the Consequence of Job Loss. Cincinnati:
    U.S. Department of Health, Education, and Welfare.
    Cohn, R.M. (1978) ‘The effect of employment status change on self attitudes’. Social
    Psychology, 41, pp. 81-93
    Cole, A., and Grainger, A. (1996) ‘Back to Life’. Nursing Times vol. 92 no. 23 pp.16-17
    Command 555 (1989) Working for Patients. London: Department of Health
    Conrad, R. (1960)‘Paced, lagged, or unpaced?’ Ergonomics, 5, 11, pp.403-406
    Corbin, J. M, and Strauss, A. L. (2008) Basics of Qualitative Research: Techniques and
    Procedures for Developing Grounded Theory. London: Sage. 3rd edition.
    Cryer, P. (2001) The Research Student’s Guide to Success. Buckingham: Open University
    Press. 2nd edition
    Dean, H (ed.) Challenging the “them and the “us” of social policy research. Ethics and
    social policy research Luton: University of Luton Press Department of Health (1994) Managing the New NHS – Information and Briefing for
    NHSME and RHA Staff. London: Department of Health
    Department of Health (2005) Research Governance framework for health and social care.
    London: Department of Health
    Dingwall, R (1992) ‘Don’t mind him, he’s from Barcelona: qualitative methods in health
    studies’. In Daly, J, McDonald I, and Willis, E (eds.) Researching Health Care: Designs,
    Dilemmas, Disciplines. London: Routledge. pp.161-175
    Disability Discrimination Act (1995). London: Stationery Office
    Depoy, E., and Gitlin, L. N. (1993) Introduction to Research: Multiple Strategies for
    Health and Human Services. St. Louis: Mosby
    Denzin, N., and Lincoln, Y. (eds.) (1998) Collecting and Interpreting Qualitative
    Materials. London: Sage
    Douglas, M (2002) Purity and Danger: An Analysis of Concepts of Pollution and Taboo.
    London: Routledge and Kegan Paul
    Draper, J., and Draper, P. (2003) Response to Watson’s Guest Editorial ‘Scientific methods
    are the only credible way forward for nursing research’. Journal of Advanced Nursing, 44
    pp. 546-547
    Eisner, E.W. (1991) ‘The Enlightened Eye’. Qualitative Inquiry and the Enhancement of
    Educational Practice. USA: Macmillan
    Fagin, L., and Little, M. (1984) The Forsaken Families. London: Penguin
    Fisher, A. (1977) ‘A Trade Union View of the McCarthy Report’. Health Services
    Manpower Review, special series 1, pp. 8-10
    Foucault, M. (1991) Discipline and Punish: the Birth of the Prison. Harmondsworth:
    Ford, P., and Walsh, M. (1994) New rituals for old: nursing through the looking glass.
    Oxford: Butterworth-Heinemann
    Fox, A (1966) Industrial Sociology and Industrial Relations. Research Paper 3, Donovan
    Commission. London: HMSO
    French, S.A. (1988) ‘Experiences of disabled health and caring professionals’. Sociology of
    Health and Ilness vol. 10, no. 2 pp. 170-188
    Gartner, A. and Joe, T. (eds.) (1987) Images of the Disabled: Disabling Images. New York:
    Geertz, C (1973) Interpretation of Cultures. USA: Basic Books Inc.
    George, V. and Wilding, P. (1984) The Impact of Social Policy. London: Routledge and
    Kegan Paul Giddens, A. (1993) New Rules of Sociological Method. USA: Stanford University Press. 2nd
    Glaser, B.G., and Strauss, A.L. (1964) Awareness of Dying. Chicago: Aldine
    Glaser, B, and Strauss, A. (1967) The Discovery of Grounded Theory: Strategies for
    Qualitative Research. Chicago: Aldine
    Glaser, B. G. (1978) Theoretical Sensitivity. Mill Valley, CA: The Sociology Press
    Glaser, B. G. (1992) Basics of Grounded Theory Analysis. Mill Valley, CA: The Sociology
    Glaser, B. G. (2002) ‘Constructivist Grounded Theory. In Qualitative Social Research
    February 2002 pp. 41-53 [on line] [Accessed 25th March 2003]
    Gerson, E. (1991) ‘Supplementing Grounded Theory’. In Mainers, D. (ed) Social
    Organization and Social Process. New York: Aldine de Gryter. pp 285-301
    Goffman, E. (1959) The Presentation of Self in Everyday life. USA: Doubleday
    Goffman, E. (1964) Stigma, Notes on the Management of Identity. Harmondsworth:
    Gouldner, A (1970) The Coming Crisis of Western Sociology. New York: Basic Books
    Gorz, A. (1967) Strategy for Labour. Boston, USA: Beacon
    Grills, S. (1998) Doing Ethnographic Research: Fieldwork Setting. USA: Sage
    Grbich, C. (1999) Qualitative Research in Health: An Introduction. London: Allen and
    Grumet, M. (1990) Qualitative Inquiry in Education: The Continuing Debate. New York:
    Teachers’ College Press, Columbia University
    Griffiths, R. (1983) The NHS management Inquiry Report; Letter to Norman Fowler.
    London: Department of Health
    Haffter, C. (1968) ‘The Changeling; History and Psychodynamics of Attitudes to
    Handicapped Children in European Folklore’. Journal of the History of Behavioural
    Studies, 4.
    Hanley, B. (2005) ‘Research as empowerment’: Report of seminars organised by the
    Toronto Group. York: Joseph Rowntree Foundation
    Harding, S. (1987) Feminism and Methodology. Bloomington: Indiana. Indiana University
    Harris, A. (1971) Handicapped and Impaired in Great Britain. London: HMSO Hart, C. (1998) Doing a Literature Review: Releasing the Social Science Research
    Imagination. London: Sage
    Hearnshaw L. S. (1987) ‘Cyril Burt: Psychologist’. In Gregory, R.L. (ed.) Oxford
    Companion to the Mind. Oxford: Oxford University Press. pp.120-121
    Hepworth, S. J. (1980) ‘Moderating factors of the psychological impact of unemployment’.
    Journal of Occupational Psychology, 53 pp. 139-145
    Hirst, M., and Baldwin, S. (1994) Unequal Opportunities: Growing Up Disabled.
    York: University of York, Social Policy Research Unit
    Holland, N (1980) ‘Recovering ‘the purloined letter’: Reading as a personal transaction’
    In Suleman, S and Crossman, I (eds.) ‘The Reader in the Text: Essays on Audience and
    Interpretation’. Princeton: University of Princeton. pp. 102-113
    Holloway, I (1997) Basic Concepts for Qualitative Research. London: Blackwell Science
    Holloway, I, and Wheeler, S (1996) Qualitative Research in Nursing. Blackwell Science
    2nd edition 2002
    Huberman, M and Miles, M (1998) ‘Data Management and Analysis Methods’. In Denzin,
    N and Lincoln, Y (eds.) Collecting and Interpreting Qualitative Materials. London: Sage.
    pp. 42-53
    Hunt, P (1981) ‘Settling Accounts with the Parasite People’. Disability Challenge 1.
    London: UPIAS
    Jackson, P.R., and Warr, P.B. (1984) ‘Unemployment and psychological ill health: the
    moderating role of duration and age’. Psychological Medicine, 14, pp. 605-614
    Jenks, C (2004) Culture. Routledge: London
    Jupp, V (ed.) (2006) The Sage Dictionary of Social Research Methods. London: Sage
    Kettle, M. (1979) Disabled People and their Employment. London: RADAR
    Klein, R (1995) The New Politics of the NHS. Longman Group Ltd: Harlow, Essex 3rd
    Kornhauser, A, Dubin R, and Ross A.M (eds.) ‘Construct Aspects of Industrial Conflict’.
    Industrial Conflict Series. New York: McGraw-Hill
    Kuhn, T.S (1962) The Structure of Scientific Revolutions. Chicago: University of Chicago
    Press (2nd edition, 1970)
    Latour, B (1987) Science in Action: How to follow Scientists and Engineers through
    Society. Cambridge MA: Harvard University Press
    Le Grand, J, Culyer A, and Jonsson, B (eds.) (1992) Inequalities in Health; the HumanLeininger, M (1991) ‘Ethnonursing: A research method with enablers to study the theory of
    culture care’. In Leininger, M. (ed.) Culture care, diversity and universality: A theory of
    nursing. National League for Nursing Press: New York. pp. 112-116
    Leininger, M (1994) ‘Evaluation Criteria and Critique of Qualitative Research Studies’.
    In Morse, J.M. (ed.) Critical Issues in Qualitative Research Methods. Sage: London pp.95-
    Lenin, V (1902) What is to be done? Moscow: Progress Published (1963)
    Leininger, M (1978) Transcultural Nursing: Concepts, Theories and Practices. New York:
    Leonard, E.M (1900) The Early History of English Poor Law Relief. Cambridge:
    Cambridge University Press
    Lincoln Y, and Guba, E (1985) Naturalistic Inquiry. Beverley Hills, CA: Sage
    Lindblom, C.E. (1959) The Policy Making Process. New Jersey: Prentice Hall
    Mallet, S (1975) ‘The New Working Class’. Spokesman, Nottingham
    Marcus, G (1994) ‘What comes (just) after post? The case of ethnography’. In Denzin N,
    and Lincoln, Y (eds.) Handbook of Qualitative Research. USA: Sage. pp. 61-74
    Maggs, C (1983) The Origins of General Nursing. Croom Helm: London
    Marshall, C., and Rossman, G. B. (2006) Designing Qualitative Research. London: Sage.
    4th Edition
    Martin, J., Meltzer, H., and Elliot, D. (1988) The Prevalence of Disability among Adults.
    London: OPCS
    Marx, K (1844) Economic and Philosophic Manuscripts of 1844. New York: International
    Publishers (1964 edition)
    Marx, K (1845) ‘Thesis on Feuerbach’. In Arthur, C (1970) Selections in an edition.
    London: Penguin. Published in Moscow (1968)
    Marx, K (1867) Capital, Volume 1. Harmondsworth: Penguin (1976 edition)
    May, K.A. (1994) ‘Abstract knowing: The Case for Magic in Method’. In Morse, J.M.
    (ed.) Critical Issues in Qualitative Research Methods. London: Sage. pp.10-21
    Maxwell, J.A (1996) Qualitative Research Design: An Interactive Approach. Thousand
    Oaks: Sage
    McGuigan, H (2006) [Speech] Convenor of the North Lancashire’s Council’s Social Work
    Committee [18th January 2006]
    Merton, R. K (1968) Social Structure and Social Theory. USA: Collier-Macmillan Miles, M and Huberman, M (1994) Qualitative Data Analysis. London: Sage. 2nd edition
    Moore, M, Beazley, S and Maelzer, J. (1998) Researching Disability Issues. Buckingham:
    Open University Press
    Morris, J. (1992) ‘Personal and political: a feminist perspective on researching physical
    disability’. Disability, Handicap and Society 7, 2 pp157-166
    Morris. P (1969) Put Away. London: Routledge and Kegan Paul
    Morse, J. M. (1994) ‘Qualitative Research: Fact or Fantasy’. In Morse, J (ed.) Critical
    Issues in Qualitative Research Methods. London: Sage. pp. 1-7.
    Morris, J (1992) Pride Against Prejudice: A Personal Politics of Disability. UK: Women’s
    Morrow, R.A. and Brown D. D. (1994) Critical Theory and Methodology. London: Sage:
    Myrdal, G (1970) Objectivity in Social Research. London: Gerald Duckworth & Co. Ltd.
    Nightingale, F (1859) Notes on Nursing. What it is and what it is not. Harrison: London
    Norman, D.A., and Bobrow, D. (1976) ‘On the Analysis of Performance Operating
    Characteristics’. Psychological Review, 83, pp. 508-510
    Norman, I., and Cowley, S. (1999) The Changing Nature of Nursing in a Managerial Age.
    Oxford: Blackwell Science
    Norris, S.P. (1983) ‘The inconsistencies at the foundation of construct validation theory’.
    In House, E.R. (ed.) Philo

    Depositing User: Sara Taylor
    Date Deposited: 02 May 2008 15:46
    Last Modified: 28 Jul 2010 19:22


    Downloads per month over past year

    Repository Staff Only: item control page

    View Item

    University of Huddersfield, Queensgate, Huddersfield, HD1 3DH Copyright and Disclaimer All rights reserved ©