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A reappraisal of nursing services an...

Kirchgessner, John C.

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A reappraisal of nursing services and shortages: A case study of the University of Virginia Hospital, 1945--1965.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	A reappraisal of nursing services and shortages: A case study of the University of Virginia Hospital, 1945--1965./
Author:	Kirchgessner, John C.
Description:	239 p.
Notes:	Adviser: Arlene W. Keeling.
Contained By:	Dissertation Abstracts International67-05B.
Subject:	Health Sciences, Health Care Management. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3218416
ISBN:	9780542700620

A reappraisal of nursing services and shortages: A case study of the University of Virginia Hospital, 1945--1965.
Kirchgessner, John C.

A reappraisal of nursing services and shortages: A case study of the University of Virginia Hospital, 1945--1965. - 239 p.

Adviser: Arlene W. Keeling.

Thesis (Ph.D.)--University of Virginia, 2006.

This exploratory study examined how the changes sweeping through health care and nursing during the post-World War II era impacted the University of Virginia Hospital and its nursing service. Specifically, how the hospital's administrators coped with the nursing shortage and how nurses' services, long considered hospital overhead, began to generate significant income were explored. While other studies have examined this era's shortage, no study has addressed how nursing services began to be recognized for generating revenue that became part of the hospital's profits.

ISBN: 9780542700620Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

A reappraisal of nursing services and shortages: A case study of the University of Virginia Hospital, 1945--1965.
LDR:03400nam 2200313 a 45 001 969081
005 20110920
008 110921s2006 eng d
020 $a 9780542700620
035 $a (UMI)AAI3218416
035 $a AAI3218416
040 $a UMI $c UMI
100 1 $a Kirchgessner, John C. $3 1293137
245 1 2 $a A reappraisal of nursing services and shortages: A case study of the University of Virginia Hospital, 1945--1965.
300 $a 239 p.
500 $a Adviser: Arlene W. Keeling.
500 $a Source: Dissertation Abstracts International, Volume: 67-05, Section: B, page: 2473.
502 $a Thesis (Ph.D.)--University of Virginia, 2006.
520 $a This exploratory study examined how the changes sweeping through health care and nursing during the post-World War II era impacted the University of Virginia Hospital and its nursing service. Specifically, how the hospital's administrators coped with the nursing shortage and how nurses' services, long considered hospital overhead, began to generate significant income were explored. While other studies have examined this era's shortage, no study has addressed how nursing services began to be recognized for generating revenue that became part of the hospital's profits.
520 $a This study used the methods of social history to explore the dynamic interactions between the major events of the era and the groups who dealt with the University of Virginia's nursing shortage. In addition, the economics of health care and women as a labor force were two philosophical underpinnings used to further define the subject matter. Fiscal data from the University of Virginia Hospital's annual budgets and operating reports were analyzed to determine the amount of income generated by the hospital's nursing service department. Other archival sources were used to explore the strategies employed to alleviate the hospital's nursing shortage and oral interviews with retired employees were also obtained. The oral interviews of retired nurses served to corroborate archival data and reflected the challenges of running the hospital during the era and the nurses' actual work.
520 $a Throughout the era, hospital and nursing administrators at the University of Virginia, were challenged to meet the increased demand for nursing services. Strategies, unique to the University hospital and reflecting local demographic changes and gender related labor patterns, were developed and implemented. However, regardless of a nursing shortage, nurses' services both directly and indirectly (through cross-subsidization) generated annual income that consistently surpassed the nursing department's costs. The budgetary evidence that nurses' services contributed to the hospital's revenue was not publicly recognized and these services remained embedded in other hospital charges. The post-war era was a prime opportunity for hospital economics and nursing services to intersect, thereby allowing nurses' services to leave fiscal obscurity. However, due to many factors including, professional and cultural, a potential opportunity became a missed-opportunity.
590 $a School code: 0246.
650 4 $a Health Sciences, Health Care Management. $3 1017922
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a History, Modern. $3 516334
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690 $a 0582
690 $a 0769
710 2 0 $a University of Virginia. $3 645578
773 0 $t Dissertation Abstracts International $g 67-05B.
790 $a 0246
790 1 0 $a Keeling, Arlene W., $e advisor
791 $a Ph.D.
792 $a 2006
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3218416