Recent changes in nurse education in Australia have prompted serious objections from the medical profession. While medical opposition to changes in the organisation of nurse education is not new, the current attacks are of particular interest in that the 'nursing problem' is being viewed by doctors as part of the wider malady of public health care provision in Australia. This paper identifies the semantic domains of this medical discourse on contemporary nurse education and analyses how these seek to reinforce popular images of nursing. The preferred meanings within this discourse, it will be argued, perform an ideological function in attempting to shape public agendas on nurse education in ways that sustain the traditional subordination of nursing to medicine.
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References
1.
Austin, J.K., Champion, V.L. and Tzeng, al O.C.S. (1985), Crosscultural Comparison on Nursing Image, International Journal of Nursing Studies22, 3, 231-239.
2.
Berliner, H.S. (1982), Medical Modes of Production, in The Social Construction of Medicine, (ed. Treacher, A., Wright, P.) Edinburgh, Edinburgh University Press.
3.
Boalch, K. (1987), The New Generation of College Nurses, Daily Telegraph (September 2), 19.
4.
Cowan, C. (1984), Education: The old versus the new, Nursing in Australia2, 210-11.
5.
Connell, R.W., Ashenden, D.J., Kessler, S. and G.W. Dowsett, (1982) Making the Difference, Sydney , George Allen and Unwin.
6.
Committee of Inquiry to Study Education of Nurses in New South Wales, (1969), Committee of Inquiry to Study Education of Nurses in N.S.W., Interim Report and Recommendations, (Truskett Interim Report), Sydney, N.S.W. Government Printers.
7.
Dean, M. and G. Bolton, (1980), The Administration of Poverty and the Development of Nursing Practice in Nineteenth- Century England, in Davies, C. (ed.) (1980), Rewriting Nursing History, Croom Helm: London .
8.
Freidson, E. (1970a), Professional Dominance, New York, Atherton.
9.
Freidson, E. (1970b), Profession of Medicine, Harper and Row, New York.
10.
Game, A. and R. Pringle, (1983), Gender at Work, George Allen and Unwin, Sydney.
11.
Gardner, H. and B. McCoppin, (1986). Vocation, Career or both? Politicization of Australian Nurses, Victoria 1984-1986, The Australian Journal of Advanced Nursing4, 1, 25-35.
12.
Garmarnikow, E. (1978), Sexual Division of Labour. The Case of Nursing in Kuhn, A. and Wolpe, A. (eds), Feminism and Materialism, women and modes of production, Routledge and Regan Paul, London, 96-123.
13.
Gramsci, A. (1971), Selections from the "Prison Notebooks", London, Lawrence and Wishart.
14.
Hall, S. (1973), The Structured Communication of Events, Centre for Cultural Studies, University of Birmingham, Edgbaston.
15.
Hall, S. (1977), Culture, the Media and the 'ideological effect', in Mass Communications in Society, (eds. Curran, J., Gurevitch, M. and Woolacott, J.). London, Arnold.
16.
Hall, S. (1978), The Hinterland of Science: Ideology and the "Sociology of Knowledge", in On Ideology, (ed.) Centre for Contemporary Cultural Studies.London, Hutchinson.
17.
Hall, S. (1983), The Problem of Ideology — Marxism without Guarantees, in Marx: A 100 Years On. (ed. Matthews, B.)London, Lawrence and Wishart.
18.
Hall, S., Critcher, C., Jefferson, T., Clark, J. and B. Roberts, (1978), Policing the Crisis, London , Macmillan.
19.
Hudson, L. (1987), Doctors accuse government of 'virtual slavery' , The Australian (September 21), 4.
20.
Institute of Hospital Matrons of New South Wales and the Australian Capital Territory, (1969), Report of the Committee to Consider all Aspects of Nursing, Part 2, The Education of the General Nurse, (Matron's Report, 1969), Sydney, Institute of Hospital Matrons of N.S.W. and the A.C.T.
21.
Johnston, K. (1987), Shaping the Educational Agenda: a study of ideology and education, PhD. Thesis. Macquarie University, Sydney.
22.
Jamieson, A. (1987), Country doctors threaten walkout over fee structure , The Australian (July 27), 3.
23.
Kalisch, P.A., and B.J. Kalisch, The Changing Image of the Nurse, Menlo Park, California , Addison-Wesley.
24.
Larrain, J. (1979), The Concept of Ideology, London , Hutchinson.
25.
Larrain, J. (1983), Marxism and Ideology, London , McMillan.
26.
Law, G. ( 1980), 'I have never liked trade unionism': the Development of the Royal Australian Nursing Federation, Queensland Branch, 1904-45, in Windscuttle, E. (ed.), Women, Class and History, fontana/Collins , Auckland.
27.
Leeder, J. (1987), A Question of life and death for all of us, The Sydney Morning Herald, (July 23), 20.
28.
Longdorf, R. (1985), The Medical Industrial Complex, New Doctor37, 27-28.
29.
McEvoy, M. (1987), Doctors plan action on government controls, The Australian (August 17), 3.
30.
McMillan, M.A., and Dwyer, J. (1989), Changing times, changing paradigms (1): from training to college education in Australia, Nurse Education Today9, 13-18.
31.
Meleis, A.I. (1983), Theoretical Nursing, Philadelphia , J.B. Lippincott.
32.
Oakley, A. (1987), Nursing — The issue to come, Australian Society, February, pp. 13-15.
33.
O'Neill, J. (1987a), Shepherd leads move for secession from Federal A.M.A. The Sydney Morning Herald (August 7), 1.
34.
O'Neill, J. (1987b), Training standards defended by nurses, The Sydney Morning Herald (August 18), 9.
35.
O'Neill, J. (1987c), Nurses shortage causes intensive care delays , The Sydney Morning Herald (August 22), 3.
36.
O'Neill, J. (1987d), An unhealthy state of affairs, The Sydney Morning Herald (September 21), 11.
37.
Pickhaver, A., Young, B. and T. Goldsworthy, (1985), They Seem Different Somehow, Commonwealth Tertiary Education Commission, Flinders University, South Australia.
38.
Pittman, E. (1985), Goodbye Florence, Australian Society , February, 8-10.
39.
Poynting, S. (1984), Antonio Gramsci, Educator for a New Order, M.A. Thesis. School of Education, Macquarie University, Sydney.
40.
Ragg, M., and M. McEvoy, (1987), Doctors walk off, country hospitals hit, The Australian (August 1), 1.
41.
Royal Australasian College of Surgeons. (1987 ), Submission to Inquiry on Professional Issues in Nursing , Melbourne, Royal Australasian College of Surgeons.
42.
Russell, R.L. (1986), A Time for Change: The Education of the General Nurse in New South Wales 1960-1980 . PhD. Thesis. University of Newcastle, Newcastle.
43.
Romei, S. (1987a), Doctors attack nurses' college training, Daily Telegraph, (August 17), 10.
44.
Romei, S. (1987b), Doctors' chief warns of crisis, Daily Telegraph, (August 19), 10.
45.
Stapleton, J., Thomas, C. (1987), Leave us alone, doctors tell Government, The Sydney Morning Herald, (August 17), 10.
46.
Southward, J. (1987), College nurses hit back, The Sun Herald (August 23), 26.
47.
Turner, B.S. (1986), The Vocabulary of Complaints: Nursing, Professionalism and Job C-ontext, Australian, New Zealand Journal of Sociology22, 3, 369-386.
48.
Volosinov, V.N. (1973), Marxism and the Philosophy of Language, New York, Siminar Press.
49.
Willis, E. (1979), Sister Elizabeth Kenny and the Evolution of the Occupational Division of Labour in Health Care, Australian, New Zealand Journal of Sociology15, 3, 30-38.
50.
Willis, E. (1983), Medical Dominance: The Division of Labour in Australian Health Care, Sydney, Allen and Unwin .
