Abstract
This study examines the impact of three waves of technological change that swept nursing from 1950 to 1990.It suggests that the response to these changes was rooted in a positivistic stance toward skills as knowledge and a reiteration of culturally held views of natural feminine skills. It further argues that such a stance was inadequate to forestall deskilling and that a sociohistorical understanding of the cultural construction of both skill and gender provides a broader understanding of the impact of technological change.