More Than Medicine

J. Trotter LaTonya

Description

In More Than Medicine, LaTonya J. Trotter chronicles the everyday work of a group of nurse practitioners (NPs) working on the front lines of the American health care crisis as they cared for four hundred African American older adults living with poor health and limited means. Trotter describes how these NPs practiced an inclusive form of care work that addressed medical, social, and organizational problems that often accompany poverty. In solving this expanded terrain of problems from inside the clinic, these NPs were not only solving a broader set of concerns for their patients; they became a professional solution for managing "difficult people" for both their employer and the state. Through More Than Medicine, we discover that the problems found in the NP's exam room are as much a product of our nation's disinvestment in social problems as of physician scarcity or rising costs.

Sujets

• Médecine
• Industrial relations
• Nurse

Informations

• Publié par: Cornell University Press
• Date de parution: 15 avril 2020
• Nombre de lectures: 0
• EAN13: 9781501748172
• Langue: English
• Poids de l'ouvrage: 1 Mo

Extrait

MORETHANMEDICINE

Avolumeintheseries TheCultureandPoliticsofHealthCareWork EditedbySuzanneGordonandSiobanNelson

Foralistofbooksintheseries,visitourwebsiteat cornellpress.cornell.edu.

MORETHAN MEDICINE NursePractitionersandtheProblems They Solve for Patients, Health Care Organizations, and the State

LaTonyaJ.Trotter

ILRPRESS AN IMPRINT OF CORNELL UNIVERSITY PRESS ITHACA AND LONDON

Copyright © 2020 by Cornell University

Allrightsreserved.Exceptforbriefquotationsinareview,thisbook,orparts thereof, must not be reproduced in any form without permission in writing from the publisher. For information, address Cornell University Press, Sage House, 512 East State Street, Ithaca, New York 14850. Visit our website at cornellpress. cornell.edu.

First published 2020 by Cornell University Press

Library of Congress CataloginginPublication Data Names: Trotter, LaTonya J., author. Title: More than medicine : nurse practitioners and the problems they solve for patients, health care organizations, and the state / LaTonya J. Trotter. Description: Ithaca : ILR Press, an imprint of Cornell University Press, 2020. | Series: The culture and politics of health care work | Includes bibliographical references and index. Identifiers: LCCN 2019026554 (print) | LCCN 2019026555 (ebook) | ISBN 9781501748141 (hardcover) | ISBN 9781501748158 (paperback) | ISBN 9781501748165 (epub) | ISBN 9781501748172 (pdf) Subjects: LCSH: Nurse practitioners—United States. | Geriatric nursing— Social aspects—United States. | Senior centers—United States. | Older African Americans—Care. | Older African Americans—Services for. Classification: LCC RT82.8 .T76 2020 (print) | LCC RT82.8 (ebook) | DDC 610.7306/920973—dc23 LC record available at https://lccn.loc.gov/2019026554 LC ebook record available at https://lccn.loc.gov/2019026555

Cover image: Photo by Ahmet Arslan @ahocuk on Unsplash.

Inmemoriam FannieWeatherspoonRutley,OssieWhitfieldTrotter,and Octavia E. Butler

Contents

Par t I

IIPar t

Acknowledgments AWordaboutMethods

Introduction

AN EXPANDED TERRAIN FOR NURSING 1.  Nursing’s Expertise 2.  From Medical Work to Clinic Work 3.  Organizational Care Work

A CHANGED TERRAIN FOR MEDICINE 4.  New Boundaries, New Relationships 5.  Gaining Status, Losing Ground

Par t III A SHRINKING TERRAIN FOR SOCIAL PROBLEMS 6.  The Contraction of Social Work 7.  The Misrecognition of Social Problems

Conclusion

Appendix Notes References Index

ix xi

1

17

30

55

79

98

123

141

159

169 171 175 187

Acknowledgments

Writingthisbookwaslonelywork,butIdidnotdoitalone.Fromreadingdrafts to asking questions or sometimes just sharing a wellplaced word, a network of people stands behind its production. The support and mentorship I received from Princeton’s sociology department were key to the development of this book. The weight of that mentorship fell on the shoulders of Elizabeth M. Armstrong. In addition to her insight, Betsy gave me the gift of freedom. She always supported me in finding my own way. Even as I charged ahead, she was right there with me, moving several small mountains on my behalf. I also thank Mitchell Duneier. Everything I know about fieldwork I learned from him. Without his willingness to share what he knew, I would not have had the confidence to undertake this work. IamgratefultoKatherineNewman.Earlyinmytraining,shechallengedme, very pointedly, “to not do trivial work.” Although she moved on from Princeton before she could see the direction I ultimately took, her words hit their mark and altered my path in the most radical way possible. I also want to express my deep appreciation to Paul DiMaggio, KingTo Yeung, and Viviana A. Zelizer at Princeton for their careful reading and incisive questions. Money, of course, matters too. My research was made possible through the support of a Princeton University Graduate Fellowship, a National Science Foundation Graduate Research Fellow ship, a National Institutes of Health Demography Traineeship, a Princeton Uni versity Woodrow Wilson Scholars Fellowship, and a Princeton University Center for Health and Wellbeing Research Grant. Princetongavemesolidtrainingasasociologist,butIhadagooddealtolearn about being a writer. Anne Vittoria carefully read my first draft, suggesting what could be expanded and what needed to be laid to rest. As I waded into the thick of writing and rewriting, I received feedback leavened with encouragement from many people. Early readers included Pallavi Banerjee, Marzia Milazzo, Michelle Murray, and Jennifer Reich. For their advice, support, and persistent reminders on how to be a sociologist, I thank Amy Kate Bailey, Emily Marshall, Christine Percheski, and Hana Shepherd. Clare Stacey, care work scholar extraordinaire, provided a set of comments that helped me sharpen my arguments and smooth out the rough edges. I also wish to thank The Porch Writers’ Collective, a non profit writing center in Nashville. I was sustained by its community of writers as well as its workshops. A special word of thanks to Susannah Felts, cofounder of The Porch, for helping me breathe a little life back into my prose.Finally, I am

ix