Complexities of Care

Sioban Nelson and Suzanne Gordon (Editors)

Description

"Nursing, everyone believes, is the caring profession. Texts on caring line the walls of nursing schools and student shelves. Indeed, the discipline of nursing is often known as the 'caring science.' Because of their caring reputation, nurses top the polls as the most-trustworthy professionals. Yet, in spite of what seems to be an endless outpouring of public support, in almost every country in the world nursing is under threat, in the practice setting and in the academic sector. Indeed, its standing as a regulated profession is constantly challenged. In our view, this paradox is neither accidental nor natural but, in great part, the logical consequence of the fact that nurses and their organizations place such a heavy emphasis on nursing's and nurses' virtues rather than on their knowledge and concrete contributions."-from the IntroductionIn a series of provocative essays, The Complexities of Care rejects the assumption that nursing work is primarily emotional and relational. The contributors-international experts on nursing- all argue that caring discourse in nursing is a dangerous oversimplification that has in fact created many dilemmas within the profession and in the health care system. This book offers a long-overdue exploration of care at a pivotal moment in the history of health care. The ideas presented here will foster a critical debate that will assist nurses to better understand the nature and meaning of the nurse-patient relationship, confront challenges to their work and their profession, and deliver the services patients need now and into the future.

Sujets

• Médecine
• Nursing
• Nurse
• Labour

Informations

• Publié par: Cornell University Press
• Date de parution: 15 mai 2012
• Nombre de lectures: 0
• EAN13: 9780801465055
• Langue: English

Extrait

The Complexities of Care

a volume in the series The Culture and Politics of Health Care Work Edited bySuzanne Gordon and Sioban Nelson

From Silence to Voice: What Nurses Know and Must Communicate to the Public, Second Edition ByBernice Buresh and Suzanne Gordon

Nobody’s Home: Candid Reflections of a Nursing Home Aide ByThomas Edward Gass

Nursing against the Odds: How Health Care Cost Cutting, Media Stereotypes, and Medical Hubris Undermine Nurses and Patient Care BySuzanne Gordon

Nurses on the Move: Migration and the Global Health Care Economy ByMireille Kingma

Code Green: Money-Driven Hospitals and the Dismantling of Nursing ByDana Beth Weinberg

The Complexities of Care NURSING RECONSIDERED

EDITED BY Sioban Nelson andSuzanne Gordon

ILR Press AN IMPRINT OF CORNELL UNIVERSITY PRESS ITHACA AND LONDON

An early version of chapter one appeared in theAmerican Journal of Nursing105, no. 5 (May 2005): 62–69, and is adapted here with permission.

Copyright © 2006 by Sioban Nelson and Suzanne Gordon

All rights reserved. Except for brief quotations in a review, this book, or parts 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.

First published 2006 by Cornell University Press First printing, Cornell Paperbacks, 2006

Printed in the United States of America

Library of Congress Cataloging-in-Publication Data The complexities of care : nursing reconsidered / edited by Sioban Nelson and Suzanne Gordon. p. cm. — (The culture and politics of health care work) Includes bibliographical references and index. ISBN-13: 978-0-8014-4505-7 (cloth : alk. paper) ISBN-10: 0-8014-4505-1 (cloth : alk. paper) ISBN-13: 978-0-8014-7322-7 (pbk. : alk. paper) ISBN-10: 0-8014-7322-5 (pbk. : alk. paper) 1. Nursing. 2. Nursing—Philosophy. 3. Nursing ethics. 4. Nursing —Social aspects. 5. Care of the sick. I. Nelson, Sioban. II. Gordon, Suzanne, 1945– . III. Series. [DNLM: 1. Nursing Care. 2. Philosophy, Nursing. 3. Ethics, Nursing. WY 100 C7375 2006] RT82.C655 2006 610.73—dc22 2006006528

Cornell University Press strives to use environmentally responsible suppliers and materials to the fullest extent possible in the publishing of its books. Such materials include vegetable-based, low-VOC inks and acid-free papers that are recycled, totally chlorine-free, or partly composed of nonwood fibers. For further information, visit our website at www.cornellpress.cornell.edu.

Cloth printing

10

Paperback printing

9

10

8

9

7

8

6

7

5

6

4

5

3

4

2

3

1

2

1

For Fran

Contents

Acknowledgments

Introduction

ix

Sioban Nelson and Suzanne Gordon

1

1. Moving beyond the Virtue Script in Nursing: Creating a Knowledge-Based Identity for Nurses13 Suzanne Gordon and Sioban Nelson

2. When Little Things Are Big Things: The Importance of Relationships for Nurses’ Professional Practice30 Dana Beth Weinberg

3. Pride and Prejudice: Nurses’ Struggle with Reasoned Debate Diana J. Mason

4. Moral Integrity and Regret in Nursing Lydia L. Moland

5

0

5. Ethical Expertise and the Problem of the Good Nurse Sioban Nelson

6. From Sickness to Health Tom Keighley

8

8

6

9

4

4

v i i i

C O N T E N T S

7. The New Cartesianism: Dividing Mind and Body and Thus Disembodying Care104 Suzanne Gordon

8. Nurses Must Be Clever to Care Sanchia Aranda and Rosie Brown

122

9. “You Don’t Want to Stay Here”: Surgical Nursing and the Disappearance of Patient Recovery Time143 Marie Heartfield

10. Research on Nurse Staffing and Its Outcomes: The Challenges and Risks of Grasping at Shadows161 Sean Clarke

Conclusion: Nurses Wanted: Sentimental Men and Women Need Not Apply185

Sioban Nelson and Suzanne Gordon

Notes 191 Contributors Index 205

203

Acknowledgments

This book owes a debt to the plenitude of conversations, debates, and ar- guments we have enjoyed with nurses, other health professionals, social scientists, and health care watchers, many of whom would have no idea as to the impact of these conversations on the development of our ideas and of this volume. Our heartfelt thanks are due to you all for your willingness to engage with these ideas and challenge our assumptions. A few individuals who have been directly involved in the production of this text warrant specific mention. Rick Ferri (Maine), Mary Ellen Purkis (Victoria, Canada), and Michael McGillion (Toronto), were all involved in early iterations of this volume, and Mike generously provided feedback on the draft manuscript. Margaret Sandelowski of University of North Car- olina, Chapel Hill, and Mary Chiarella of University Technology, Sydney, Australia, reviewed the manuscript for Cornell, and we are grateful for their insights and advice. Thanks go to Debbie Fleming of the University of Melbourne, who oversaw the organization of the volume with characteris- tic efficiency and tolerance. We would also like to thank Ange Romeo-Hall for her editorial input, along with the rest of the wonderful team at Cornell University Press for their energy and professionalism.