Nursing Wounds: Nurse Practitioners, Doctors, Women Patients, and the Negotiation of Meaningby Sue Fisher
Pub. Date: 07/01/1995
Publisher: Rutgers University Press
The rise of the nurse practitioner as a new kind of health care professional has blurred the traditional distinction between physicians and nurses. Nurse practitioners argue that they combine both the traditionally male health care delivery of the M.D. and the traditionally female caring attention of the R.N. In her previous work Sue Fisher has analyzed the/i>… See more details below
The rise of the nurse practitioner as a new kind of health care professional has blurred the traditional distinction between physicians and nurses. Nurse practitioners argue that they combine both the traditionally male health care delivery of the M.D. and the traditionally female caring attention of the R.N. In her previous work Sue Fisher has analyzed the difficulties that women patients have in getting doctors to listen to their medical concerns. Now she asks whether women fare any better with nurse practitioners.
Nursing Wounds takes us into the examining rooms of nurse practitioners and doctors to listen to how health care professionals and women patients communicate. The nurse practitioners, unlike the doctors, go beyond the medical problem to ask about the social context of the patients' lives. In these exchanges the doctors insist on reinforcing both their professional status and dominant cultural assumptions about women. While the nurse practitioners sometimes do this, they also distance themselves from their professional identities, respond to their patients woman to woman, and undermine traditional understandings about gender arrangements.These differences have important consequences for the delivery of health care.
This compelling and complex analysis employs a range of theoretical perspectives–-from sociolinguistic to postmodern and materialist. Fisher concludes by urging a health care policy that capitalizes on the special strengths of nurse practitioners as providers of primary care who pay real attention to what their patients are saying and who support an alternative, even oppositional, understanding of women's lives.
- Rutgers University Press
- Publication date:
- Product dimensions:
- 6.69(w) x 9.45(h) x (d)
Table of Contents
|1||Nurses Do It Better||3|
|3||Complaints Marked as Social Psychological: The Medical Consultation||47|
|4||Complaints Marked as Social Psychological: The Nursing Consultation||75|
|5||Complaints Coded as Medical: The Medical Consultation||110|
|6||Complaints Coded as Medical: The Nursing Consultation||146|
|7||Institutional Patterns of Interpretation||172|
|8||The Politics of Location||201|
|Epilogue: Making Health-Care Policy||224|
and post it to your social network
Most Helpful Customer Reviews
See all customer reviews >