Nursing Wounds: Nurse Practitioners, Doctors, Women Patients, and the Negotiation of Meaning

Nursing Wounds: Nurse Practitioners, Doctors, Women Patients, and the Negotiation of Meaning

by Sue Fisher
ISBN-10:
0813521807
ISBN-13:
9780813521800
Pub. Date:
07/01/1995
Publisher:
Rutgers University Press
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Overview

Nursing Wounds: Nurse Practitioners, Doctors, Women Patients, and the Negotiation of Meaning

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.

Product Details

ISBN-13: 9780813521800
Publisher: Rutgers University Press
Publication date: 07/01/1995
Pages: 275
Product dimensions: 6.69(w) x 9.45(h) x (d)

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