ISBN-10:
0230216722
ISBN-13:
9780230216723
Pub. Date:
10/14/2008
Publisher:
Palgrave Macmillan UK
Uncertainty in Medical Innovation: Experienced Pioneers in Neonatal Care

Uncertainty in Medical Innovation: Experienced Pioneers in Neonatal Care

by Jessica Mesman

Hardcover

Current price is , Original price is $120.0. You
Select a Purchase Option (2008)
  • purchase options
    $96.00 $120.00 Save 20% Current price is $96, Original price is $120. You Save 20%.
  • purchase options

Product Details

ISBN-13: 9780230216723
Publisher: Palgrave Macmillan UK
Publication date: 10/14/2008
Series: Health, Technology and Society
Edition description: 2008
Pages: 219
Product dimensions: 5.50(w) x 8.60(h) x 0.80(d)

About the Author

JESSICA MESMANis Assistant Professor in the Department of Technology and Society Studies, University of Maastricht, The Netherlands. Her research interests and publications include the anthropology of knowledge and empirical ethics in critical care medicine, particularly on issues of uncertainty and resources of resilience in patient safety.

Table of Contents

Series Editors' Preface vii

Glossary ix

1 Neonatology: A Permanent Dynamic of Change 1

1.1 Medical innovation, societal responses, and practical implications 2

1.2 Exnovating competence and structures 4

1.3 Significant fields of insight 7

1.4 Mortality, morbidity, and morality 12

1.5 A journey begins 17

2 Newly Born and Indeterminate 19

2.1 Defining the specific situation 20

2.2 Constructing child and NICU 26

The child as construct 28

The NICU as construct 33

2.3 Styles of reasoning 35

The use of repertoires 41

3 Co-travellers 46

3.1 Mutual expectations 49

Staff members' expectations of parents 49

Parents' expectations of staff 52

Vocabularies of expectations 55

3.2 Parents as object of care 57

3.3 Parents as bearers of parental authority 61

It is the doctor who decides 65

It is the parents who decide 66

It is the law that decides 67

3.4 Reconciling competing vocabularies 71

Who decides? 71

When is a decision taken? 75

Styles of ordering and social orders 77

4 Uncertain Trajectories 80

4.1 Determining a treatment trajectory 82

Time as risk and ally 82

The use of protocols 86

4.2 Technology's role on the treatment trajectory 93

Technology and care 93

Disciplining the treatment practice 97

Technology as problem 101

4.3 Numbers as compass 104

A reliable instrument 105

The interpretation of numbers 107

Number versus number 109

Competing knowledge frames 111

The NICU as a quantitative practice 113

5 Beacons on the Horizon 116

5.1 Position and prognosis 119

The specificity of the perspective 121

The specificity of acting 122

5.2 A topography of experience 124

Distance versus proximity125

Observing versus comparing 130

Hands-on versus hands-off 132

5.3 Prognostic markers 136

Exemplary cases 137

Technological markers 141

Rhythm and pace 144

Spatial markers 147

5.4 Experience and expectation 150

6 The Moral Load 152

6.1 The nature of the decision 154

Evidence 156

Asymmetry 158

6.2 The functionality of relocation 160

Robustness 161

Creating a basis for consensus 166

6.3 Another trajectory, another order 170

7 The End of the Journey 179

7.1 Moments of reflection 180

Rewriting the past in reflection 184

7.2 Situating knowledge and morality in treatment processes 187

Opening up the in-between zone 187

Experienced pioneers 190

Notes 195

Bibliography 205

Index 215

Customer Reviews

Most Helpful Customer Reviews

See All Customer Reviews