In this Book

summary
Anyone who has spent time in a hospital as a patient or family member of a patient hopes that those who attend to us or our loved ones are at their professional best and that they care for us in ways that console us and preserve our dignity. This book takes an intimate look at how health care practitioners struggle to live up to their professional and caring ideals through (or during?) twelve-hour shifts on the hospital floor.



From 3,200 hours of participant-observation and 500 hours of follow-up interviews with twenty-one doctors, thirty registered nurses, twenty-one respiratory therapists, twenty medical social workers, and eighteen occupational, physical, and speech therapists, the authors create a complex picture of the workplace conflicts that different types of health care practitioners face. Though all these groups espouse caring ideals, professional interests and a curative orientation dominate in patient care and interoccupational relations. Because emotive caring is not supported by the organization of health care in the hospital, it becomes an individual virtue that overworked staff find hard to perform, and it takes on an ideological form that obscures the status hierarchy among practitioners. Conflicts between practitioners rest upon the ranking of each group's knowledge base. They manifest in efforts to work as a team or set limits on practitioner responsibilities and in differing views on unionization.

Table of Contents

  1. Cover
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  1. Title Page, Copyright, Dedication
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  1. Contents
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  1. Acknowledgments
  2. pp. ix-xii
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  1. Introduction
  2. pp. 1-18
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  1. 1. The Professional Self
  2. pp. 19-39
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  1. 2. Teamwork in the Hospital
  2. pp. 40-53
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  1. 3. The Dilemma of Caring
  2. pp. 54-71
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  1. 4. Caring Reconsidered
  2. pp. 72-84
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  1. 5. When the Day Is Done, It’s Still Work
  2. pp. 85-106
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  1. 6. Crossing the Line
  2. pp. 107-127
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  1. 7. Unions: “The Elephant in the Room”
  2. pp. 128-142
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  1. Conclusion
  2. pp. 143-154
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  1. Notes
  2. pp. 155-172
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  1. Bibliography
  2. pp. 173-188
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  1. Index
  2. pp. 189-196
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Additional Information

ISBN
9780826520104
Related ISBN
9780826520081
MARC Record
OCLC
891696207
Pages
208
Launched on MUSE
2014-10-09
Language
English
Open Access
No
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