Download Nursing Wounds: Nurse Practitioners, Doctors, Women Patients by Sue Fisher PDF

By Sue Fisher

The upward thrust of the nurse practitioner as a brand new form of health care provider has blurred the normal contrast among physicians and nurses. Nurse practitioners argue that they mix either the usually male well-being care supply of the M.D. and the generally woman being concerned awareness of the R.N. In her prior paintings Sue Fisher has analyzed the problems that girls sufferers have in getting medical professionals to hear their scientific issues. Now she asks even if girls fare any greater with nurse practitioners. 

Nursing Wounds takes us into the interpreting rooms of nurse practitioners and medical professionals to hear how overall healthiness care execs and girls sufferers speak. The nurse practitioners, not like the medical professionals, transcend the clinical challenge to invite concerning the social context of the sufferers' lives. In those exchanges the medical professionals insist on reinforcing either their expert prestige and dominant cultural assumptions approximately girls. whereas the nurse practitioners occasionally do that, additionally they distance themselves from their specialist identities, reply to their sufferers lady to lady, and undermine conventional understandings approximately gender arrangements.These adjustments have very important results for the supply of health and wellbeing care.       

This compelling and complicated research employs a variety of theoretical perspectives–-from sociolinguistic to postmodern and materialist. Fisher concludes by means of urging a future health care coverage that capitalizes at the detailed strengths of nurse practitioners as services of basic care who pay actual cognizance to what their sufferers are announcing and who aid an alternate, even oppositional, realizing of women's lives.


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

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Nor can we understand what consequences, if any, such translations might have. It is one thing to posit that nurse practitioners offer a system of care; it is quite another to display what this system of care looks like in practice. The Theoretical Story: Caring as a Remedy At another level the ways we understand the relationships between provider and patient, the medical and the social, and medicine and society pose theoretical issuesissues central to sociological studies by Mishler (1984), Silverman (1987), and Waitzkin (1983).

It would provide qualitative empirical data heretofore missing in the literature on nursing. Given that there was a lot of information about what doctors do in examining rooms and little about what nurse practitioners do, information about what nurse practitioners actually do and how it is the same or different from what doctors do might be put to good political use in the battles against the institutional and structural forces currently constraining nurse practitioners' ability to practice autonomously.

To minimize this risk and to avoid the problems associated with it, in each of these chapters I reposition the analysis. As Silverman (1987) advises, I refigure the medical and the social as discourses that interrupt and interpenetrate each other while also focusing, as Waitzkin (1983) suggests, on how both medical and social discourses do ideological work and are, therefore, deeply political. In the postmodern tradition I treat the transcripts of the doctor-patient and nurse practitioner-patient encounters as texts and scrutinize them by reading against the grain.

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