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"Nursing, everyone believes, is the caring profession. Texts on caring line the walls of nursing schools and student shelves. Indeed, the discipline of nursing is often known as the 'caring science.' Because of their caring reputation, nurses top the polls as the most-trustworthy professionals. Yet, in spite of what seems to be an endless outpouring of public support, in almost every country in the world nursing is under threat, in the practice setting and in the academic sector. Indeed, its standing as a regulated profession is constantly challenged. In our view, this paradox is neither accidental nor natural but, in great part, the logical consequence of the fact that nurses and their organizations place such a heavy emphasis on nursing's and nurses' virtues rather than on their knowledge and concrete contributions."-from the Introduction In a series of provocative essays, The Complexities of Care rejects the assumption that nursing work is primarily emotional and relational.
The contributors-international experts on nursing- all argue that caring discourse in nursing is a dangerous oversimplification that has in fact created many dilemmas within the profession and in the health care system. This book offers a long-overdue exploration of care at a pivotal moment in the history of health care. The ideas presented here will foster a critical debate that will assist nurses to better understand the nature and meaning of the nurse-patient relationship, confront challenges to their work and their profession, and deliver the services patients need now and into the future. Contributors: Sanchia Aranda, University of Melbourne and Peter MacCallum Cancer Centre; Rosie Brown, University of Melbourne; Sean Clarke, University of Pennsylvania and University of Montreal; Suzanne Gordon; Marie Heartfield, University of South Australia; Tom Keighley, Royal College of Nursing; Diana J. Mason, American Journal of Nursing; Lydia L. Moland, Babson College; Sioban Nelson, University of Toronto; Dana Beth Weinberg, Queens College, CUNY
"Nursing, everyone believes, is the caring profession. Texts on caring line the walls of nursing schools and student shelves. Indeed, the discipline of nursing is often known as the 'caring science.' Because of their caring reputation, nurses top the polls as the most-trustworthy professionals. Yet, in spite of what seems to be an endless outpouring of public support, in almost every country in the world nursing is under threat, in the practice setting and in the academic sector. Indeed, its standing as a regulated profession is constantly challenged. In our view, this paradox is neither accidental nor natural but, in great part, the logical consequence of the fact that nurses and their organizations place such a heavy emphasis on nursing's and nurses' virtues rather than on their knowledge and concrete contributions."-from the Introduction In a series of provocative essays, The Complexities of Care rejects the assumption that nursing work is primarily emotional and relational.
The contributors-international experts on nursing- all argue that caring discourse in nursing is a dangerous oversimplification that has in fact created many dilemmas within the profession and in the health care system. This book offers a long-overdue exploration of care at a pivotal moment in the history of health care. The ideas presented here will foster a critical debate that will assist nurses to better understand the nature and meaning of the nurse-patient relationship, confront challenges to their work and their profession, and deliver the services patients need now and into the future. Contributors: Sanchia Aranda, University of Melbourne and Peter MacCallum Cancer Centre; Rosie Brown, University of Melbourne; Sean Clarke, University of Pennsylvania and University of Montreal; Suzanne Gordon; Marie Heartfield, University of South Australia; Tom Keighley, Royal College of Nursing; Diana J. Mason, American Journal of Nursing; Lydia L. Moland, Babson College; Sioban Nelson, University of Toronto; Dana Beth Weinberg, Queens College, CUNY
Introduction - Sioban Nelson and Suzanne Gordon 1. Moving beyond the Virtue Script in Nursing: Creating a Knowledge-Based Identity for Nurses - Suzanne Gordon and Sioban Nelson 2. When Little Things Are Big Things: The Importance of Relationships for Nurses' Professional Practice - Dana Beth Weinberg 3. Pride and Prejudice: Nurses' Struggle with Reasoned Debate - Diana J. Mason 4. Moral Integrity and Regret in Nursing - Lydia L. Moland 5. Ethical Expertise and the Problem of the Good Nurse - Sioban Nelson 6. From Sickness to Health - Tom Keighley 7. The New Cartesianism: Dividing Mind and Body and Thus Disembodying Care - Suzanne Gordon 8. Nurses Must Be Clever to Care - Sanchia Aranda and Rosie Brown 9. "You Don't Want to Stay Here": Surgical Nursing and the Disappearance of Patient Recovery Time - Marie Heartfield 10. Research on Nurse Staffing and Its Outcomes: The Challenges and Risks of Grasping at Shadows - Sean Clarke Conclusion: Nurses Wanted: Sentimental Men and Women Need Not Apply - Sioban Nelson and Suzanne Gordon Notes Contributors Index
Sioban Nelson is the Vice-Provost Academic Programs, University of Toronto. She is coauthor of Creating the Health Care Team of the Future and coeditor of Complexities of Care: Nursing Reconsidered and Notes on Nightingale: The Influence and Legacy of a Nursing Icon, all from Cornell. She is also the author of "Say Little Do Much": Nursing, Nuns and Hospitals in the Nineteenth Century. Suzanne Gordon is coeditor of the Cornell University Press series The Culture and Politics of Health Care Work and was program leader of the Robert Wood Johnson Foundation-funded Nurse Manager in Action Program. She is the author of Nursing against the Odds and The Battle for Veterans' Healthcare; coauthor of From Silence to Voice, Life Support, Safety in Numbers, Beyond the Checklist, and Bedside Manners; editor of When Chicken Soup Isn't Enough; and coeditor of The Complexities of Care, First, Do Less Harm, and Collaborative Caring, all from Cornell.
"This collection of essays ... shows that nurses in all settings tend to describe their work as caring, emotional, and compassionate, consciously avoiding mention of the knowledge and skill that are equally essential to the job... The consequences ... include early burnout owing to mistaken expectations and the greater use of unskilled workers, who are seen as equally capable of providing emotional care... Well written and provocative."-Library Journal(15 October 2006) "While the nursing profession has wrapped itself in care talk, has this hampered a more realistic basis for nurses' self identities and nursing's collective power? This hard-hitting collection faces this question head on. The book is a necessary antidote to more saccharine assessments of twenty-first-century nursing and a tough prescription for change in the health care system."-Susan M. Reverby, Wellesley College, author of Ordered to Care: The Dilemma of American Nursing
"This collection of essays ... shows that nurses in all settings tend to describe their work as caring, emotional, and compassionate, consciously avoiding mention of the knowledge and skill that are equally essential to the job... The consequences ... include early burnout owing to mistaken expectations and the greater use of unskilled workers, who are seen as equally capable of providing emotional care... Well written and provocative."-Library Journal(15 October 2006) "While the nursing profession has wrapped itself in care talk, has this hampered a more realistic basis for nurses' self identities and nursing's collective power? This hard-hitting collection faces this question head on. The book is a necessary antidote to more saccharine assessments of twenty-first-century nursing and a tough prescription for change in the health care system."-Susan M. Reverby, Wellesley College, author of Ordered to Care: The Dilemma of American Nursing
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