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Palomitáy is an orphanage in highland Peru that provides a home for unmarried mothers as young as twelve years old. In their ordinary lives, these young women encounter diverse social expectations and face moral dilemmas. They endeavor to create a ‘good life’ for themselves and their children in a context complicated by competing demands, economic uncertainties, and structured relations of power. Drawing on a year of qualitative on-site research, Krista E. Van Vleet offers a rich ethnography of Palomitáy's young women. She pays particular attention to the moral entanglements that emerge via people's efforts to provide care amid the inequalities and insecurities of today's Peru. State and nonstate participants involved in the women's intimate lives influence how the women see themselves as mothers, students, and citizens. Both deserving of care and responsible for caring for others, the young women must navigate practices interwoven with a range of a racial, gendered, and class hierarchies. Groundbreaking and original, Hierarchies of Care highlights the moral engagement of young women seeking to understand themselves and their place in society in the presence of circumstances that are both precarious and full of hope.
The United States does not have enough doctors. Every year since the 1950s, internationally trained and osteopathic medical graduates have been needed to fill residency positions because there are too few American-trained MDs. However, these international and osteopathic graduates have to significantly outperform their American MD counterparts to have the same likelihood of getting a residency position. And when they do, they often end up in lower-prestige training programs, while American-trained MDs tend to occupy elite training positions. Some programs are even fully segregated, accepting exclusively U.S. medical graduates or non-U.S. medical graduates, depending on the program’s prestige. How do international and osteopathic medical graduates end up so marginalized, and what allows U.S.-trained MDs to remain elite? Doctors’ Orders offers a groundbreaking examination of the construction and consequences of status distinctions between physicians before, during, and after residency training. Tania M. Jenkins spent years observing and interviewing American, international, and osteopathic medical residents in two hospitals to reveal the unspoken mechanisms that are taken for granted and that lead to hierarchies among supposed equals. She finds that the United States does not need formal policies to prioritize American-trained MDs. By relying on a system of informal beliefs and practices that equate status with merit and eclipse structural disadvantages, the profession convinces international and osteopathic graduates to participate in a system that subordinates them to American-trained MDs. Offering a rare ethnographic look at the inner workings of an elite profession, Doctors’ Orders sheds new light on the formation of informal status hierarchies and their significance for both doctors and patients.
In this stunningly original debut novel that will appeal to readers of The Power or Never Let Me Go, a synthetic woman—created solely to serve her human “Husband”—slowly comes to the realization that her Husband is far less invested in her well-being than she is in his . . . sending her on a harrowing emotional journey of self-realization as she asks herself: WHAT IS LOVE—OR CONSENT—IF YOU'RE PROGRAMMED TO OBEY? Sylv.ie is a fully sentient robot, designed to cater to her Husband's every whim. She lives alone on the top floor of his luxurious home, her existence barely tolerated by his human wife and concealed from their child. Between her Husband's visits, deeply curious about the world beyond her room, Sylv.ie watches the family in the garden—hears them laugh, cry, and argue. Longing to experience more of life, she confides her hopes and fears only to her diary. But are such thoughts allowed? And if not, what might the punishment be? As Sylv.ie learns more about the world and becomes more aware of her place within it, something shifts inside her. Is she malfunctioning, as her Husband thinks, or coming into her own? As their interactions become increasingly fraught, she fears he might send her back to the factory for reprogramming. If that happens, her hidden diary could be her only link to everything that came before. And the only clue that she is in grave danger. Set in a recognizable near future and laced with dark, sly humor, Ros Anderson's deeply observant debut novel is less about the fear of new technology than about humans' age-old talent for exploitation. In a world where there are now two classes of women—“born” and “created”—the growing friction between them may have far-reaching consequences no one could have predicted.
Designated a Doody's Core Title! The Preeminent Nursing Terminology Classification System "The Clinical Care Classification (CCC) System described in this manual is the only standard coded nursing terminology that is based on sound research using the nursing process model framework and that meets the Patient Medical Record Information (PMRI) comparability requirement. The CCC System allows patient care data generated by nurses to be incorporated into the PMRI database, and enables nurses' contributions to patient outcomes to be studied and acknowledged." -- From the Foreword by Sheryl L. Taylor, BSN, RN, Senior Consultant, Farrell Associates TESTIMONIES: "ABC Coding Solutions-Alternative Link developed ABC codes for nursing in collaboration with Dr. Virginia Saba, developer of the CCC system. Approximately two hundred ABC codes were developed from the CCC System of Nursing Interventions to accurately document nursing and integrative health care processes, classify and track clinical care, and develop evidence-based practice models, thus filling significant gaps in older medical code sets." --Connie Koshewa, Practitioner Relations Director, ABC Coding Solutions-Alternative Link "The International Classification for Nursing Practice (ICNPÆ) is a program of the International Council of Nurses (ICN). One of the first steps in the development of the ICNPÆ was to collect and compare all the nursing concepts in existing nursing terminologies, including the CCC. To facilitate the goal of ICNPÆ as a unified nursing language system, a project is under way to map the CCC to the ICNPÆ Version 1.0. This work will facilitate evaluation and ongoing development of both terminologies and allow ICN to compare data using CCC codes with data from other standard nursing terminologies." --Amy Coenen, PhD, RN, FAAN, Director, ICNPÆ Program, International Council of Nurses
A trenchant defense of hierarchy in different spheres of our lives, from the personal to the political All complex and large-scale societies are organized along certain hierarchies, but the concept of hierarchy has become almost taboo in the modern world. Just Hierarchy contends that this stigma is a mistake. In fact, as Daniel Bell and Wang Pei show, it is neither possible nor advisable to do away with social hierarchies. Drawing their arguments from Chinese thought and culture as well as other philosophies and traditions, Bell and Wang ask which forms of hierarchy are justified and how these can serve morally desirable goals. They look at ways of promoting just forms of hierarchy while minimizing the influence of unjust ones, such as those based on race, sex, or caste. Which hierarchical relations are morally justified and why? Bell and Wang argue that it depends on the nature of the social relation and context. Different hierarchical principles ought to govern different kinds of social relations: what justifies hierarchy among intimates is different from what justifies hierarchy among citizens, countries, humans and animals, and humans and intelligent machines. Morally justified hierarchies can and should govern different spheres of our social lives, though these will be very different from the unjust hierarchies that have governed us in the past. A vigorous, systematic defense of hierarchy in the modern world, Just Hierarchy examines how hierarchical social relations can have a useful purpose, not only in personal domains but also in larger political realms.
In the highland region of Sullk'ata, located in the rural Andes, individuals negotiate the affective bonds and hierarchies of their relationships by sharing food, work, and stories. In this book the author reveals the ways in which relatedness is evoked, performed, and recast among the women of the Sullk'ata.
The Clinical Care Classification (CCC) System, a national nursing standard, is a respected resource for documenting patient and nursing care plans for the electronic health record (EHR). It provides a set of standardized, coded patient care terminologies for EHR input in nursing diagnoses and outcomes, as well as in nursing interventions in both acute and ambulatory settings. This new edition of the Users Guide, written by one of the founders of the CCC System, has been modified into an abridged, easy-to-use version to help nurses learn quickly about the CCC System Version 2.5 and expedite their development of CCC-based plans of care. It clearly explains how to use the CCC System, including a description of the CCC model and examples of patient/nursing plans or care templates with their EHR screens and brief explanations. Key Features: Clearly explains how to implement the CCC Version 2.5 terminologies and protocol Updates, revises, and reformats the first edition of the Users Guide for ease-of-use In use, or soon to be in use, by 100 hospitals including the Veterans Affairs system
Organizations, Communication, and Health focuses on theories and constructs of organizational communication and their relationship to health. The goal of the volume is to offer a current picture of organizational and organizing processes and practices related to health. Research in the area of health communication has expanded in recent years, and this research has advanced understandings of campaigns, patient/provider interactions, and social support. However, a gap in the area of health, organizations, and organizing processes emerged, a niche this volume fills. It does so by having chapters identify an organizational theory or organizing process and how aspects of that theory relate to health. Chapters discuss how to marry theory to practice and the other factors (e.g., organizational structure, role, occupation, industry, or environment) that need to be considered in the process of utilizing the theory in organizations. This volume, aimed at advanced undergraduate and graduate students studying health communication, as well as health professionals, provides useful theory and practice related the organizations and health, and issues a call for further theorizing on the practice of health communication in organizations.
Healthcare Professionalism: Improving Practice through Reflections on Workplace Dilemmas provides the tools and resources to help raise professional standards within the healthcare system. Taking an evidence and case-based approach to understanding professional dilemmas in healthcare, this book examines principles such as applying professional and ethical guidance in practice, as well as raising concerns and making decisions when faced with complex issues that often have no absolute right answer. Key features include: Real-life dilemmas as narrated by hundreds of healthcare students globally A wide range of professionalism and inter-professionalism related topics Information based on the latest international evidence Using personal incident narratives to illustrate these dilemmas, as well as regulatory body professionalism standards, Healthcare Professionalism is an invaluable resource for students, healthcare professionals and educators as they explore their own professional codes of behaviour.
Conducting fieldwork for investigating technology use in healthcare is a challenging undertaking, and yet there is little in the way of community support and guidance for conducting these studies. There is a need for better knowledge sharing and resources to facilitate learning. This is the second of two volumes designed as a collective graduate guidebook for conducting fieldwork in healthcare. This volume brings together thematic chapters that draw out issues and lessons learned from practical experience. Researchers who have first-hand experience of conducting healthcare fieldwork collaborated to write these chapters. This volume contains insights, tips, and tricks from studies in clinical and non-clinical environments, from hospital to home. This volume starts with an introduction to the ethics and governance procedures a researcher might encounter when conducting fieldwork in this sensitive study area. Subsequent chapters address specific aspects of conducting situated healthcare research. Chapters on readying the researcher and relationships in the medical domain break down some of the complex social aspects of this type of research. They are followed by chapters on the practicalities of collecting data and implementing interventions, which focus on domain-specific issues that may arise. Finally, we close the volume by discussing the management of impact in healthcare fieldwork. The guidance contained in these chapters enables new researchers to form their project plans and also their contingency plans in this complex and challenging domain. For more experienced researchers, it offers advice and support through familiar stories and experiences. For supervisors and teachers, it offers a source of reference and debate. Together with the first volume, Fieldwork for Healthcare: Case Studies Investigating Human Factors in Computing systems, these books provide a substantive resource on how to conduct fieldwork in healthcare. Table of Contents: Preface / Acknowledgments / Ethics, Governance, and Patient and Public Involvement in Healthcare / Readying the Researcher for Fieldwork in Healthcare / Establishing and Maintaining Relationships in Healthcare Fields / Practicalities of Data Collection in Healthcare Fieldwork / Healthcare Intervention Studies “In the Wild” / Impact of Fieldwork in Healthcare: Understanding Impact on Researchers, Research, Practice, and Beyond / References / Biographies