Results by title

73 books match the query 'Health Care Delivery' and 4 start with b

cover of Becoming Gods: Medical Training in Mexican Hospitals

Becoming Gods

Medical Training in Mexican Hospitals

Vania Smith-Oka

Rutgers University Press, 2021

Through rich ethnographic narrative, Becoming Gods examines how a cohort of doctors-in-training in the Mexican city of Puebla learn to become doctors. Smith-Oka draws from compelling fieldwork, ethnography, and interviews with interns, residents, and doctors that tell the story of how medical trainees learn to wield new tools, language, and technology and how their white coat, stethoscope, and newfound technical, linguistic, and sensory skills lend them an authority that they cultivate with each practice, transforming their sense of self. Becoming Gods illustrates the messy, complex, and nuanced nature of medical training, where trainees not only have to acquire a monumental number of skills but do so against a backdrop of strict hospital hierarchy and a crumbling national medical system that deeply shape who they are.
[more]
cover of Beyond Caring: Hospitals, Nurses, and the Social Organization of Ethics

Beyond Caring

Hospitals, Nurses, and the Social Organization of Ethics

Daniel F. Chambliss

University of Chicago Press, 1996

A powerful account of the everyday experiences and challenges of nursing in American hospitals

Vividly documenting the real world of the contemporary hospital, its nurses, and their moral and ethical crises, Dan Chambliss offers a sobering revelation of the forces shaping moral decisions in our hospitals.

Based on more than ten years' field research, Beyond Caring is filled with eyewitness accounts and personal stories demonstrating how nurses turn the awesome into the routine. It shows how patients, many weak and helpless, too often become objects of the bureaucratic machinery of the health care system and how ethics decisions, once the dilemmas of troubled individuals, become the setting for political turf battles between occupational interest groups. The result is a compelling combination of realism and a powerful theoretical argument about moral life in large organizations.
[more]
cover of Bioethics Mediation: A Guide to Shaping Shared Solutions, Revised and Expanded Edition

Bioethics Mediation

A Guide to Shaping Shared Solutions, Revised and Expanded Edition

Nancy Neveloff Dubler

Vanderbilt University Press, 2011

Bioethics Mediation offers stories about patients, families, and health care providers enmeshed in conflict as they wrestle with decisions about life and death. It provides guidance for those charged with supporting the patient's traditional and religious commitments and personal wishes. Today's medical system, without intervention, privileges those within shared cultures of communication and disadvantages those lacking power and position, such as immigrants, the poor, and nonprofessionals. This book gives clinical ethics consultants, palliative care providers, and physicians, nurses, and other medical staff the tools they need to understand and manage conflict while respecting the values of patients and family members.


Conflicts come in different guises, and the key to successful resolution is early identification and intervention. Every bioethics mediator needs to be prepared with skills to listen, "level the playing field," identify individual interests, explore options, and help craft a "principled resolution" -- a consensus that identifies a plan aligned with accepted ethical principles, legal stipulations, and moral rules and that charts a clear course of future intervention.


The organization of the book makes it ideal for teaching or as a handbook for the practitioner. It includes actual cases, modified to protect the privacy of patients, providers, and institutions; detailed case analyses; tools for step-by-step mediation; techniques for the mediator; sample chart notes; and a set of actual role plays with expert mediator and bioethics commentaries. The role plays include:


- discharge planning for a dying patient

- an at-risk pregnancy

- HIV and postsurgical complications in the ICU

- treatment for a dying adolescent

- dialysis and multiple systems failure
Expanded by two-thirds from the 2004 edition, the new edition features two new role plays, a new chapter on how to write chart notes, and a discussion of new understandings of the role of the clinical ethics consultant.

[more]
cover of Breast Cancer in the Academy: Solidarity in the Fight for Our Lives

Breast Cancer in the Academy

Solidarity in the Fight for Our Lives

Wendy K.Z. Anderson

Rutgers University Press, 2027

This edited collection is an interdisciplinary dialogue about how breast cancer diagnosis, treatment, and healing is experienced by academic women. The contributors fostered dialogue rooted in critical, qualitative, and autoethnographic traditions about how breast cancer diagnosis, treatment, and healing was experienced by a group with academic privileges, such as the ability to research and advocate for themselves. The book takes on a global perspective, incorporating pieces from medical doctors who became patients, BIPOC women, as well as scholars who identify as LBGTQIA, as they faced decisions about issues such as flat closures, fertility treatments, and being one-sided. These seventeen academic women navigated and resisted healthcare systems to develop a theory of coalitional survivorship.

[more]