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Distal nursing

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  • Malone, Ruth E.
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    Abstract

    This paper considers the spatial dynamics of nurse-patient relationships within hospitals, primarily in the USA, under conditions of organizational restructuring, and situates them within social theoretical perspectives on space. As a human practice to which relationship is considered essential, nursing depends upon sustaining an often taken-for-granted proximity to patients. But hospital nursing, I argue in this paper, is increasingly constrained by spatial-structural practices that disrupt relationship and reduce or eliminate such proximity. Three kinds of proximity are threatened: physical, narrative, and moral. Examining these proximities through a place-space lens suggests that nursing is increasingly "distal" to patient care. There are potentially dangerous implications in this loss of proximity.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 56 (2003)
    Issue (Month): 11 (June)
    Pages: 2317-2326

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    Handle: RePEc:eee:socmed:v:56:y:2003:i:11:p:2317-2326

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    Related research

    Keywords: Space Health policy Ethics Narrative Nursing; USA;

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    Cited by:
    1. Stonington, Scott D., 2012. "On ethical locations: The good death in Thailand, where ethics sit in places," Social Science & Medicine, Elsevier, Elsevier, vol. 75(5), pages 836-844.

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