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Nurses in alternative health care: Integrating medical paradigms

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  • Shuval, Judith

Abstract

The article is concerned with nurses in Israel who incorporate alternative health care practices into their work, and considers strategies used by them to reconcile a variety of theoretical and practice traditions. The analysis utilizes boundary theory and focuses on the following boundaries: territorial, epistemological, authority, and social. In-depth narrative interviews were carried out in 2004 with 15 nurses who were working or recently worked in both biomedical and complementary and alternative medicine (CAM) settings. The findings show that nurses using CAM practices do not seek to change the epistemological and authority boundaries of biomedicine. Even so many believe that CAM methods should be included within the cognitive boundaries of biomedicine. They are not disturbed that most of these techniques have not passed the test of biomedical research criteria, though they feel blocked by physicians who keep the cognitive boundaries of biomedicine closed.

Suggested Citation

  • Shuval, Judith, 2006. "Nurses in alternative health care: Integrating medical paradigms," Social Science & Medicine, Elsevier, vol. 63(7), pages 1784-1795, October.
    • Handle: RePEc:eee:socmed:v:63:y:2006:i:7:p:1784-1795
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    References listed on IDEAS

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    1. Shye, Diana & Javetz, Rachel & Shuval, Judith T., 1990. "Patient initiatives and physician-challenging behaviors: The views of Israeli health professionals," Social Science & Medicine, Elsevier, vol. 31(7), pages 719-727, January.
    2. Shuval, Judith T. & Mizrachi, Nissim & Smetannikov, Emma, 2002. "Entering the well-guarded fortress: alternative practitioners in hospital settings," Social Science & Medicine, Elsevier, vol. 55(10), pages 1745-1755, November.
    3. Tovey, Philip & Adams, Jon, 2003. "Nostalgic and nostophobic referencing and the authentication of nurses' use of complementary therapies," Social Science & Medicine, Elsevier, vol. 56(7), pages 1469-1480, April.
    4. Tovey, Philip, 1997. "Contingent legitimacy: U.K. alternative practitioners and inter-sectoral acceptance," Social Science & Medicine, Elsevier, vol. 45(7), pages 1129-1133, October.
    5. Wardwell, Walter I., 1994. "Alternative medicine in the United States," Social Science & Medicine, Elsevier, vol. 38(8), pages 1061-1068, April.
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    2. Cant, Sarah & Watts, Peter & Ruston, Annmarie, 2011. "Negotiating competency, professionalism and risk: The integration of complementary and alternative medicine by nurses and midwives in NHS hospitals," Social Science & Medicine, Elsevier, vol. 72(4), pages 529-536, February.

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