The Emotional Labour of Nursing: Its Impact on Interpersonal Relations, Management and the Educational Environment in Nursing

Smith, Pam 19920113 Basingstoke, Macmillan, 232p.

last update:20111120


Smith, Pam 19920113 The Emotional Labour of Nursing: Its Impact on Interpersonal Relations, Management and the Educational Environment in Nursing,Basingstoke, Macmillan, 232p. ISBN-10:0333556992 ISBN-13:978-0333556993 UK£ 26.99 [amazon][kinokuniya] ※ c04 w01 n04 p mp d01 f03 s


This study, written principally for nurse tutors and managers and based on award-winning research, will also interest advanced nursing students. It can support basic courses such as Project 2000, as well as women's studies and personnel management. This book shows how nurse managers' emotional styles affect patients' perceptions of the quality of care, and nurses' perceptions of the ward or unit as a learning environment. In nurse-patient interactions, the nurses' emotional labour affects the patients' outcomes.

患者は痛かったり、苦しかったり、淋しかったり、怖かったり、焦ったりしていて、それを何とかしてほしいと思っているのです。確かに教科書には、疾患のことが詳しく記述されていますが、個々の患者が何を思い、どのような助けを必要としているかは、当人でなければ分かりません。いえ、当人ですら、分からないときがあります。そこで、患者はときに看護婦の理解を越えた反応を示します。しかも、より深刻な問題は、そうした患者の精神的な不安定さではなく、そうした患者に手を焼く看護婦自身の精神状態にあるのです。そんなとき、ホックシールドの感情労働という概念に出会ったのです。…感情労働としての看護について理解するのは、一つには看護婦自身のメンタルヘルスのためでもありますが、もっと大事なのは、それによって患者の理解が深まり、ケアの質も高まるということです。 --このテキストは、 単行本 版に関連付けられています。

感情労働としての看護婦に関する様々な疑問について考えるため、広範な事例研究を紹介。そこから看護やケアリングの本質について、看護婦自身がどのように語り、振り返っているかを描き出す。〈ソフトカバー〉 --このテキストは、 単行本 版に関連付けられています。

PAM SMITH is Professor of Clinical Practice, European Institute of Health and Medical Sciences, University of Surrey, Guildford. Her previous publications include Research Mindedness for Practice (1997) and Nursing Research: Setting New Agendas (1998). She has also been working with Steve Smith at Brunel University and Mike Rustin at University of East London to set up and run two annual events on Emotional Labour: a winter workshop at the Tavistock centre, London and an Annual Conference at South Bank University. these events were a follow up to a special edition of Soundings (a journal of politics and culture) on Emotional Labour in the Spring of 1999.



1 Introduction
 The little things
 What is care?
 The emotional labour of care
 Nursing and care
 The body-mind dichotomy
 The politics of care
 Emotional labour costs
 Everybody's ideal
 The nurse as emotional labourer

2 Putting their toe in the water: collecting, testing and expecting nurses to care
 Research subjects, settings and methods
 Who train as nurses?
 Standing up in the City Hospital environment
 In Nightingale's image

3 Nothing is really said about care: defining nursing knowledge
 The content of nurse training at City Hospital
 Nursing processes: philosophy, conceptual device or work method?
 Affective/psychological nursing and learning to do emotional labour
 Informal training for people work: feeling rules and emotion management
 Learning to communicate and emotion management: patients' views

4 You learn from what's wrong with the patient: defining nursing work
 You learn form what's wrong with the patiens\t: how medical specialties legitimise nursing work
 Recognising emotion work
 When the feelings don't fit
 There are some patients you'd rather nurse than others: issues of age, gender race
 When emotional labour is the work: the case of violent patients
 Dispelling the stereotypes: issues of race

5 The ward sister and the infrastructure of emotion work: making it visible on the ward
 Emergencies and emotions
 Everybody's ideal: characteristics of ward sisters and nurses
 Producing and reproducing emotional labour in the word
 Reproducing emotional labour, management styles and the nursing process

6 Death and dying hospital: the ultimate emotional labour
 Defining death and dying in hospitals
 Feelings about death and dying
 Death's unpredictability
 Packaging death
 'You knew exactly what to do': a death well managed
 The technical and emotional labour of death
 Death and bereavement
 The role of the hierarchy in managing death

7 The caring trajectory: caring styles and capacity over time
 First-year students: 'so good to have around'
 Third-year students: 'the blues time'
 Personal emotion work
 Caring factors
 Emotional labour: styles and strategies

8 Conclusions
 Concepts of care and emotional labour
 At what cost care?
 The future of nursing theory and practice
 The effects of emotional care on patient outcomes

Methodological appendix
 Participant observation
 Grounded theory
 Feminist sociology
 Organisation of the research
 Details of subjects studied
 Methods of data collection
 Data analysis
 Patient's interview guide
 Ward learning environment rating questionnaire

Appendix A: City school of nursing plan of training
Appendix B: Student nurse assessment form
Appendix C: General course philosophy, aims and objectives
Appendix D: Content analysis of student timetables
Appendix E: Findings from the ward learning environment student rating questionnaire





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ケア care ◇労働 ◇看護・看護者・看護師(看護婦) ◇哲学/政治哲学(political philosophy)/倫理学 ◇医療と心理学 ◇死 death/dying ◇フェミニズム (feminism)/家族/性… ◇社会学 sociology  ◇身体×世界:関連書籍  ◇BOOK
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