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Distal nursing.

Ruth E Malone1

  • 1Department of Social & Behavioral Sciences, University of California, Box 0936, San Francisco, CA 94143-0936, USA. rmalone@itsa.ucsf.edu

Social Science & Medicine (1982)
|April 30, 2003
PubMed
Summary
This summary is machine-generated.

Organizational restructuring in hospitals disrupts essential nurse-patient proximity, impacting physical, narrative, and moral connections. This spatial shift leads to nurses becoming increasingly distal from patient care, posing potential risks.

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Area of Science:

  • Healthcare Management
  • Sociology of Health
  • Spatial Theory

Background:

  • Nursing fundamentally relies on close nurse-patient relationships, often taken for granted.
  • Organizational restructuring within healthcare settings can significantly alter the spatial dynamics of care delivery.
  • The concept of proximity (physical, narrative, moral) is crucial for effective nursing practice.

Purpose of the Study:

  • To analyze the impact of organizational restructuring on spatial dynamics within nurse-patient relationships in US hospitals.
  • To explore how social theoretical perspectives on space can illuminate changes in nursing practice.
  • To identify the types of proximity threatened by evolving hospital spatial structures.

Main Methods:

  • Qualitative analysis of spatial-structural practices in hospital settings.

Related Experiment Videos

  • Application of social theoretical perspectives on space to understand healthcare environments.
  • Examination of the concept of proximity through a place-space lens.

    • Main Results:

    • Hospital organizational restructuring increasingly constrains nursing practice through spatial-structural changes.
    • Physical, narrative, and moral proximities between nurses and patients are significantly threatened.
    • Nursing is becoming increasingly "distal" from direct patient care due to these spatial shifts.

    Conclusions:

    • The loss of nurse-patient proximity, driven by spatial-structural changes, has potentially dangerous implications for patient care.
    • Understanding the spatial dimensions of healthcare is critical for maintaining the quality and safety of nursing practice.
    • Further research is needed to address the consequences of increased 'distal' nursing.