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Related Concept Videos

Hospitals-I01:28

Hospitals-I

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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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Hospitals-II00:59

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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Tertiary Healthcare System01:21

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Hospitals as total institutions.

Danisha Jenkins1, Candace Burton1, Dave Holmes2

  • 1Sue and Bill Gross School of Nursing, University of California, Irvine, Irvine, California, USA.

Nursing Philosophy : an International Journal for Healthcare Professionals
|December 23, 2021
PubMed
Summary
This summary is machine-generated.

Healthcare institutions use totalizing practices, similar to past total institutions, which can harm patients and nurses. This study examines how these practices undermine the agency of both patients and healthcare professionals.

Keywords:
Goffmanautonomycaringtotal Institution

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Area of Science:

  • Sociology
  • Healthcare Studies
  • Medical Sociology

Background:

  • Hospitals are publicly perceived as places of healing.
  • Despite the decline of traditional total institutions, their practices persist in modern healthcare.
  • Totalizing practices in healthcare can negatively impact patient and staff well-being.

Purpose of the Study:

  • To analyze how healthcare institutions implement totalizing practices.
  • To explore the impact of these practices on patient and nurse agency.
  • To understand the role of Erving Goffman's theories in analyzing healthcare environments.

Main Methods:

  • Sociological analysis using Erving Goffman's framework.
  • Examination of totalizing practices within healthcare settings.
  • Qualitative assessment of patient and nurse experiences.

Main Results:

  • Healthcare systems operationalize totalizing practices, mirroring those in historical total institutions.
  • These practices contribute to the "mortification" of patients and nurses.
  • Patient and nurse agency are significantly disrupted by these bureaucratic demands.

Conclusions:

  • Healthcare institutions, despite their healing image, employ totalizing practices.
  • These practices subordinate individuals to bureaucratic efficiency, impacting well-being and autonomy.
  • Further research is needed to mitigate the negative effects of totalizing practices in healthcare.