| Titre : | Why do nurses abuse patients ? Reflections from south african obstetric services. (1998) |
| Auteurs : | R. JEWKES ; N. ABRAHAMS ; Z. MVO ; Cersa. Women's Health. Medical Research Council. Pretoria. ZAF |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 47, n° 11, 1998) |
| Pagination : | 1781-1795 |
| Langues: | Anglais |
| Mots-clés : | Victime ; Homme ; Femme ; Grossesse ; Obstétrique ; Maltraitance ; Infirmier ; Profession santé ; Relation soignant soigné ; Relation sociale ; Afrique ; République sud africaine |
| Résumé : | [BDSP. Notice produite par INIST kR0xTUj1. Diffusion soumise à autorisation]. Nurse patient relationships are a substantially neglected area of empirical research, the more so in developing than developed countries. Although nursing discourse usually emphasises "caring", nursing practice is often quite different and may be more strongly characterised by humiliation of patients and physical abuse. This paper explores the question : why do nurses abuse patients, through presentation and discussion of findings of research on health seeking practices in one part of the South African maternity services. The research was qualitative and based on 103 minimally structured indepth individual interviews and four group discussions held with patients and staff in the services. Many of the patients reported clinical neglect, verbal and physical abuse from nursing staff which was at times reactive, and at others, ritualised, in nature, Although they explained nurses'treatment of them in terms of a few'rotten apples in the barrel'analysis of the data revealed a complex interplay of concerns including organisational issues, professional insecurities, perceived need to assert "control" over the environment and sanctioning of the use of coercive and punitive measures to do so, and an underpinning ideology of patient inferiority. (...) |
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