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Medical Dominance (medical + dominance)
Selected AbstractsMedical dominance in multidisciplinary teamwork: a case study of discharge decision-making in a geriatric assessment unitJOURNAL OF NURSING MANAGEMENT, Issue 1 2001DipSocAdmin, DipSocWork, G. Gair MA Aim, To investigate the degree of medical dominance in multidisciplinary teams in a geriatric assessment unit by focusing on decision-making with regard to patient discharge. Background, The persistence of medical dominance in multidisciplinary teamwork has been widely assumed but insufficiently researched, particularly through close observation of team practice. The present study seeks to rectify this by examining the extent of medical dominance in two multidisciplinary teams working in a hospital-based geriatric assessment unit. Methods, Team practice was analysed by observing and audiotaping five case review meetings in each team and by semi-structured interviews with team members. Results, In terms of level of contribution, the issues raised at meetings, and the team responses to discharge initiation, a lower than expected level of medical dominance was identified. This lower than expected level is related to consultants' views on the nature of rehabilitation, leading to a consensus amongst team members as to the purpose of geriatric assessment, and to a high level of team stability. Conclusion, Reducing the level of medical dominance encourages the contributions of all team members and thus enhances patient care. More training in team skills would also be beneficial, including interprofessional training. [source] The social world of Australian practice nurses and the influence of medical dominance: An analysis of the literatureINTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 6 2009FRCNA, Grad Cert Ed (Tert Teach), Jane Mills RN In Australia, the number of practice nurses is growing at a rapid rate. On the nursing landscape, this group of nurses stand out because of their relationship with the Australian Government who both fund them, and concern themselves with their continuing professional development. This paper provides a construction of the social world of Australian practice nurses, identifying stakeholders in the business of practice nursing. Literature produced by the various social world segments is analysed for the influence of medical dominance on the role, image, power and politics of practice nurses. [source] Medical dominance in multidisciplinary teamwork: a case study of discharge decision-making in a geriatric assessment unitJOURNAL OF NURSING MANAGEMENT, Issue 1 2001DipSocAdmin, DipSocWork, G. Gair MA Aim, To investigate the degree of medical dominance in multidisciplinary teams in a geriatric assessment unit by focusing on decision-making with regard to patient discharge. Background, The persistence of medical dominance in multidisciplinary teamwork has been widely assumed but insufficiently researched, particularly through close observation of team practice. The present study seeks to rectify this by examining the extent of medical dominance in two multidisciplinary teams working in a hospital-based geriatric assessment unit. Methods, Team practice was analysed by observing and audiotaping five case review meetings in each team and by semi-structured interviews with team members. Results, In terms of level of contribution, the issues raised at meetings, and the team responses to discharge initiation, a lower than expected level of medical dominance was identified. This lower than expected level is related to consultants' views on the nature of rehabilitation, leading to a consensus amongst team members as to the purpose of geriatric assessment, and to a high level of team stability. Conclusion, Reducing the level of medical dominance encourages the contributions of all team members and thus enhances patient care. More training in team skills would also be beneficial, including interprofessional training. [source] CO-OPTATION, COMMODIFICATION AND THE MEDICAL MODEL: GOVERNING UK MEDICINE SINCE 1991PUBLIC ADMINISTRATION, Issue 2 2009STEPHEN HARRISON Self-regulation and autonomy are traditionally treated as distinctive elements of how professions are governed in contrast to other occupations. For medicine, these elements provide a collective medium of governance (through the institutions of professional self-regulation) and an individual medium (through the practice of 'clinical autonomy'). Both are reinforced by the intellectual dominance of the so-called 'biomedical model' of health and illness. Analysts generally agree that, in many countries, both self-regulation and clinical autonomy are under significant challenge. But it is less obvious that, in the UK at least, the biomedical model has effectively been co-opted for managerial purposes to support the commodification of medical care. Thus ideas that have traditionally been considered as supporting medical dominance have transpired to be a source of weakness for the profession. [source] | ||||||||||