Doctors that “doctor” sickness certificates: cunning intelligence as an ability and possibly a virtue among Swedish GPs

Shutzberg, Mani

doi:10.1007/s11019-020-09954-3

Cited by 4 publications

(4 citation statements)

References 24 publications

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“…Finally, while strike action is one of the most recognisable forms of visible protest in the workplace, it is not the only form of action. There is a modest and growing literature on the subject of ‘every resistance’ or resistance that generally occurs in a clandestine fashion in healthcare (e.g., see Shutzberg, 2020). While more generally, there is limited evidence exploring the relationship between hidden and visible forms of resistance, in relation to health workers, this is one further area which may be fruitful in explaining health worker resistance and strike action.…”

Section: Discussionmentioning

confidence: 99%

A last resort? A scoping review of patient and healthcare worker attitudes toward strike action

et al. 2022

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While strike action has been common since the industrial revolution, it often invokes a passionate and polarising response, from the strikers themselves, from employers, governments and the general public. Support or lack thereof from health workers and the general public is an important consideration in the justification of strike action. This systematic review sought to examine the impact of strike action on patient and clinician attitudes, specifically to explore (1) patient and health worker support for strike action and (2) the predictors for supporting strike action and the reasons given for engaging in strike action. A systematic scoping review was employed to identify all relevant literature, followed by a textual narrative synthesis.A total of 34 studies met inclusion criteria. Support for strike action was largely context-dependent. A range of factors impact support for strike action; broader cultural and structural factors, such as unionisation and general acceptance of strike action; systemic factors, such as the nature of the healthcare system, including infrastructure and work conditions; the strike itself and a range of individual factors, the most notable of which was being a student or in an early career stage. There were also some surprising results, for example, during doctors strike, nurses were provided with the opportunity to expand their role, which led to greater professional autonomy and job satisfaction.

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Section: Discussionmentioning

confidence: 99%

A last resort? A scoping review of patient and healthcare worker attitudes toward strike action

et al. 2022

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“…Much of this research also engages with Aristoteles’s term phronesis (see e.g. Montgomery 2006 ; Shutzberg 2020 ), and examines the ethical dimensions of clinical judgment. We follow here this last line of theorization, using Aristotle’s term phronesis , which enables us to explore the ethical aspects of clinical judgment and how these are tied to situational circumstances, practical knowledge, and professional experience.…”

Section: Clinical Judgment In Medicine and Screening Practicesmentioning

confidence: 99%

Ethico-Political aspects of clinical judgment in opportunistic screening for cognitive impairment: Arendtian and aristotelian perspectives

Gunnarson

Zeiler

2022

Med Health Care and Philos

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This article examines a population-based opportunistic screening practice for cognitive impairment that takes place at a hospital in Sweden. At the hospital, there is a routine in place that stipulates that all patients over the age of 65 who are admitted to the ward will be offered testing for cognitive impairment, unless they have been tested within the last six months or have been diagnosed with any form of cognitive impairment. However, our analysis shows that this routine is not universally and mechanically applied. Rather, the health care professionals have developed and use an ethico-political judgment, concerning, for example, whom to test, when to offer the tests, and how to explain and perform them. This article explores the role and practice of this form of judgment, emphasising its political and ethical nature. The analysis is based on qualitative interviews with professionals and patients, and draws on the theories of Aristotle and Hannah Arendt.

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“…9 A recent body of work has examined how Swedish General Practitioners resisted in relation to providing sickness certificates provided for the Swedish Social Insurance Agency. 10 Despite the numerous examples and a growing body of literature, non-violent resistance remains a contested concept; this study sought to explore this with a sample of healthcare workers who had themselves engaged in non-violent actions.…”

Section: Introductionmentioning

confidence: 99%

Exploring the concept of non-violent resistance amongst healthcare workers

Essex

Aked²,

Daniels³

et al. 2022

Nurs Ethics

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Background Non-violent resistance which has involved healthcare workers has been instrumental in securing a number of health-related gains and a force in opposing threats to health. Despite this, we know little about healthcare workers who have engaged in acts of non-violent resistance. Research aim Amongst a sample of healthcare workers who had engaged in acts of resistance this study sought to explore their understanding of non-violent resistance and how or whether they felt healthcare workers made a distinct contribution to such action. Research design Cross-sectional survey Participants and research context Healthcare workers (doctors, nurses, academics and others) from the UK and Europe who had engaged in acts of non-violent resistance. Ethical considerations Ethical approval for this study was granted by the University of Greenwich Human Research Ethics Committee (UREC/20.5.6.11). Findings/results Most participants spoke about the nature of non-violent resistance, its oppositional, didactic and symbolic functions and the role of violence or harm. While most people understood non-violent resistance as a public, oppositional and collective act, many identified more subtle everyday acts in the workplace that undermined policy or procedures they saw as harmful. When asked about distinctions in non-violent resistance carried out by healthcare workers, most participants referred to their standing in society, noting that healthcare works were a trusted and authoritative source. Some identified an ethical imperative to act while others identified the risks that came with such action, noting their accountability and responsibility they had to patients. About a quarter of participants felt that such action was no different to others carrying out non-violent resistance or dependent on the issue or nature of the action. Conclusions These findings speak to the complex and multifaceted nature of non-violent resistance. Additionally our findings suggest healthcare workers have a distinct role to play in leading and supporting non-violent actions.

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Doctors that “doctor” sickness certificates: cunning intelligence as an ability and possibly a virtue among Swedish GPs

Cited by 4 publications

References 24 publications

A last resort? A scoping review of patient and healthcare worker attitudes toward strike action

A last resort? A scoping review of patient and healthcare worker attitudes toward strike action

Ethico-Political aspects of clinical judgment in opportunistic screening for cognitive impairment: Arendtian and aristotelian perspectives

Exploring the concept of non-violent resistance amongst healthcare workers

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