The Characteristics of a Profession

Friedson, Eliot

doi:10.1007/978-1-137-26654-5_23

Cited by 7 publications

(6 citation statements)

References 2 publications

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“…Within the sociology of the healthcare professions, the recognition of the difficulties in defining the nursing profession against and in terms of the dominant medical profession generally has been well explored (Dingwall 1977, Friedson 2008). Within the nursing field itself, however, nursing has also been seen as a contested area where new emerging roles are policed and boundaries secured and where the division of labour, or ‘who does what’, requires negotiation.…”

Section: Introductionmentioning

confidence: 99%

Professional boundary work in the face of change to generalist working in community nursing in Scotland

Gray

Hogg

Kennedy

2011

Journal of Advanced Nursing

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Section: Introductionmentioning

confidence: 99%

Professional boundary work in the face of change to generalist working in community nursing in Scotland

Gray

Hogg

Kennedy

2011

Journal of Advanced Nursing

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“…the improvement in knowledge and skills) risks missing the deeply personal meanings and implications of being cast as a remediatee. In our previous research, we called that aspect of the remediation process the threat to self‐regulation that remediation invokes 4 and noted how it might be conceptualised as a temporary deprofessionalisation, because self‐regulation is the hallmark of a professional 33 . The results of this current study suggest that remediation strikes at the core of the physician's identity, not only as a self‐regulating professional/physician but also as a ‘good doctor.’…”

Section: Discussionmentioning

confidence: 66%

Strangers in a strange land: The experience of physicians undergoing remediation

et al. 2022

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Introduction:The experience of remediation in practising physicians has not been widely studied. Remediatees frequently present negative emotions, but observers can only infer the underlying reasons behind these. Understanding remediatees' perspectives may help those mandating and organising remediation to structure the process in ways that improve the experience for all concerned parties and maximise chances of a successful outcome for remediatees.Methods: Seventeen physicians who had undergone remediation for clinical competence concerns were interviewed via telephone. Participant data were first iteratively analysed thematically and then reanalysed using a narrative mode of analysis for each participant in order to understand the stories as wholes. Figured worlds (FW) theory was used as a lens for analysing the data for this constructivist research study.Results: Participants entering the FW of remediation perceived that their position as a 'good doctor' was threatened. Lacking experience with this world and with little available support to help them navigate it, participants used their agency to draw on various discursive threads within the FW to construct a narrative account of their remediation. In their narratives, participants tended to position themselves either as victims of regulatory bodies or as resilient individuals who could make the best of a difficult situation. In both cases, the chosen discursive threads enabled them to maintain their self-identity as 'good doctor'. Conclusion:Remediation poses a threat to a physician's professional and personal identity. Focusing mainly on the educational aspect of remediation-that is, the improvement in knowledge and skills-risks missing its impact on physician identity. We need to ensure not only that we support physicians in dealing with this identity threat but that our assessment and remediation processes do not inadvertently encourage remediatees to draw on discursive threads that lead them to see themselves as victims.

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“…Cela donne toute sa pertinence à la distinction que Giddens (1987) établit entre confiance dans des systèmes experts et confiance envers des personnes. L'automédication entre dans le cadre des savoirs et pratiques que les sociologues appellent « profanes » (Friedson 1984). Les anthropologues rechignent toutefois à employer cette notion dans la mesure où elle suppose de se placer du point de vue des experts -médicaux, en l'occurrence -et consiste à définir ce savoir par opposition à celui des médecins.…”

Section: Resultsunclassified

L’automédication

Fainzang

2010

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Aujourd’hui plus que jamais, la pratique de l’automédication fait l’objet d’une grande attention, tant des milieux professionnels de la santé que des sciences sociales. Non pas parce que la pratique serait nouvelle, mais parce qu’elle est nouvellement encouragée, en France, par les politiques publiques. À ce titre, il convient de s’interroger sur la question de savoir quelles sont, dans ce nouveau contexte, les motivations et les conditions de ce recours. On montrera ici, à partir d’enquêtes de terrain, que le recours à l’automédication ne se limite pas à soigner des pathologies bénignes, comme le préconisent les messages sanitaires, ou à répondre aux nouvelles mesures économiques qui accompagnent l’accès aux médicaments, mais correspond parfois aussi à une tentative de contournement des médecins généralistes, équivalant ainsi à une stratégie d’esquive.

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The Characteristics of a Profession

Cited by 7 publications

References 2 publications

Professional boundary work in the face of change to generalist working in community nursing in Scotland

Professional boundary work in the face of change to generalist working in community nursing in Scotland

Strangers in a strange land: The experience of physicians undergoing remediation

L’automédication

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