Hostname: page-component-848d4c4894-tn8tq Total loading time: 0 Render date: 2024-07-05T23:22:32.796Z Has data issue: false hasContentIssue false

Nurses' Typifications of Nursing Home Patients

Published online by Cambridge University Press:  14 November 2008

Nancy Gilliland
Affiliation:
Department of Sociology/Anthropology, Moorhead State University, Moorhead, Minnesota, USA.
Anne Brunton
Affiliation:
Department of Sociology/Anthropology, Moorhead State University, Moorhead, Minnesota, USA.

Abstract

Previous studies of the attitudes of nursing staff towards patients in hospitals have suggested that those who were mentally alert, young, acutely ill and in need of medical (not custodial) care, middle class, appreciative and co-operative were labelled ‘good’. Conversely the old, the poor, the chronically ill and the mentally disturbed were labelled ‘bad’. In the study reported here, of a single nursing home situated in the American midwest, these stereotypes are shown not to operate. A subset of these attitudes is none the less to be found which rewards cheerfulness, wittiness and appreciativeness. Favouritism amongst patients is examined as a significant influence on the care of residents who are all elderly and long-term sick.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1984

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

NOTES

1 Mennerick, L. L.Client typologies: a method of coping with conflict in the service worker-client relationship. Sociology of Work and Occupations, 1, (1974), 396418.CrossRefGoogle Scholar

2 Roth, J. A. Some contingencies of the moral evaluation and control of clientele: the case of the hospital emergency services.Google Scholar Ch. 25 in Conrad, P. and Kern, R. (eds.) The Sociology of Health and Illness: Critical Perspectives. St Martin's Press, New York, 1981.Google Scholar

3 Lorber, J. Good patients and problem patients: conformity and deviance in a general hospital.Google Scholar Ch 26 in Conrad, P. and Kern, R. (eds.), The Sociology of Health and Illness: Critical Perspectives. St Martin's Press, New York, 1981.Google Scholar

4 Kelly, M. P. and May, D.Good and bad patients: a review of the literature and a theoretical critique. Journal of Advanced Nursing, 7 (1982), 147156.CrossRefGoogle Scholar

5 Papper, S.The undesirable patient. Journal ofChronic Disease, 22, (1970), 777779.CrossRefGoogle ScholarPubMed

6 Sudnow, D.Dead on arrival. Transaction, 5, (1967), 3643.Google Scholar

7 Glaser, B. G. and Strauss, A. L.Awareness of Dying. Aldine, Chicago, 1965.Google Scholar

8 Kelly, M. P. and May, D.op. cit.Google Scholar

9 Millman, M.The Unkindest Cut: Life in the Backrooms of Medicine. William Morrow, New York, 1978.Google Scholar

10 Link, B.Reward system of psychotherapy: implications for inequalities in service delivery. Journal of Health and Social Behaviour, 34, (1983), 6169.CrossRefGoogle Scholar

11 Posner, J.Notes on the negative implications of being competent in a home for the aged. International Journal of Ageing and Human Development, 5, (1974), 357364.CrossRefGoogle Scholar

12 Fontana, A.The Last Frontier: the Social Meaning of Growing Old. Sage Publications, Beverly Hills, California, 1977.Google Scholar

13 Watson, H. and Maxwell, R. J.Human Aging and Dying: a Study in Sociocultural Gerontology. St Martin's Press, New York, 1977.Google Scholar

14 Gubrium, J.Living and Dying at Murray Manor. St Martin's Press, New York, 1975.Google Scholar

15 Laird, C.Limbo. Chandler and Sharp Publishers, Inc. Novato, California, 1979.Google Scholar

16 Conklin, Harold C. Lexicographical treatment of folk taxonomies. Householder, F. W. and Saporta, S. (eds), Problems in lexicography. Indiana University Research Centre in Anthropology, Folklore, and Linguistic Publication, 21, (1962), 119141.Google Scholar

17 Frake, Charles O. The ethnographic study of cognitive systems. In Gladwin, T. and Sturtevant, W. C. (eds.), Anthropology and Human Behaviour. Anthropological Society of Washington, Washington, 1962, pp. 7285.Google Scholar

18 Sturtevant, William C.Studies in ethnoscience. American Anthropologist, 66, 2, 1, (1964), 99131.CrossRefGoogle Scholar

19 Pospisil, Leopold, A formal analysis of substantive law: Kapaukan Papuan laws of inheritance. American Anthropologist, 1965, 166185.Google Scholar

20 Lounsbury, Floyd G. A formal account of Crow- and Omaha-type kinship terminologies. Goodenough, Ward H. (ed.), Explorations in Cultural Anthropology; Essays in Honor of George Peter Murdoch. McGraw-Hill, New York, 1964, pp. 351393.Google Scholar

21 Frake, Charles O.The diagnosis of disease among the Subanun of Minanao. American Anthropologist 63, (1961), 113132.CrossRefGoogle Scholar

22 Spradley, James P.You Owe Yourself a Drunk: an Ethnology of Urban Nomads. Little, Brown, Boston, 1970.Google Scholar

23 Spradley, James P. and Mann, Brenda. The Cocktail Waitress: Women's Work in a Man's World. Wiley, New York, 1975.Google Scholar

24 Spradley, James P. and McCurdy, David. The Cultural Experience. Science Research Associates, (1972), p. viii.Google Scholar

25 Freidson, E.Prepaid group practice and new ‘demanding patient’. Milbank Memorial Fund quarterly / Health and Society, 511, (1973), 473488.CrossRefGoogle Scholar

26 Shapiro, M.Getting Doctored: Critical Reflections on becoming a physician. Between the Lines, Kitchener, Ontario, Canada, (1978).Google Scholar

27 Walsh, J. L. and filling, R. H.Professionalism and the poor-structural effects and professional behaviour. Journal of Health and Social behavior, 9, (1968), 1628.CrossRefGoogle Scholar

28 Kelly, M. P. and May, D.op. cit.Google Scholar

29 Lorber, J.op. cit.Google Scholar

30 Fontana, A.op. cit.Google Scholar

31 Lorber, J.op. cit.Google Scholar

32 Kelly, M. P. and May, D.op. cit. 154.Google Scholar

33 Kelly, M. P. and May, D.op. cit. 154.Google Scholar

34 Howsden, J. L.Work and the Helpless Self: the Social Organization of a Nursing Home. University Press of America, Washington, D.C., 1981.Google Scholar

35 Link, B. and Milcarek, B.Selection factors inthe dispensation of therapy: the Matthew effect in the allocation of mental health resources. Journal of Health and Social Behaviour, 21, (1980), 279290.CrossRefGoogle Scholar

36 Roth, J. A. Some contingencies of the moral evaluation and control of clientele: the case of the hospital emergency services.Google Scholar Ch. 25 in Conrad, P. and Kern, R. (eds.), The Sociology of Health and Illness: critical perspectives. St Martin's Press, New York, 1981.Google Scholar

37 Sudnow, D.op. cit.Google Scholar

38 Quint, J. C.Institutionalized practices of information control. Psychiatry, 28, (1965), 119132.CrossRefGoogle ScholarPubMed

39 Link, B.Reward system of psychotherapy: implications for inequalities in service delivery. Journal of Health and Social Behaviour, 24, (1983), 6169.CrossRefGoogle Scholar

40 Hollingshead, A. B. and Redlich, F. C.Social Class and Mental Illness. John Wiley and Sons, New York, 1958.CrossRefGoogle Scholar

41 Link, B.op. cit.Google Scholar

42 Sexton, P. C.The New Nightingales: hospital workers, unions, new women's issues. Enquiry Press, New York, 1982.Google Scholar