White coat, patient gown

Wellbery, Caroline; Chan, Melissa

doi:10.1136/medhum-2013-010463

Cited by 22 publications

(25 citation statements)

References 39 publications

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“…It sort of shows that community as one and by wearing a white coat you are representing your whole community. And people respect you for the community you represent, not you as an individual.While past research has interpreted donning the coat as an unfortunate loss of individual identity (Wellbery and Chan ), an alternate interpretation is that wearing a white coat allows one to transcend one's individuality to join a broader community of professionals. This meaning is salient to Van and he locates any respect he may receive from patients in this shared identity.…”

Section: Resultsmentioning

confidence: 99%

Short White Coats: Knowledge, Identity, and Status Negotiations of First‐Year Medical Students

Vinson

2018

Symbolic Interaction

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This paper investigates the meanings medical students invest in their white coats and how these meanings shape students' strategic use of the white coat as a status symbol. During a four‐year ethnography of medical education, I found that the white coat signified knowledgeability and was used to assert status. In interactions students policed their own and each other's status displays, a process I identify as an instance of status management in medical training. An analysis of the meanings and conventional uses of the short white coat increases our understanding of how novice trainees negotiate their place in a new social order.

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Section: Resultsmentioning

confidence: 99%

Short White Coats: Knowledge, Identity, and Status Negotiations of First‐Year Medical Students

Vinson

2018

Symbolic Interaction

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“…Patients in Chinese cultures tend to have a high respect for doctors [ 21 ]. Stereotypes of doctors’ authority and professionalism also prevail, reinforcing the hierarchical differential [ 35 ]. In the current study, such stereotypes, in addition to the perceived higher hierarchical status of doctors, influenced not only how patients communicated with the sampled doctors, but also the patient expectations of doctor communication style.…”

Section: Discussionmentioning

confidence: 99%

Communicating with mismatch and tension: treatment provision experiences of primary care doctors treating patients with overactive bladder in Hong Kong

Siu

2015

BMC Fam Pract

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BackgroundOveractive bladder (OAB) is a common chronic bladder dysfunction worldwide. As the first contact point of health care, primary health care providers are often consulted by patients seeking initial consultation for OAB. The relatively short history of the existence of OAB in medicine and low public awareness of OAB in Hong Kong, however, often serve as a challenge to primary health care providers in treating patients with OAB. The experiences of patients and health care providers are often influenced by the interaction between these two groups, hence both health care providers and patients are key determinants of the entire treatment experience, and the perspectives of health care providers should not be overlooked. However, patient experiences have been the main focus of related studies, few of which have examined the treatment provision experiences and perspectives of health care providers. This research gap is notable considering that the satisfaction and morale of health care providers can influence treatment outcome.MethodsThis study adopted a qualitative research approach by conducting semistructured individual interviews with 30 private practice primary care doctors in Hong Kong between November 2013 and May 2014.ResultsLacking confidence in treating OAB patients, encountering mismatch with patients in treatment expectations and communication style, and feeling embarrassed when communicating with OAB patients were the experiences reported by the sampled doctors.ConclusionThe sampled doctors’ treatment provision experiences revealed a general lack of knowledge about OAB among primary care doctors in Hong Kong. Furthermore, the negative stereotype of and lack of trust in private practice doctors created tension between the doctors and patients. This lack of mutual trust was particularly unfavourable for the doctors to provide long-term treatment and support to patients with OAB. The embedded distrust of private practice doctors also affected the prescribing behaviour of the doctors, who prescribed medication only to satisfy patient demands, which may lead to antibiotic abuse and resistance. Finally, the expectations of doctor professionalism and behaviour in Chinese cultures and the cultural perceptions of urinary diseases caused challenging treatment provision experiences for the sampled doctors.

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“…In one account, the ward is described as "more dangerous […] because you feel like you kind of own the space". Taking off shoes may manifest a shift toward less hierarchical relationships, similar to the way in which putting on a white coat can be seen as doing the opposite (Wellbery & Chan, 2014).…”

Section: A Chaotic Visit -Navigating Care Landscapesmentioning

confidence: 99%

Understanding and preventing situations of abuse in health care – Navigation work in a Swedish palliative care setting

Brüggemann

Persson

Wijma

2019

Social Science & Medicine

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In their everyday work, health professionals find themselves in situations that they perceive to be abusive to patients. Such situations can trigger feelings of shame and guilt, making efforts to address the problem among colleagues a challenge. This article analyzes how health professionals conceptualize abusive situations, and how they develop collective learning and explore preventive strategies. It is based on an interactive research collaboration with a hospice and palliative care clinic in Sweden during 2016-2017. The empirical material consists of group discussions and participant observations collected during interactive drama workshops for all clinic staff. Based on three types of challenges in the material, identified through thematic analysis, we establish the concept of navigation work to show how health professionals prevent or find ways out of challenging and potentially abusive situations. First, the navigation of care landscapes shows how staff navigate the different territories of the home and the ward, reflecting how spatial settings construct the scope of care and what professionals consider to be potentially abusive situations. Second, the negotiation of collective navigations addresses the professionals' shared efforts to protect patients through the use of physical and relational boundaries, or mediating disrupted relationships. Third, the navigation of tensions in care highlights professionals' strategies in the confined action space between coercing and neglecting patients who oppose necessary care procedures. Theoretically, the concept of navigation work draws upon work on care in practice, and sheds light on the particular kind of work care professionals do, and reflect on doing, in order to navigate the challenges of potentially abusive situations. By providing a perspective and shared vocabulary, the concept may also elicit ways in which this work can be verbalized, shared, and developed in clinical practice.

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White coat, patient gown

Cited by 22 publications

References 39 publications

Short White Coats: Knowledge, Identity, and Status Negotiations of First‐Year Medical Students

Short White Coats: Knowledge, Identity, and Status Negotiations of First‐Year Medical Students

Communicating with mismatch and tension: treatment provision experiences of primary care doctors treating patients with overactive bladder in Hong Kong

Understanding and preventing situations of abuse in health care – Navigation work in a Swedish palliative care setting

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