Tracking shame and humiliation in Accident and Emergency

Nursing Philosophy 12 (2):83-93 (2011)
  Copy   BIBTEX

Abstract

In this paper, we reflect upon shame and humiliation as threats to personal and professional integrity and moral agency within contemporary health care. A personal narrative, written by a nurse about a particular shift in a British National Health Service Accident and Emergency Department, is provided as a case study. This is critically reflected and commented upon in dialogue with insights into the nature of shame and humiliation. It is suggested that Accident and Emergency is a locus that is latently prone to dynamics of shame and humiliation, a potential exacerbated within a culture subject to externally‐determined time targets that are enforced by a top‐down system of surveillance and management. The result is that nurses may lose their sense of professional competence and responsibility, moral agency, and integrity, to their own personal detriment, as well as to the detriment of patients with whom they work. Insofar as examining a small part of a whole may suggest insights into the operation and ethos of a very large system, this very particular case study narrative/reflection has some important implications and lessons for the wider organization and provision of health care in Britain and beyond.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 91,219

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Humiliation: Claims and Context.Gopal Guru (ed.) - 2011 - New Delhi: Oxford University Press India.
Shame and Guilt in Restorative Justice.Raffaele Rodogno - 2008 - Psychology, Public Policy, and Law 14 (2):142-176.
Resisting Agamben: The biopolitics of shame and humiliation.Lisa Guenther - 2012 - Philosophy and Social Criticism 38 (1):59-79.
Shame, Guilt and Morality.Fabrice Teroni & Otto Bruun - 2011 - Journal of Moral Philosophy 8 (2):223-245.
Differentiating Shame from Guilt.Julien A. Deonna & Fabrice Teroni - 2008 - Consciousness and Cognition 17 (4):1063-1400..
Shame, guilt, and punishment.Raffaele Rodogno - 2009 - Law and Philosophy 28 (5):429 - 464.
The power of shame: a rational perspective.Agnes Heller - 1985 - Boston: Routledge and Kegan Paul.
Guarding moral boundaries: Shame in early confucianism.Jane Geaney - 2004 - Philosophy East and West 54 (2):113-142.

Analytics

Added to PP
2013-11-22

Downloads
32 (#473,773)

6 months
11 (#196,102)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Karen Sanders
University of California at Santa Barbara

Citations of this work

The Horizons of Chronic Shame.Luna Dolezal - 2022 - Human Studies 45 (4):739-759.

Add more citations

References found in this work

Authority. [REVIEW]Robert A. Burt & Richard Sennett - 1981 - Hastings Center Report 11 (1):21.

Add more references