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Comments to book The commodity of care

Posted by caroldimon on October 27, 2013 at 3:25 AM

One interesting comment about quality measures existing. Research regarding quality has focussed on developing measures, for many years. Measures are used by establishments to gain acceptable ratings. Measures are also paper exrecises- depends on criteria, who fills them in , can be tick box. Indeed, CQC has hushed up poor reports, or upgraded aspects in some cases. Establishments have been given acceptable CQC passes only to be found to be very poor.Indeed, the manager of winterbourne View will have done quality audits but I am sure would not have mentioned the abuse that occured. Even with measures, some abuse or poor care, may not be discovered; it often occurs behind closed doors for example, or is unreported.

If work has been  done on developing measures, the issue is that some care is substandard- or why develop measures in the first place? This book aims to fully analyse why poor care exists and what poor care exists within USA, Australia, UK. It also aims to open discussions as many fear discussing these aspects, which is  a very painful subject.

Lenin Nightingale;

 

I have been given a complimentary copy of Carol Dimon's 'The Commodity of Care', and am happy to provide this review. As a former nurse and academic of many years standing, I believe that the central theme of this book, that nursing care does not exist in a vacuum, but is profoundly shaped by the 'politics of the time', is a much needed perspective into how those being nursed (in both care homes and hospitals) are being viewed as a 'commodity' to be traded between debt-ridden, profit-seeking corporations. This book unmasks the rhetoric behind which such changes are taking place; and makes a link between poor attitudes to those being nursed and the shaping of society by political dogma that promotes a cult of individualism.

Moreso, the similarity of this situation in the UK, USA, and Australia is explored, giving this book a wider scope than many. The breadth of topics covered is impressive, and those sections concerning nursing students should be of particular interest to those involved in nurse education. The Commodity of Care is well-written, thoroughly researched, and provoking, being strongly critical of organisations involved in nursing, and making recommendations for a more hands-on nurse training regime, based on a selection process that places compassionate attitude as paramount. It is a useful addition to the debate surrounding the future direction of nursing care

Nurses fyi Rich Williams. On article based on book 12.11.13

Carol Dimon’s article about the state of nursing care while confronting and potentially controversial for some, is a positive reflection on what Carol’s perspective is on the quality and quantity of nursing care we as nurses provide to our patients. I as a Patient Transport nurse for the past 14 years have visited dozens of facilities and I have personally witnessed a big cross section of the of nursing care being provided. I found Carol’s article to be one of the most thought provoking I have published so far.

 

 

 

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3 Comments

Reply carol dimon
4:56 AM on November 7, 2013 
In response to some critics who may argue, why was this work not written sooner? There are many ways of blocking publication of work and actions of individuals and of blocking research. hence this book is self published , which by no means indicates that a book is second rate. Yes, like others, action was taken along the way eg contact national bodies, set up support groups, newsletters, but no, I never did witness anything on the scale of Mid staffs or deaths directly resulting from poor care. This was a suspicion triggered by talking to many across the country, experiences of my relatives and isolated incidents witnessed by myself; and others, however small. hence my work began by reading Goffman and Barbara Robb and looking overseas in addition to UK.
Reply caroldimon
9:56 AM on November 7, 2013 
If this book was written 30yr ago, it would have been a collection of incidents gathered from staff, and experiences and published NMC cases, rather like Barbara Robb with recommendations at ground level. Since then I realised how political it is and am able to use evidence published particularly via the press. Hopefully it will stimulate discussion, which has been avoided for too long.
Reply caroldimon
9:39 AM on November 9, 2013 
The fact that there seems to be little interest at all levels, in these findings, indicates further how macabre the whole system is. There is competition amongst researchers etc, many of whom were previously unaware of the international problem and extent of these issues. Yes info just needs to be out there, but ignoring this further illustrates the whole problem that contributes to the issues. One of these remains to be that lone voices of ordinary people are being ignored by they who are established in whatever capacity. Plus the great need of some for power and prestige.
Happens in all fields. Lenin Nightingale