summary, crtiques, strengths and limitation of the article.

What are the implications of living in a gender system that recognizes “two and only two” genders? For those individuals whose “gender displays” are inappropriate, there can be a variety of consequences, many of them negative. In this article, the author provides an analysis of her experiences as a woman whose appearance often leads to gender misattribution. She discusses the consequences of the gender system for her identity and her interactions. The author also examines Lorber's assertion that “gender bending” actually (...) serves to perpetuate gender categories rather than to break them down, and she suggests how her experiences might contradict Lorber's argument. Using her biography to examine the social construction of gender, she both illustrates and extends theoretical work in this area. (shrink)

Workplace bullying is a significant issue confronting the nursing profession. Bullying in nursing is frequently described in terms of ‘oppressed group’ behaviour or ‘horizontal violence’. It is proposed that the use of ‘oppressed group’ behaviour theory has fostered only a partial understanding of the phenomenon in nursing. It is suggested that the continued use of ‘oppressed group’ behaviour as the major means for understanding bullying in nursing places a flawed emphasis on bullying as a phenomenon that exists only among nurses, (...) rather than considering it within the broader organisational context. The work of Foucault and the ‘circuits of power’ model proposed by Clegg are used to provide an alternative understanding of the operation of power within organisations and therefore another way to conceive bullying in the nursing workforce. (shrink)

Over the past two decades, the competency movement has been gathering momentum internationally within the ranks of professional nursing. It can be argued that this momentum is in response to government initiatives aimed at improving consistency in workforce training and accreditation, and fostering national and international portability of qualifications. At the same time, the competency movement has provided the opportunity for regulators, service providers and government to develop mechanisms to reconstitute competent nurses as accountable, self‐regulating subjects and to monitor this (...) transformation in particular ways. The ways in which competencies have been taken up to do this transforming work in Canada are unique and deserving of some detailed description and analysis.We argue that Canadian nursing regulatory authorities have chosen to view competence as the rehearsal of ethical attributes consonant with the professional role,as opposed to the enactment of skilled conduct. As a result, reflective practices rather than skill and knowledge have become the cornerstone of nursing competency formulation and review. We argue that this distinctly Canadian approach to competency serves three ends. First, it privileges the ‘attribute’ element of the nursing competency model and side steps the ever‐problematic ‘nursing knowledge’ issue; second, self‐surveillance by nurses shifts the onus for professional development from industry to the individual; and third, it concedes responsibility for skill assessment by the regulatory authorities to industry control, leaving employers free to determine skill base and skill mix requirements for practice. Finally, we argue that the reflective component of the regulatory framework for Canadian nurses radically fails as a tool for auditing quality and assessing competency. Rather, it functions as a governmental practice that furthers the deregulatory and economic rationalist aims of the Canadian health reform agenda. (shrink)

Addressing central questions in the debate about Foucault's usefulness for politics, including his rejection of universal norms, his conception of power and power-knowledge, his seemingly contradictory position on subjectivity and his ...

Beginning with women's experience, the author examines the field's actual practices of reasoning and conceptualization. She argues that standard sociological methods of inquiry make use of ideological practices, transforming the actualities of people's lives into a formalized picture lacking subjects and subjectivity. The method of Smith recommends anchors a Marxist materialism, based in people's activities, to a woman's stand-point based in experience. She uses this method in a radically original way to explore ideology and objectified knowledge as the conceptual practices (...) of ruling. Smith is equally concerned with the application of sociological ideology to the human service bureacracy and the way institutions of mental health reconstruct women's lives. She provides meticulous accounts of the ways in which police reports, government statistics, hospital records, and pschiatric files are ideologically interpreted, transforming a person's life history in the process. In a revelatory chapter on the biographer Quentin Bell's account of Virginia Woolf's suicide, the author demonstrates how the text implicates the reader in the objectification of Woolf's "psychiatric problems." Highly critical of current sociological practices, The Conceptual Practices of Power both recommends and exemplifies the alternative approach that Smith presented in her earlier work, That Everyday World as Problematic, also published by Northeastern University Press. (shrink)

Assessing the vast arena that continues to grow in pursuit of accountability in American hospitals, this paper raises the following question: Is this enterprise geared toward making hospitals better or toward making them only look better? ‘Accountability’ has become an umbrella concept to signal the need to demonstrate — to others — that performance is being measured and perfected. The author asserts that there is an imperfect fit between health‐care and the industrial model being used to measure quality of care (...) due to four problematic issues: the nature of contemporary patient care, the overstating and overselling of accountability proposals, inflated expectations placed upon ‘rationalization’, and insufficient attention afforded accident and error. The paper concludes with a plea for reconsideration of the tilt toward a business approach to health‐care, asking if, in our zeal to hold hospitals accountable, we are measuring what is important or simply making important what we can measure. (shrink)

Increased technological and pharmacological interventions in patient care when patient outcomes are uncertain have been linked to the escalation in moral and ethical dilemmas experienced by health care providers in acute care settings. Health care research has shown that facilities that are able to attract and retain nursing staff in a competitive environment and provide high quality care have the capacity for nurses to process and resolve moral and ethical dilemmas. This article reports on the findings of a systematic review (...) of the empirical literature (1980 — February 2007) on the effects of unresolved moral distress and poor ethical climate on nurse turnover. Articles were sought to answer the review question: Does unresolved moral distress and a poor organizational ethical climate increase nurse turnover? Nine articles met the criteria of the review process. Although the prevailing sentiment was that poor ethical climate and moral distress caused staff turnover, definitive answers to the review question remain elusive because there are limited data that confidently support this statement. (shrink)

A collection of essays based on Smith's unique rebel sociology. Smith turns wit and common sense on the prevailing discourses of sociology, political economy, and popular culture to inquire directly into the actualities of peoples' lives.