Aim. In this paper we reflect on how linear perspective vision influences the practice of nurses and midwives and to advance understanding of clinical practice in technologically intensive environments through examination of drawings by nurses and midwives and through critical analysis.Background. There is increasing emphasis on vision in Western culture, and both nurses and midwives spend a great deal of time observing their clinical environment(s). Healthcare practitioners work increasingly in image-based realities and nurses rely on visual skills. Vision and visual representation are central to our practice and are important to examine because we look often at technology to assess people and care.Discussion. The world in which we practise is one of meaning(s). Technological development is transformative in nature and produces changes that alter the way(s) we give care. Amongst all this change, it is unclear how we practise in environments characterized by increasing technology and it is unknown how nursing and midwifery practice alter as a result.Conclusion. Simple drawings included in this paper highlight an important and shared experience of clinical practice(s). They emphasize the importance and scope of the visual sense and expose practitioner behaviour that has enormous implications for current and future professional development and person-focussed care provision. Experiences described in this paper require further examination and highlight substantial changes to nurse–patient relationships, health care and the way we practise.
Bibliographical noteReference text: Barnard A. (1998) Understanding Technology in Contemporary Surgical Nursing: A Phenomenographic Examination. Unpublished PhD thesis, The University of New England, Armidale, Australia.
Barnard A. & Gerber R. (1999) Understanding technology in contemporary surgical nursing: a phenomenographic examination. Nursing Inquiry 6, 157–170.
Direct Link:AbstractFull Article (HTML)PDF(748K)References
Barnard A. & Sandelowski M. (2001) Technology and humane nursing care: (Ir)reconcilable or invented difference? Journal of Advanced Nursing 34, 367–375.
Direct Link:AbstractFull Article (HTML)PDF(87K)References
Bruce C. (1997) The Seven Faces of Information Literacy. Auslib Press, South Australia.
Bryson N. (1988) The gaze in the expanded field. In Vision and Visuality (FosterH., ed.), Bay Press, Washington, pp. 87–114.
Cheek J. & Rudge T. (1994) The panopticon re-visited?: an exploration of the social and political dimensions of contemporary health care and nursing practice. International Journal of Nursing Studies 31, 583–591.
CrossRef,PubMed,ChemPort,Web of Science®Foucault M. (1977) Discipline and Punish: The Birth of the Prison. Tavistock, London.
Green A. (1992) How nurses can ensure the sounds patients hear have a positive rather than negative effect upon recovery and quality of life. Intensive and Critical Care 8, 245–248.
CrossRef,PubMed,ChemPortHaraway D. (1995) Situated knowledges: the science question in feminism and the privilege of partial perspective. In Technology and the Politics of Knowledge (FeenbergA. & HannayA., eds), Indiana University Press, Bloomington, pp. 175–194.
Henaff M. (1995) Sade, the mechanization of the libertine body, and the crisis of reason. In Technology and the Politics of Knowledge (FeenbergA. & HannayA., eds), Indiana University Press, Bloomington, pp. 213–235.
Ihde D. (1995) Image technologies and traditional culture. In Technology and the Politics of Knowledge (FeenbergA. & HannayA., eds), Indiana University Press, Bloomington, pp. 147–158.
Ihde D. (2001) Bodies in Technology. University of Minnesota Press, Minnesota.
Lyon D. (2003) Surveillance technology and surveillance society. In Modernity and Technology (MisaT.J., BreyP. & FeenbergA., eds), MIT Press, London, pp. 161–184.
Marck P. (2000) Recovering ethics after ‘technics’: developing critical text on technology. Nursing Ethics 7, 5–14.
PubMed,ChemPort,Web of Science®Martin J. (1988) Scopic regimes of modernity. In Vision and Visuality (FosterH., ed.), Bay Press, Washington, pp. 3–28.
Van Der Riet P. (1997) The body, the person, technologies and nursing. In The Body in Nursing (LawlerJ., ed.), Churchill Livingstone, South Melbourne, pp. 95–108.
Romanyshyn R. (1989) Technology as Symptom and Dream: Technology as Vanishing Point. Routledge, London.
Rose G. (2001) Visual Methodologies. Sage, London.
Sandelowski M. (1998) Looking to care or caring to look? Technology and the rise of spectacular nursing. Holistic Nursing Practice 12, 1–11.
PubMed,ChemPortSandelowski M. (2000) Devices and Desires: Gender, Technology and American Nursing. The University of North Carolina, Chapel Hill.
Sandelowski M. (2002) Visible humans, vanishing bodies, and virtual nursing: complications of life, presence, place, and identity. Advances in Nursing Science 24, 58–70.
PubMed,Web of Science®Short P. (1997) Picturing the body in nursing. In The Body in Nursing (LawlerJ., ed.), Churchill Livingstone, South Melbourne, pp. 7–9.
Simon C. (1999) Images and image: technology and the social politics of revealing disorder in a North American hospital. Medical Anthropology Quarterly 13, 141–162.
Sinclair M. (1999) Midwives Readiness to use High Technology in the Labour Ward: Implications for Education and Training. PhD thesis, Queen's University, Belfast, Northern Ireland.
Wenestam C. (1984) Qualitative age-related differences in the meaning of the word ‘‘death’’ to children. Death Education 8, 333–347.
CrossRefWilliams S. (1997) Modern medicine and the ‘uncertain body’: from corporeality to hyperreality? Social Science & Medicine 45, 1041–1049.
CrossRef,PubMed,ChemPort,Web of Science®
- clinical practice