Abstract
Qualitative research was conducted with forty-one female registered nurses from four Canadian hospitals who manage the genetic termination (GT) procedure for women who end a wanted pregnancy due to fetal anomaly. Based on the sociological concept of dirty work, interest focused on nurses’ experiences with work that is viewed as unpleasant and undesirable, work that others would prefer not to do or even know about. The absence of institutional support led to a number of problems for the nurses. They readily discussed situations fraught with dilemmas and frustrations, yet they described this work as professionally rewarding and personally gratifying. They found strategies to respond to the dirty work aspects of their job. Particularly, the quality of care they were able to provide transformed their job from dirty work and led them to find dignity and satisfaction.
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References
Abbott, A. (1988). The system of professions. Chicago: University of Chicago Press.
Abbott, P., & Wallace, C. (1990). The sociology of the caring professions. London: The Falmer Press.
Anspach, R. (1991). Everyday methods for assessing organizational effectiveness. Social Problems, 38.
Ball, D. (1970). The problematics of respectability. In J. Douglas (Ed.), Research on deviance. New York: Random House.
Bishop, S. (1996). Choosing: A double-edged sword. Women’s experiences with pregnancy termination after fetal anomalies are diagnosed. Unpublished Master’s Thesis.
Blau, J. (1982). Prominence in a network of communication: Work relations in a children’s psychiatric hospital. Sociological Quarterly, 23, 235–251.
Bosk, C. (1992). All God’s mistakes: Genetic counseling in a pediatric hospital. Chicago: University of Chicago Press.
Bryar, S. H. (1997). One day you’re pregnant and one day you’re not: Pregnancy interruption for fetal anomalies. Journal of Obstetrics, Gynecologic, and Neonatal Nursing, 26, 559–566.
Chambliss, D. (1996). Beyond caring. Hospitals, nurses and the social organization of ethics. Chicago: The University of Chicago Press.
Charmaz, K. (1994). The social reality of death: Death in contemporary America. Reading, MA: Addison-Wesley.
Conrad, P., & Kern, R. (1990). The sociology of health and illness, 3rd Ed. New York: St. Martin’s Press.
Davis, A., & Aroskar, M. (1992). Ethical dilemmas and nursing practice. New York: Appleton-Century-Crofts.
Glaser, B., & Strauss, A. (1967). Discovery of grounded theory. Strategies for qualitative research. Chicago: Aldine.
Gregg, R. (1993). Choice as a double-edged sword: Information, guilt and mother blaming in a high tech age. Women and Health, 20.
Hafferty, F. W. (1991). Into the valley: Death and the socialization of medical students. New York: Yale University Press.
Hill, R. (1991). Organizations, structures, processes and outcomes, 5th ed. New Jersey: Prentice Hall.
Hughes, E. C. (1994). On work, race and the sociological imagination. Chicago: University of Chicago Press.
Hughes, E. C. (1971). The sociological eye: Selected papers. Chicago: Aldine.
Klass, P. (1987). A not entirely benign procedure: Four years as a medical student. New York: G. P. Putnam’s.
Leininger, M. M. (1990). Ethical and moral dimensions of care. Detroit: Wayne State University Press.
Melosh, B. (1982). “The physician’s hand” Work culture and conflict in American nursing. Philadelphia: Temple University Press.
Rudy, K. (1996) Beyond pro-life and pro-choice: Moral diversity in the abortion debate. Boston: Beacon Press.
Saunders, C. (1981). Social stigma of occupations: The lower grade worker in service organizations. Westmead: Gower.
Strauss, A. et al. (1985). Social organization of medical work. Chicago: University of Chicago Press.
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Chiappetta-Swanson, C. Dignity and Dirty Work: Nurses’ Experiences in Managing Genetic Termination for Fetal Anomaly. Qual Sociol 28, 93–116 (2005). https://doi.org/10.1007/s11133-005-2632-0
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DOI: https://doi.org/10.1007/s11133-005-2632-0