County: Life, Death and Politics at Chicago’s Public Hospital by a Chicago based physician and health activist David A. Ansell is a very inspirational book because it covers 30 years of Cook County Hospital’s history, beginning in the late 1970s till 2002. Cook County Hospital is an urban public hospital in Chicago that admits patients who are uninsured. Time, space, communication, and identity are portrayed throughout the book. These four factors are important in inter-ethnic relationships between patients and health care providers. Being able to identify these factors in a clinical setting, health care providers can provide more efficient care for all patients. Time is an important factor throughout County and throughout Ansell’s journey
…show more content…
I thought this scene portrayed space because the residents and nurses were able to have their own personal space when they sat out on the exposed steel fire escape. When they sat out on the exposed steel fire escape, they were able to escape from reality for a short period of time and forget what was happening at the hospital at that time. In addition, the hospital was very hot in the summer since there was no air conditioner. If they didn’t go outside for some fresh air, they would be suffering and feel discomfort from the heat in the hospital, which will affect their ability to provide high-quality healthcare to …show more content…
They would just do the procedures and hope that it was successful. In one of the scenes, Dr. Ansell needed to remove a patient’s toenail, so the pus bulged under the toenail can be drained. However, Dr. Ansell never removed toenail. He followed the instructions in the book and successfully removed the toenail and drained the pus (Ansell, 2001, p. 83). Even though he successfully treated the patient, I thought it was unethical because the hospital did not provide experienced physicians to lead Dr. Ansell and needed him to treat the patient at risk, which means that the hospital didn’t think their patients’ lives were valuable. I believed that all residents should be supervised by an experienced physician under any circumstances and provide the best quality healthcare to patients. I will definitely speak up if I encounter any ethnical issues in my future clinical practice because as a nurse, we should always protect patients, meet their needs, and use ANA Codes of Ethics as a
I thought this scene portrayed space because the residents and nurses were able to have their own personal space when they sat out on the exposed steel fire escape. When they sat out on the exposed steel fire escape, they were able to escape from reality for a short period of time and forget what was happening at the hospital at that time. In addition, the hospital was very hot in the summer since there was no air conditioner. If they didn’t go outside for some fresh air, they would be suffering and feel discomfort from the heat in the hospital, which will affect their ability to provide high-quality healthcare to …show more content…
They would just do the procedures and hope that it was successful. In one of the scenes, Dr. Ansell needed to remove a patient’s toenail, so the pus bulged under the toenail can be drained. However, Dr. Ansell never removed toenail. He followed the instructions in the book and successfully removed the toenail and drained the pus (Ansell, 2001, p. 83). Even though he successfully treated the patient, I thought it was unethical because the hospital did not provide experienced physicians to lead Dr. Ansell and needed him to treat the patient at risk, which means that the hospital didn’t think their patients’ lives were valuable. I believed that all residents should be supervised by an experienced physician under any circumstances and provide the best quality healthcare to patients. I will definitely speak up if I encounter any ethnical issues in my future clinical practice because as a nurse, we should always protect patients, meet their needs, and use ANA Codes of Ethics as a