Nursing and the Arts: Information and Knowledge is Power: The Online Personal Health Record
JEANINE YOUNG-MASON EdD, RN, CS, FAAN

$3.95 		Clinical Nurse Specialist: The Journal for Advanced Nursing Practice
April 2013 
Volume 27  Number 2
Pages 105 - 106
 
  PDF Version Available!

ABSTRACT
In that hospital experience, I learned many things about the medical system that had nothing to do with treating disease or caring, but everything to do with power. This system, like any other human system, is made up of political phenomena, hierarchies of professionals, chains of command, patterns of authority, institutional agendas. Seen as such, it no longer seems alien. Indeed, I have a political mind, so the system plays directly to my strength. Legally, all legitimate power is vested in the patient, providing, of course, that he/she is mentally competent and conscious. I was clearly both, but power will not tolerate a vacuum, so If I failed to use my power, someone else would. The device best suited to enhance the power of health professionals is their virtual monopoly on medical knowledge. Lack of access to information, except through such a professional, is extremely intimidating and causes the patient to give up a great deal of power.1-Allan H. MacurdySusan Trossman's2 article

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