I'm pleased to say that over half the book now has extra notes (in pencil). Within the text and my reflections there are a great many potential posts. In chapter 18 though Doane and Varcoe write
Subsequently, there has been little discussion about what is required to develop and enact that sensitivity and/or the knowledge, capacities, and skills required for ethical and responsive nursing relationships within the complexities of current health-care milieus. For example, as social inequalities deepen and neoliberal ideologies hold individuals responsible for their own health and well-being regardless of how poverty, disability, remote geographical locations, or other inequalities determine health, notions of obligation, responsibility, accountability, and efficiency are as vital to nursing relationships as are notions of compassion, responsiveness, trust and respect. Thus, nurses require a broader understanding of relationships and their significance to ethical nursing practice. p.204.
The sentence in (my) italics can be summed up in one word - a recently discovered concept for me - that of: precarity .
Here the definition on Wikipedia (c/o the above link)
Precarity is a condition of existence without predictability or security, affecting material or psychological welfare. Specifically, it is applied to the condition of intermittent or underemployment and the resultant precarious existence. The social class defined by this condition has been termed the precariat.
Nursing is bound to be affected by the socio-economic environment. Caution is needed as the weather impacts, puts pressure on nursing's values.
Doane, G.H., Varcoa, C. (2013). Relational Practice and Nursing Obligations. In Philosophical and Theoretical Perspectives for Advanced
Nursing Practice (5th ed.), by W. K. Cody (Ed.). (Burlington, MA: Jones