In many ways, globalization created the problem of representation for feminist solidarity across the borders of the nation state. This problem is one of presenting a cohesive identity for representation in the transnational public sphere. This paper proposes a solution to this problem of a cohesive identity for women's representation by drawing on the work of Paul Ricœur. What these women seem to have in common are shared political aims, but they have no basis for those aims. This paper provides a basis for these aims by turning to Ricœur's work on collective memory from Memory, History, Forgetting. The paper concludes that it is the shared testimony through narrative hospitality, which can provide a foundation for a social bond for those with common political aims. More specifically, this common knowledge provides a justification for the representation of women and their allies in the transnational public sphere. ; De différentes manières, la globalisation a créé un problème de représentation pour la solidarité féministe au-delà des frontières de l'Etat-nation. Ce problème consiste à présenter une identité cohérente en vue d'une représentation dans la sphère publique transnationale. Cet article propose une solution à ce problème de la constitution d'une identité cohérente pour la représentation des femmes en s'appuyant sur l'œuvre de Paul Ricœur. Ce que ces femmes semblent avoir en commun, ce sont des objectifs politiques partagés, mais elles ne disposent pas de bases pour ces objectifs. Cet article fournit une base à ces objectifs en faisant appel au travail de Ricœur sur la mémoire collective développé dans La Mémoire, l'histoire, l'oubli. L'article conclut que c'est le témoignage partagé à travers l'hospitalité narrative qui peut contribuer à fonder un lien social pour ceux qui ont des objectifs politiques communs. Plus spécifiquement, cette connaissance commune fournit une justification à la représentation des femmes et de leurs alliés dans la sphère publique transnationale.
Abstract Background Extending the scope of practice of allied health professionals has been a strategy adopted in the United Kingdom to address issues within the health system. Australia's health system is currently undermined by similar issues, heightening government interest in adopting the extended scope health care model. The aim of the current study was to describe the activities and outcomes of a dietitian-led gastroenterology clinic which operated under an extended scope of practice model in an outpatient gastroenterology department at a tertiary hospital in regional Queensland, Australia, and to assess patient satisfaction with the initiative. Methods A descriptive, cross-sectional case series undertaken over 50 clinics involving 82 category 2 and 3 patients with suspected/confirmed coeliac disease or inflammatory bowel disease; low haemoglobin; gastroesophageal reflux disease, or; malnutrition. Data was analysed using Microsoft Excel 2010, and presented as descriptive statistics. Results Sixty out of 82 selected patients (median age 51 years) attended an initial appointment with the dietitian. Twenty-four review appointments were attended. Average waiting period for an initial appointment was 148 days (range 31–308 days). A total of 149 management strategies were provided, and 94 (63 %) of these involved the dietitian utilising extended scope of practice. The dietitian managed 47 (78 %) patients without need for gastroenterologist referral, and 25 (42 %) were discharged after dietetic management. Patients reported high levels of satisfaction with the clinic. Conclusions Seventy-eight percent of category 2 and 3 patients referred to the gastroenterologist could be managed exclusively in the dietitian-led clinic. This extended scope model of care could potentially benefit the efficiency and acceptability of Australia's public health system.