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View article: P18 Understanding blood culture sampling practices for adult acute care hospital patients with suspected severe infection: preliminary findings from an ethnographic study
P18 Understanding blood culture sampling practices for adult acute care hospital patients with suspected severe infection: preliminary findings from an ethnographic study Open
Background Blood cultures (BC) are vital for early diagnosis and clinical decision-making for patients with suspected infection. However, they are not always taken when antibiotics are started, and suboptimal practices exist that can subst…
View article: Chronicity rhetoric in health and welfare systems inhibits patient recovery: a qualitative, ethnographic study of fibromyalgia care
Chronicity rhetoric in health and welfare systems inhibits patient recovery: a qualitative, ethnographic study of fibromyalgia care Open
Fibromyalgia is a leading cause of disability in the UK and worldwide, but is difficult to diagnose and treat due to unclear pathogenesis and diverse and fluctuating symptoms. Although various treatment modalities are recommended, no treat…
View article: Optimising neonatal services for very preterm births between 27<sup>+0</sup> and 31<sup>+6</sup> weeks gestation in England: the OPTI-PREM mixed-methods study
Optimising neonatal services for very preterm births between 27<sup>+0</sup> and 31<sup>+6</sup> weeks gestation in England: the OPTI-PREM mixed-methods study Open
Aim To investigate, for preterm babies born between 27 +0 and 31 +6 weeks gestation in England, optimal place of birth and early care. Design Mixed methods. Setting National Health Service neonatal care, England. Methods To investigate whe…
View article: Mapping the Social Organisation of Neglect in the Case of Fibromyalgia: Using Smith's Sociology for People to Inform a Systems‐Focused Literature Review
Mapping the Social Organisation of Neglect in the Case of Fibromyalgia: Using Smith's Sociology for People to Inform a Systems‐Focused Literature Review Open
Fibromyalgia is a syndrome characterised by persistent unexplained pain and fatigue. People with fibromyalgia report receiving little support to manage symptoms, difficult interactions with healthcare practitioners and stigma associated wi…
View article: Parenting through place‐of‐care disruptions: A qualitative study of parents' experiences of neonatal care
Parenting through place‐of‐care disruptions: A qualitative study of parents' experiences of neonatal care Open
Introduction Neonatal care is complex, involving multiple people and technologies within a community of care. When preterm babies are cared for far from home and/or transferred between units, the whole community of care (and particularly p…
View article: Organising work in neonatal transfer: Optimising place of care for babies born moderately preterm
Organising work in neonatal transfer: Optimising place of care for babies born moderately preterm Open
The organisation of neonatal units into geographically‐based networks that offer different levels of care is intended to ensure babies receive the care they need via transfers between different units. In this article, we explore the signif…
View article: Reducing Overuse
Reducing Overuse Open
Overuse has become a major issue of healthcare quality, safety, and sustainability around the world. In this Element, the authors discuss concepts, terminology, and the history of concerns. They show how interventions to address overuse ta…
View article: Managerial thinking in neonatal care: a qualitative study of place of care decision-making for preterm babies born at 27–31 weeks gestation in England
Managerial thinking in neonatal care: a qualitative study of place of care decision-making for preterm babies born at 27–31 weeks gestation in England Open
Objectives Preterm babies born between 27 and 31 weeks of gestation in England are usually born and cared for in either a neonatal intensive care unit or a local neonatal unit—with such units forming part of Operational Delivery Networks. …
View article: Public health in the making: Dietary innovators and their on-the-job sociology
Public health in the making: Dietary innovators and their on-the-job sociology Open
Diet is understood to be one of the most important influences on public health and chronic disease, and is particularly implicated in the so-called 'obesity epidemic'. Yet interventions aiming to improve the population's dietary habits hav…
View article: A win-win scenario? Restrictive policies from alternative standpoints
A win-win scenario? Restrictive policies from alternative standpoints Open
Purpose In this viewpoint article, the authors consider the challenges in implementing restrictive policies, with a particular focus on how these policies are experienced, in practice, from alternative standpoints. Design/methodology/appro…
View article: Supporting people to implement a reduced carbohydrate diet: a qualitative study in family practice
Supporting people to implement a reduced carbohydrate diet: a qualitative study in family practice Open
Introduction Much of the science behind dietary guidelines for risk reduction and chronic disease management is equivocal, and there are well-accepted uncertainties and complexities relating to diet in everyday life, as well as physiologic…
View article: Taking sides with patients using institutional ethnography
Taking sides with patients using institutional ethnography Open
Purpose The main purpose of this paper is to document the first author's experience of using institutional ethnography (IE) to “take sides” in healthcare research. The authors illustrate the points with data and key findings from a study o…
View article: ‘Hitting Targets’: a poem from a study of cardiovascular disease prevention
‘Hitting Targets’: a poem from a study of cardiovascular disease prevention Open
> ‘Poetry is when an emotion has found its thought and the thought has found words.’
>
> (Robert Frost, 1874–1963)
Practising care is an emotional business. Healthcare professionals witness and attempt to treat, or relieve, suffering of …
View article: Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices
Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices Open
In this article, we draw on an institutional ethnographic ( IE ) study of cardiovascular disease prevention in general practice, exploring the work of healthcare professionals who introduce a discussion of risk and preventative medications…
View article: Using ethnography to study improving healthcare: reflections on the ‘ethnographic’ label
Using ethnography to study improving healthcare: reflections on the ‘ethnographic’ label Open
While methods broadly described as ‘ethnographic’ have been increasingly employed to
\nresearch the organisation and delivery of healthcare,[1-4] a single or widely-accepted definition
\nof ethnography has proved elusive and perhaps unnece…
View article: An ethnographic study of cardiovascular disease prevention: the social organisation of measures, knowledge, interventions and tensions in English general practice
An ethnographic study of cardiovascular disease prevention: the social organisation of measures, knowledge, interventions and tensions in English general practice Open
This thesis is about different ways of knowing about people’s health, and about what happens when these different knowledges intersect at the frontline of general practice — when people (patients) consult with healthcare professionals. Sta…