The Social Organization of Best Practice

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Sprache: Englisch

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Beschreibung

This book explores how best practice for acute stroke care was developed, translated and taken up in medical practice across various sites in the province of Ontario using institutional ethnographic research. Institutional ethnography, an approach developed by Dorothy E. Smith, builds on Smith¿s understanding of the social organization of knowledge, allowing for an examination of the complex social relations organizing people¿s experiences of their everyday working lives.

This work thereby makes visible some of the assumptions and hidden priorities underlying the emphasis given to translating scientific knowledge into medical practice. In this study, the discourses of both evidence-based medicine and knowledge translation, purportedly designed to improve patient care, come into view as managerial tools that directed healthcare resources toward academic hospitals rather than community sites where the majority of patients receive care. These models institutionalize inequities in access to care while claiming to resolve them.

Über den Autor

Fiona Webster is Associate Professor in the Arthur Labatt Family School of Nursing at Western University in London, Ontario, Canada. Webster obtained her PhD in sociology under the supervision of Dorothy E. Smith at the University of Toronto, Canada.

Zusammenfassung

One of the only institutional ethnographies from the standpoint of the physician

Uncovers the different elements of a complex institutional structure: the development, implementation, and everyday practice of evidence based medicine

Complicates our understanding of evidence based medicine and knowledge translation

Inhaltsverzeichnis

Chapter 1: Introduction.- Chapter 2: Developing the Ethnographic Study.- Chapter 3: Setting the Stage for Implementing Evidence: the OSS.- Chapter 4: The Everyday Practices of RCTs.- Chapter 5: Variations in the Implementation of Evidence.-Chapter 6: Evaluating the OSS.- Chapter 7: Conclusion.

Details

Erscheinungsjahr:	2021
Genre:	Recht , Sozialwissenschaften , Soziologie , Wirtschaft
Rubrik:	Wissenschaften
Medium:	Taschenbuch
Inhalt:	xi 127 S. 1 farbige Illustr. 127 p. 1 illus. in color.
ISBN-13:	9783030431679
ISBN-10:	3030431673
Sprache:	Englisch
Einband:	Kartoniert / Broschiert
Autor:	Webster, Fiona
Hersteller:	Springer Springer International Publishing AG
Verantwortliche Person für die EU:	Springer Verlag GmbH, Tiergartenstr. 17, D-69121 Heidelberg, juergen.hartmann@springer.com
Maße:	210 x 148 x 8 mm
Von/Mit:	Fiona Webster
Erscheinungsdatum:	25.06.2021
Gewicht:	0,192 kg