An interprofessional perspective on healthcare work: physicians and nurses co-constructing identities and spaces of action

2019 ◽  
pp. 1-17
Author(s):  
Erika Lokatt ◽  
Charlotte Holgersson ◽  
Monica Lindgren ◽  
Johann Packendorff ◽  
Louise Hagander

Abstract In this article we develop a theoretical perspective of how professional identities in multi-professional organisational settings are co-constructed in daily interactions. The research reported here is located in a healthcare context where overlapping knowledge bases, unclear divisions of responsibilities, and an increased managerialist emphasis on teamwork make interprofessional boundaries in healthcare operations more complex and blurred than ever. We thereby build on a research tradition that recognises the healthcare sector as a negotiated order, specifically studying how professional identities are invoked, constructed, and re-constructed in everyday work interactions. The perspective is employed in an analysis of qualitative data from interviews and participant observation at a large Swedish hospital, in which we find three main processes in the construction of space of action: hierarchical, inclusive, and pseudo-inclusive. In most of the interactions, existing inter-professional divides and power relations are sustained, preventing developments towards integrated interprofessional teamwork.

2015 ◽  
Vol 29 (6/7) ◽  
pp. 533-546 ◽  
Author(s):  
Tracy Harwood ◽  
Tony Garry

Purpose – This study aims to provide empirically generated insights into a gamification approach to online customer engagement and behavior (CE and CEB). There is a substantive discrepancy between popular coverage and empirically based research as to the effectiveness of virtual brand gamification in engaging customers. Design/methodology/approach – Using Samsung Nation as a unit of analysis, a mixed-methods research design using netnography and participant observation is adopted to address the research aim. Findings – Taken holistically, the findings identify key processes and outcomes of CE and CEB within virtual gamified platforms. Additionally, insights are provided into implementation flaws deriving from gamification that may potentially impact the CE experience. Originality/value – The contribution of this paper is twofold. First and from a theoretical perspective, it offers both a conceptual foundation and empirical-based evaluation of CE and CEB through a gamified brand platform. Second and from a pragmatic perspective, the conceptual model derived from this research may aid practitioners in developing more robust gamified CE strategies.


Paleo-aktueel ◽  
2021 ◽  
pp. 27-36
Author(s):  
Jana Esther Fries

Imaging of archaeology, imaging by archaeologists. Among the general public and in the popular media, archaeology has a quite positive image, but one that is far from the realities of the everyday work of professional archaeologists. In this paper, I explore how that biased image became established and what role media professionals and archaeologists play in maintaining it. Further, I discuss what effect the image of excavation as the central, if not the only, aspect of archaeology has and has had on the careers of female archaeologists. Finally, I argue for self-reflection about our professional identities and the way we present our work.


2017 ◽  
Vol 17 (6) ◽  
pp. 814-831
Author(s):  
Barbara Levy Simon

Both interpretive and positivist research were a daily part of early work by social workers in settlement houses of the US Social Workers from 1902 to 1922 at Greenwich House, a settlement house (neighborhood center) founded on the west side of Greenwich Village, New York City in 1902, involved themselves in diverse investigative methods. As this analysis reveals, Greenwich House workers pursued case studies of families, residential blocks, neighborhoods, and workplaces; ethnographic depictions of an alley and a garment workers’ strike; participant-observation of tenement households, small businesses, street life, and urban factories; and social surveys on the sanitary conditions and degree of housing congestion in the neighborhoods surrounding Greenwich House.


Forests ◽  
2021 ◽  
Vol 12 (5) ◽  
pp. 525
Author(s):  
Minette Nago ◽  
Symphorien Ongolo

The growing global interest in biodiversity conservation and the role of forestland sustainability in climate change mitigation has led to the emergence of a new specific field of global environmental governance that we called ‘forest diplomacy’. With the largest tropical forest area after the Amazon, Congo Basin countries (CBc) constitute a major negotiation bloc within global forest-related governance arenas. Despite this position, CBc seem embedded in a failure trap with respect to their participation in forest diplomacy arenas. This paper examines the major causes of the recurrent failures of CBc within forest diplomacy. A qualitative empirical approach (including key informant interviews, groups discussion, participant observation, and policy document review) was used. From a conceptual and theoretical perspective, this research combines global and political sociology approaches including environmentality and blame avoidance works. The main finding reveals that the recurrent failures of CBc in forest diplomacy are partly due to the lack of strategic and bureaucratic autonomy of CBc that strongly depend on financial, technical, and knowledge resources from Western cooperation agencies or consultancy firms. Our discussion highlights that this dependency is maintained by most of the key actor groups involved in forest diplomacy related to CBc, as they exploit these failures to serve their private interests while avoiding the blame of not reducing deforestation and biodiversity loss in the Congo Basin.


2020 ◽  
Vol 586 (1) ◽  
pp. 39-47
Author(s):  
Urszula Lewartowicz

The aim of the article is to show the potential of the atregamesin developing creativity and creative attitude of children in early school education. The study is of a methodological and research nature and was based on research carried out during theatre workshops organised as part of the project Za progiem – wyprawy odkrywców. 288 children aged 6‒10 took part in the workshops. The participant observation method was used for the research. The first part of the study presents the theoretical perspective of the proposed issues. The second part of the study is of methodological and research nature. It is a record of the course of the workshop along with a description of the most important observation results.


2017 ◽  
Vol 28 (5) ◽  
pp. 473-492 ◽  
Author(s):  
Vincent Guangsheng Huang

Since 2003, Hong Kong has gradually transformed into a ‘social movement society’. With the help of new technologies, mediatised ‘transborder conversation’ about social movement across the border with mainland China, as a verbal practice, has become routine. Sojourn students from the mainland, who usually stay in Hong Kong for several years, actively participate in this verbal practice. Taking a ‘discourse-centred online ethnography’ approach, this study aims to unpack the verbal practice of transborder conversations driven by sojourn students during the Umbrella Movement from the theoretical perspective of speech codes. By conducting participant observation and in-depth interviews with 30 participants, two oppositional codes, cynicism and idealism, have been identified. Each code assumes different relations of the self and the state and different political efficacy, which manifests as different interactional practices. The presence of these oppositional codes has endangered the counter-hegemonic nature of transborder conversations.


2003 ◽  
Vol 42 (04) ◽  
pp. 345-352 ◽  
Author(s):  
K. Clarke ◽  
M. Hartswood ◽  
R. Procter ◽  
M. Rouncefield ◽  
R. Slack

Summary Objectives: This paper aims to contribute to a longstanding interest in documents and paperwork in healthcare work through an examination of everyday work with patient records in a clinic. Methods: An ethnographic study of record keeping practices in a deliberate self harm clinic was conducted to consider the role that document work plays in the development of trust in the routine social interactions of a working division of labor. Results and conclusions: Issues of trust are seen to play central roles within the complexities of organizational working and some consequent implications for the deployment and use of electronic medical record systems are considered.


2019 ◽  
Vol 69 (3) ◽  
pp. 207-224
Author(s):  
Henrik Nordvall ◽  
Malin Wieslander

Feminist educators often encounter different forms of resistance from both male and female participants. This article uses a neo-Gramscian theoretical perspective to discuss the importance of considering this resistance when analyzing the relationship between pedagogical design and outcomes. The study draws on survey data and participant observation from a case study of a workshop designed to raise awareness of gender issues. The results from a before-and-after survey show that the workshop had the opposite effect to the one intended in terms of changes in the participants’ perceptions of gender. Having a “failed case” as the center of attention, the article sheds light on the fragility of mainstream discourse on gender equality and the dilemmas of engaging in a struggle over common sense.


2021 ◽  
pp. 001139212199001
Author(s):  
Maartje van der Molen ◽  
Patrick Brown

While the limits of rational-calculative approaches for healthcare decision-making, alongside institutional forms of ritual, routines and hope employed to deal with these limits, were already described in the 1950s, healthcare professionals’ syncretism of rational and non-rational approaches in their everyday work remains a neglected topic in Northern Europe. Using COVID-19 as an urgent problem for healthcare policy and practice, and a natural ‘breaching experiment’ which disrupts everyday work in ways which help professionals to critically reflect, this article explores how a small, purposive sample of young healthcare professionals in the Netherlands dealt with the uncertainties and risks posed by continued healthcare work amid the pandemic. Analysing qualitative data, collected via longitudinal online interviews among healthcare professionals, the analysis pays particular attention to: concerns, anxieties and risks faced by professionals; understandings and ways of working with(out) protocols; different logics for handling uncertainty in different situations; how different logics (rational, non-rational and ‘in between’ rationalities) are combined in different aspects of their work. A key feature of the analysis is the tensions which emerged within these combined strategies and how these relate to broader tensions in terms of the limits of rationality, economic scarcity, work-life experiences, and evidence versus emotions.


2021 ◽  
Vol 55 (2) ◽  
pp. 200-223
Author(s):  
Keya Bardalai

The article explores how retail workers envision and pursue aspirations for social mobility through employment in Delhi malls. Based on 14 months of ethnographic fieldwork and participant observation, this study examines how retail store employees cultivate professional occupational identities as a way of distancing themselves from informal and manual workers and claim a new class identity. The article also shows how workers come to view the job as dhoka (deceit), once they experience humiliation and disrespect at the hands of customers and managers and realise that such employment does not allow them to transcend their social class positions. However, they continue to stay on in these demeaning jobs because they believe that employment in the new service economy is their best option. By exploring retail workers’ narratives of majboori (constraint or compulsion) in this context, the article unpacks their contradictory experiences of work in the service sector and sheds light on youth aspirations and mobility strategies in post-liberalised India.


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