scholarly journals Situating Boundary Work: Chronic Disease Prevention in Danish Hospitals

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Inge Kryger Pedersen
Keyword(s):  
Disease Prevention ◽  
Health Professionals ◽  
Boundary Work ◽  
Professional Boundaries ◽  
Professional Groups ◽  
Work Tasks ◽  
Professional Boundary ◽  
Lifestyle Related Diseases ◽  
Depth Interviews

This paper investigates how health professions compete and cooperate in addressing emerging local work tasks defined in relation to new globalized health challenges, such as type 2 diabetes. It identifies which professional groups have claimed responsibility for the tasks and by means of which kinds of interactions and infighting. The materials entail workplace-related artefacts and documents; in-depth interviews and extended conversations with health professionals about goals, dilemmas, and practices linked to prevention of lifestyle-related diseases; and site visits at Danish hospitals. Grounding Abbott’s framework of jurisdictions and his meso-level vocabulary in a situated account of professional boundary work, the analysis follows the ways that nurses in particular create, and sometimes stabilize or standardize, techniques for a disease prevention programme less than a decade old. The paper argues that processual theory of boundary work would benefit from grounding in a situated account of forms of professional boundaries within emerging jurisdictional tasks.

scholarly journals Situating Boundary Work: Chronic Disease Prevention in Danish Hospitals

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Inge Kryger Pedersen
Keyword(s):  
Disease Prevention ◽  
Preventive Measures ◽  
Boundary Work ◽  
Noncommunicable Diseases ◽  
Professional Groups ◽  
Professional Boundary ◽  
Lifestyle Disease ◽  
Lifestyle Related Diseases ◽  
Depth Interviews

Noncommunicable diseases, such as type 2 diabetes, are the leading cause of death globally. This paper focuses on the boundary work among health professions involved in lifestyle-related preventive measures at Danish hospitals. Drawing on documents, qualitative in-depth interviews and extended conversations conducted with health professionals about goals, dilemmas, and practices related to lifestyle disease prevention, as well as site visits at Danish hospitals, it is identified which professional groups have claimed responsibility for the tasks, how they are defined, and through what kinds of interactions and infighting. The analysis grounds Abbott’s framework of jurisdictions and his meso-level vocabulary in a situated account of professional boundary work and follow the way nurses in particular create, and sometimes stabilize or standardize techniques for prevention of lifestyle-related diseases. It is demonstrated by different forms of boundary work how nurses work to extend, defend or refashion established work boundaries when handling these new tasks.

scholarly journals EXPRESS: Professional Boundaries in-Action: Using Reflective Spaces for Boundary Work to Incorporate a New Health Care Role

2021 ◽  
pp. 001872672110103
Author(s):  
Nina Lunkka ◽  
Noora Jansson ◽  
Tuija Mainela ◽  
Marjo Suhonen ◽  
Merja Meriläinen ◽  
...  
Keyword(s):  
Health Care ◽  
Boundary Work ◽  
Institutional Context ◽  
Professional Role ◽  
Division Of Labour ◽  
University Hospital ◽  
Professional Boundaries ◽  
Naturally Occurring ◽  
Transformative Potential ◽  
Professional Boundary

Prior research on professional boundary work emphasises the importance of subtle interactions among affected individuals when a new role is inserted into an established professional setting, which inevitably changes the prevalent division of labour. Thus, managers may set reflective spaces for professionals to collaboratively arrange their boundaries and make room for the new professional. This ethnomethodologically oriented study examines boundary arrangements in work development meetings in a university hospital, while professionals made room for a new role, a hospitalist. Examining professionals’ naturally occurring interactions in reflective spaces, the findings depict seven categorisations for the hospitalist. Elaborating on the dynamics of these categorisations, we propose that technically based categorisations sustain stability and context-bound categorisations allow change in work practices, whereas their combination enables transformation within the institutional context. Accordingly, the study adds to the literature on the transformative potential of reflective spaces by illuminating the intertwining of engaged professionals’ boundary talk-in-interaction with the consequences of configurational boundary work in relation to a new professional role.

scholarly journals The professional boundaries of journalists in Hong Kong: Strategies of accepting and dismissing citizen journalists

2019 ◽  
Vol 4 (1) ◽  
pp. 94-110
Author(s):  
Florin C Serban
Keyword(s):  
Hong Kong ◽  
Public Participation ◽  
Boundary Work ◽  
User Generated Content ◽  
Daily Work ◽  
Professional Boundaries ◽  
Starting Point ◽  
Journalistic Field ◽  
The Impact ◽  
Depth Interviews

This study investigates the impact of public participation on the journalistic field in Hong Kong and the response of legacy and digital-only newsrooms to this process. Relying on Pierre Bourdieu’s field theory and on Thomas Gieryn’s concept of boundary work, this article examines the strategies used by journalists to patrol and maintain the boundaries of their field. In-depth interviews collected from 24 journalists working for both legacy and digital-only media show that journalists do not fully dismiss the work of public participation. Instead, they do their best to incorporate such practices into their daily work, while aiming to keep their professional standards high. Nevertheless, there are differences between legacy and digital-only journalists when it comes to their use of user-generated content. Legacy journalists tend to avoid using newsworthy content they find online in isolation. They try to use UGC as a starting point, to provide context, and to verify the source of the material. On the other hand, digital-only journalists tend to rush publishing their stories and only add context at a later stage.

Facing a Patient Who Seeks Help After a Suicide Attempt

Crisis ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 110-122 ◽  
Author(s):  
Inês Areal Rothes ◽  
Margarida Rangel Henriques ◽  
Joana Barreiros Leal ◽  
Marina Serra Lemos
Keyword(s):  
Health Professionals ◽  
Suicide Attempts ◽  
Self Report ◽  
Suicidal Patient ◽  
Emotional Difficulties ◽  
Specific Training ◽  
Patient Suicide ◽  
Professional Groups ◽  
Professional Characteristics ◽  
Suicidal Patients

Background: Although intervention with suicidal patients is one of the hardest tasks in clinical practice, little is known about health professionals’ perceptions about the difficulties of working with suicidal patients. Aims: The aims of this study were to: (1) describe the difficulties of professionals facing a suicidal patient; (2) analyze the differences in difficulties according to the sociodemographic and professional characteristics of the health professionals; and (3) identify the health professionals’ perceived skills and thoughts on the need for training in suicide. Method: A self-report questionnaire developed for this purpose was filled out by 196 health professionals. Exploratory principal components analyses were used. Results: Four factors were found: technical difficulties; emotional difficulties; relational and communicational difficulties; and family-approaching and logistic difficulties. Differences were found between professionals who had or did not have training in suicide, between professional groups, and between the number of patient suicide attempts. Sixty percent of the participants reported a personal need for training and 85% thought it was fundamental to implement training plans targeted at health professionals. Conclusion: Specific training is fundamental. Experiential and active methodologies should be used and technical, relational, and emotional questions must be included in the training syllabus.

Becoming an empowered parent. How do parents successfully take up their role as a collaborative partner in their child’s specialist care?

2020 ◽  
pp. 136749352091083
Author(s):  
Jim Reeder ◽  
Jane Morris
Keyword(s):  
Therapeutic Relationship ◽  
Health Professionals ◽  
Constructivist Grounded Theory ◽  
Collaborative Partnership ◽  
Specialist Care ◽  
National Health Service Trust ◽  
Data Collection And Analysis ◽  
Depth Interviews ◽  
Novel Model

The purpose of this article is to offer an improved understanding of how parents of children with long-term disabilities are empowered to successfully take up their role as decision-making partners in the design and delivery of the care of their child. The intention is to stimulate dialogue, encourage reflection and provide practical suggestions for health professionals working with children and their families. The reported findings are from a study which was guided by a constructivist grounded theory methodology. This involved an iterative process of repeated cycles of data collection and analysis, which comprised 12 semi-structured, in-depth interviews with 14 parents of children accessing paediatric services within a single National Health Service Trust. A novel model, explaining how the power im/balance and the perceived state of the therapeutic relationship influence how successfully a parent takes up their position in the collaborative partnership, is presented and discussed. It is suggested that by thoughtfully addressing the traditional hierarchy that exists within healthcare, health professionals might facilitate the development of a ‘truly’ therapeutic relationship, which can help promote parental empowerment.

scholarly journals Bullying at work: A comprehensive definition and consequences based on an empirical study

2011 ◽  
Vol 1 (1) ◽  
pp. 80 ◽  
Author(s):  
Ambreen Anjum ◽  
Kausar Yasmeen ◽  
Kashifa Yasmeen
Keyword(s):  
Empirical Study ◽  
Workplace Bullying ◽  
Negative Behaviors ◽  
Work Tasks ◽  
Definition Of ◽  
Depth Interviews

This paper determines a comprehensive definition of workplace bullying and explores its job-related consequences. In the present study multi- methods approach was used which consist of questionnaire and in depth interviews. Interview was used in order to investigate perception and experience of workplace bullying and questionnaire to explore the consequences of workplace bullying. Results show bullying  involves negative behaviors e.g. harassing, socially excluding someone and/or negatively effecting someone’s work tasks ,which occurs frequently and continues for period of time and victim is not only unable to control these acts but also suffer in severe health and job related consequences.

Nutritional Genomics and Dietetic Professional Practice

2008 ◽  
Vol 69 (4) ◽  
pp. 177-182 ◽  
Author(s):  
Milly Ryan-Harshman ◽  
Ellen Vogel ◽  
Holly Jones-Taggart ◽  
Julia Green-Johnson ◽  
David Castle ◽  
...  
Keyword(s):  
Health Professionals ◽  
New Technology ◽  
Blood Lipid ◽  
Lipid Profiles ◽  
Policy And Practice ◽  
Ethics Policy ◽  
Associated Conditions ◽  
Nutritional Genomics

Nutrigenomics is concerned with the role of nutrients in gene expression, and nutrigenetics is the study of how genetic variants or polymorphisms (mutations) can affect responses to nutrients; nutritional genomics is the umbrella term. Nutritional genomics can be expected to revolutionize the way dietitians and other health professionals identify people with chronic diseases and treat those diseases. Understanding the science of nutritional genomics is important to dietitians and other health professionals because major scientific advancements such as this usually have a significant impact on ethics, policy, and practice. Blood lipid profiles are one area in which nutritional genomics has quickly advanced knowledge. New knowledge is available on blood lipid profiles and associated conditions, such as obesity and type 2 diabetes. New technology has also had an impact on policy and practice issues, and ethics is an important issue to consider.

scholarly journals The role of fathers in the postpartum period: experiences with skin to skin method

2012 ◽  
Vol 25 (6) ◽  
pp. 914-920 ◽  
Author(s):  
Joaquín Jesús Blanca Gutiérrez ◽  
María del Rosario Ábalos Pérez ◽  
Maria Victoria Montes Aguilera ◽  
Soledad González Moreno
Keyword(s):  
Health Professionals ◽  
Qualitative Method ◽  
Simple Technique ◽  
Contact Method ◽  
Skin Contact ◽  
Father’S Role ◽  
Skin To Skin ◽  
Depth Interviews ◽  
Positive Results

OBJECTIVE: This study aimed at investigating the significance of the skin-to-skin contact method with fathers, looking at their own experiences with their newborns. METHODS: The information was collected through in-depth interviews with 14 fathers who had used the skin-to-skin contact method with their newborns, after a cesarean delivery. The technique utilized for data analysis was the qualitative method of content analysis. RESULTS: Four principal themes emerged from the data: the preparation for the skin-to-skin method, the experiences of the fathers, the father's role, and effects of the method on the baby. CONCLUSIONS: The investigations performed highlighted the importance of the involvement of health professionals in the use of this method, which leads to a series of positive results for the organization related to satisfaction. We conclude that the skin-to-skin method is a simple technique, recommended for positive results for fathers and their babies.

scholarly journals What does ‘Culture’ Mean in French? A Theoretical Mapping and Fractal Analysis of the Sociology of Culture in France

2018 ◽  
Vol 12 (4) ◽  
pp. 433-455
Author(s):  
Olivier Alexandre
Keyword(s):  
Small Groups ◽  
Social Relations ◽  
Boundary Work ◽  
Scientific Production ◽  
Sociology Of Culture ◽  
Review Of The Literature ◽  
Cultural Policies ◽  
The Social ◽  
Fractal Process ◽  
Depth Interviews

This article charts the development of the sociology of culture in France. First, it examines the hypothesis of a French model, putting into perspective the correlation between cultural policies and dedicated sociological inquiries at the end of the 1950s. ‘Culture’ is one of the oldest fields of research in France, and current research still derives from the same anthropological matrix. Yet French sociologists present themselves as part of a divided and competitive academic domain. This article, based on an encompassing review of the literature as well as on in-depth interviews, accordingly distinguishes eight different ‘schools’ – organized around pre-eminent academics, concept producers and resource providers – as well as circles of collaboration. Whilst these circles organize their theoretical activity around emblems (with the word ‘culture’ referring to different conceptual sets) the social relations in their midst are organized around dyads, which usually transition from positive collaboration to rivalry. The article highlights the importance of these divisions as a fractal process and as boundary work for scientific production. From this perspective, the sociology of culture in France could be described as a large and extensive system of concepts and collaborations developed within small groups, within and between which, as with all ‘cultural’ matters, symbolic activity is the key basis for social status.

scholarly journals Boundary work in response to professionals’ contextual constraints: Micro-strategies in interprofessional collaboration

2022 ◽  
pp. 017084062210741
Author(s):  
Clarissa E. Weber ◽  
Christian Kortkamp ◽  
Indre Maurer ◽  
Eva Hummers
Keyword(s):  
Qualitative Data ◽  
Time Pressure ◽  
Interprofessional Collaboration ◽  
Boundary Work ◽  
Comprehensive Understanding ◽  
Professional Boundaries ◽  
First Order ◽  
Everyday Work ◽  
Legal Restrictions ◽  
Different Sources

Boundary-work research has extensively explored how professionals engage in boundary work to protect or expand their professional boundaries in interprofessional collaboration (IPC). Yet professionals’ contextual constraints in everyday work, such as time pressure or legal restrictions, often result in competing interests of the professionals involved in IPC, prompting them to engage in boundary work to limit—instead of protect or expand—their boundaries. Our empirical analysis uses comprehensive qualitative data on IPC in Germany between self-employed general practitioners (GPs) and registered nurses employed in nursing homes in which GPs’ efficiency interests compete with nurses’ safeguarding interests, leading both professionals to engage in boundary-work efforts to limit their boundaries. Our findings provide a comprehensive understanding and framework of professionals’ boundary work, showing that individual GPs and nurses typically hold a portfolio of various defending and accommodating micro-strategies. Based on our first-order findings, we identify how different sources of power enable particular micro-strategies and explore how the choice of micro-strategies depends on different forms of trust in the collaborating partner. Lastly, we outline interactions of micro-strategies, illustrating how the outcomes of professionals’ bilateral boundary work depend on the sequence of these strategies.

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