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Risk, governance and the experience of care

Drawing on perspectives from the governmentality literature and the sociology of risk, this article explores the strategies, tools and mechanisms for managing risk in acute hospital trusts in the United Kingdom. The article uses qualitative material from an ethnographic study of four acute hospital trusts undertaken between 2008 and 2010 focusing on the provision of…

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From right place – wrong person, to right place – right person: Dignified care for older people

Objectives To examine: older people’s and their relatives’ views of dignified care; health care practitioners’ behaviours and practices in relation to dignified care; the occupational, organizational and cultural factors that impact on care; and develop evidence-based recommendations for dignified care. Methods An ethnography of four acute trusts in England and Wales involving semi-structured interviews with…

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‘I often worry about the older person being in that system’: exploring the key influences on the provision of dignified care for older people in acute hospitals

Older age is one stage of the lifecourse where dignity maybe threatened due to the vulnerability created by increased incapacity, frailty and cognitive decline in combination with a lack of social and economic resources. Evidence suggests that it is in contact with health and welfare services where dignity is most threatened. This study explored the…