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Diagnosing dementia: Ethnography, interactional ethics and everyday moral reasoning

This article highlights the contribution of ethnography and qualitative sociology to the ethical challenges that frame the diagnosis of dementia. To illustrate this contribution, the paper draws on an ethnographic study of UK memory clinics carried out between 2012 and 2014. The ethnographic data, set alongside other studies and sociological theory, contest the promotion of…

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Institutions of care, moral proximity and demoralisation: The case of the emergency department

This article draws on concepts of morality and demoralisation to understand the problematic nature of relationships between staff and patients in public health services. The article uses data from a case study of a UK hospital Emergency Department to show how staff are tasked with the responsibility of treating and caring for patients, while at…

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‘Why must I wait?’ Performing legitimacy in a hospital emergency department

This article examines the processes of negotiation that occur between patients and medical staff over accessing emergency medical resources. The field extracts are drawn from an ethnographic study of a UK emergency department (ED) in a large, inner city teaching hospital. The article focuses on the triage system for patient prioritisation as the first point…

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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…

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Ordering, enrolling, and dismissing: moments of access across hospital spaces

Drawing on ethnographies of three areas of hospital life in the United Kingdom, this article explores the different logics played out through moments of access to hospital services. The authors make explicit the character of the hospital as heterotopia where different social actors are required to “fit” in with the organizational requirements of the hospital….

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Power, Agency and Participatory Agendas: A Critical Exploration of Young People’s Engagement in Participative Qualitative Research

This article critically explores data generated within a participatory research project with young people in the care of a local authority, the (Extra)ordinary Lives project. The project involved ethnographic multi-media data generation methods used in groups and individually with eight participants (aged 10—20) over a school year and encouraged critical reflexive practices throughout. The article…

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Accessing care: Technology and the management of the clinic

In this chapter we focus on our field studies of different clinical spaces in one large UK regional teaching hospital and how they perform different, yet, perhaps, complementary kinds of ‘medicine’: emergency, genetic and critical care medicine. We focus on those moments and processes through which patients do, or do not, gain access to the…