This article addresses comparative research on what has come to be called, in (British) English, ‘child protection’ or, rather differently, in Finnish ‘lastensuojelu’. In developing a cross‐national research project on lastensuojelu/child protection practices in England and Finland, we found it necessary to go back a few steps, to address what might usually be considered as ‘background issues’. This article discusses the welfare state traditions in both countries, especially with respect to families and children, in order to contextualise the focus of ongoing qualitative research on micro comparisons. When comparing the mundane practices of child protection and the ways problems and clienthoods are constructed, as in this study, historical, social, cultural and linguistic issues matter. Indeed, very basic concepts such as ‘child protection’ and ‘child protection case’ become problematic in the comparison.
Some problems in clinic function recur because of unexpected value differences between patients, faculty, and residents. Cultural consensus analysis (CCA) is a method used by anthropologists to identify groups with shared values. After conducting an ethnographic study and using focus groups, we developed and validated a CCA tool for use in clinics. Using this instrument, we identified distinct groups with 6 important value differences between those groups. An analysis of these value differences suggested specific and pragmatic interventions to improve clinic functioning. The instrument has also performed well in preliminary tests at another clinic.
Internal medicine residents at a university-based program have negative opinions regarding the educational value of night float rotations. Further work is necessary to determine whether problems exist across programs and specialties.
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