Rethinking ethnography with practice theory

Hatfield, Deborah

doi:10.4324/9780429432774-8

Cited by 2 publications

(3 citation statements)

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Section: Setting and Methodsmentioning

confidence: 99%

“…A focused ethnography was conducted in two case study sites in South‐East England 24 . This type of rapid ethnography with short‐duration fieldwork is useful for studying healthcare organisation and delivery 24,25 . The principal research question was: ‘what does it means to work in partnership as clinicians and service users to commission and lead services’ 26 .…”

Section: Setting and Methodsmentioning

confidence: 99%

“… 24 This type of rapid ethnography with short‐duration fieldwork is useful for studying healthcare organisation and delivery. 24 , 25 The principal research question was: ‘what does it means to work in partnership as clinicians and service users to commission and lead services’. 26 It encompassed the material conditions and associated bureaucratic processes of commissioning to see if trusted peer relationships were developing for effective PPI.…”

Section: Setting and Methodsmentioning

confidence: 99%

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‘It is still coming from the centre and coming out’: The material conditions adding to over‐bureaucratised patient and public involvement for commissioning health and care in England

Hatfield

Aranda

Flaherty

et al. 2023

Health Expectations

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Objective To understand how materiality affects patient and public involvement (PPI) for commissioning and leading health and care services in the English National Health Service (NHS) context. Context From April 2013 groups of general practitioners (GPs) became members of NHS clinical commissioning groups (CCGs) to assess needs and procure core health services for and with local communities. Since July 2022, integrated care systems (ICSs) have subsumed this responsibility. NHS reorganisations have been driven by the promise of more effective and efficient health care and have led to a long history of PPI on economic, political, and moral grounds. Few studies researching PPI in clinical commissioning exist and fewer still have explored a more agentic understanding of materiality and its impact on PPI. Study Design A focused ethnography was used to examine PPI for clinical commissioning within two CCG case study sites in England. Three CCG Governing Body lay representatives, nine GP commissioners and seven service user representatives took part in focus groups and/or were interviewed. Fifteen nonparticipant observations were also carried out at CCG meetings and the associated materiality was examined. Findings The materiality of activities involved in clinical commissioning influences and shapes the nature of PPI. These forms of materiality may dilute and subvert meaningful engagement and involvement that relies on trust, leadership, learning, and partnership working. Conclusion System leaders in ICSs should consider the significance of materiality in centrally driven processes involved in PPI commissioning to reduce barriers and ensure meaningful partnerships within local communities. Patient and Public Contribution The study design ensured PPI throughout the research process in keeping with contemporary research practice guidance. The project steering committee included service users with current or recent PPI clinical commissioning experience outside of the study sites. There was PPI involvement in the original study proposal and its development including the bid for doctoral funds on which this study is based. All were involved in assessing the rigour of the data collection, interpretation of the findings and ensuring the project remained true to the aims of the study. Two members have also participated in presentation of the study findings.

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Section: Setting and Methodsmentioning

confidence: 99%

Section: Setting and Methodsmentioning

confidence: 99%

Section: Setting and Methodsmentioning

confidence: 99%

See 1 more Smart Citation

‘It is still coming from the centre and coming out’: The material conditions adding to over‐bureaucratised patient and public involvement for commissioning health and care in England

Hatfield

Aranda

Flaherty

et al. 2023

Health Expectations

Self Cite

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Towards an ethical multiplicity in low back pain care: Practising beyond the biopsychosocial model

Mescouto

Olson

Setchell

2022

Sociology Health & Illness

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The biopsychosocial model is currently considered by most researchers and clinicians to be the best approach to low back pain (LBP) care. The model was popularised in LBP care in response to some clear deficiencies in earlier biomedical approaches and is now widely recommended in clinical guidelines and policy statements. Yet the biopsychosocial approach has also been critiqued for its narrow conceptualisation and application. In this article, we explore how attending to the multidimensionality of LBP in practice goes beyond a biopsychosocial approach. We engaged with 90 ethnographic observations of clinical practices, 22 collaborative dialogues with clinicians, and eight consultatory meetings with people with experience of LBP to consider the sociomaterialities of clinical practices in two settings: a private physiotherapy practice and a public multidisciplinary pain clinic. Drawing on the work of Annemarie Mol and Rosi Braidotti, our analyses suggest that sociomaterial practices, involving human and non-human actors, produced multiple objects of clinical attention and ethical concerns about how to attend to this multiplicity well. We argue that the multiplicity of LBP is attended well by reimagining: (1) clinical

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Rethinking ethnography with practice theory

Cited by 2 publications

References 1 publication

‘It is still coming from the centre and coming out’: The material conditions adding to over‐bureaucratised patient and public involvement for commissioning health and care in England

‘It is still coming from the centre and coming out’: The material conditions adding to over‐bureaucratised patient and public involvement for commissioning health and care in England

Towards an ethical multiplicity in low back pain care: Practising beyond the biopsychosocial model

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