The collection of “quality” umbilical cord blood for stem cell treatments: conflicts, compromises, and clinical pragmatism

Machin, Laura

doi:10.1080/14636778.2016.1209109

Cited by 7 publications

(8 citation statements)

References 49 publications

(69 reference statements)

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“…This is most apparent in the discussions surrounding how ‘quality’ in donation is determined. In the instances of cord blood or organ donation, quality was once thought to be determined by scientific factors alone, for example, immunological markers and matching, but is now also being influenced by the clinical and social elements of the collection and processing techniques as well as the tacit knowledge that those facilitating donation employ when making decisions (Bradley, Hosgood, Nicholson, & Watson, 2016; Machin, 2016; Sothern & Dickinson, 2011).…”

Section: Contemplating a Sociology Of Donationmentioning

confidence: 99%

Proposing a sociology of donation: The donation of body parts and products for art, education, research, or treatment

2020

Self Cite

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This article advances the case for a 'sociology of donation'. We aim to establish that there is a need for such a sociology, to bring together the many, often disparate, elements that make up the theorizing, practice and experience of donation. We argue that bringing together different forms of donation illuminates the distinctive place both in social meaning and regulation that the body and its products hold. In developing this, we are primarily focusing on the donation of body parts and body products within high-income countries. We will first outline the standard western accounts of donation, and consider how relevant these are to donation practices and policies in the 21st century. We will then critically discuss how a sociology of donation can be used to further current understandings of 'donation' and identify the challenges facing such a proposal, posing questions to encourage reflection on research practices in this area. Finally, we will explore what a sociology of donation might entail. 1 | INTRODUCTION This article contributes to the recent debates surrounding a sociology of donation. International researchers have contemplated a sociology of donation from various standpoints, including morality (Shaw, 2019), gender (Kent,

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Section: Contemplating a Sociology Of Donationmentioning

confidence: 99%

Proposing a sociology of donation: The donation of body parts and products for art, education, research, or treatment

2020

Self Cite

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“…The two ideal types of UCB donation/collection logistics are useful tools in exploring how tensions in valuing practices not only characterise the dilemma between donation and private banking (Porter et al . ), or that between donation and the transfer of UCB to the newborn (Brown , Machin ), but also in the organisation of UCB collection and donation in public UCB banking arrangements.…”

Section: Resultsmentioning

confidence: 99%

“…This register of valuing is thus in sharp contrast with other forms of valuing UCB, such as transferring it to the newborn. As studied by Brown () and Machin (), this diverging valuation of UCB is at the core of conflict and negotiations among expectant parents, UCB bankers, midwives and neonatologists.…”

Section: Valuing and The Biopolitics Of Ucb Collectionmentioning

confidence: 99%

Values in tension. Clinical quality and civic participation in umbilical cord blood banking in Italy

Beltrame

2019

Sociology Health & Illness

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In the dominant narrative of bioethics and biomedical discourse on public Umbilical Cord Blood (UCB) banking, the ethical value of donating UCB is unproblematically associated with the clinical quality of collected UCB. This article shows that this view is analytically untenable as it overlooks tensions and conflicts between the social values of donation and the clinical value of banked UCB in concrete arrangements regarding the logistics of UCB donation and collection. Adopting the notion of registers of valuing (Heuts and Mol 2013: Valuation Studies, 1, 2, 125-46) and analysing the case of the Italian network of public UCB banks and collection sites, this article shows how conflicting registers of valuing concerning UCB can shape different organisational models of UCB donation and collection, in which social values and clinical value are not unproblematically conflated. The article aims to demonstrate that the functioning of biobanking arrangements is dependent on how different values are accomplished and aligned in concrete practices of tissue donation and collection.

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“…While there has been some research on the views of women who bank their cord blood (Grieco et al, 2018;Haw, 2016;Machin et al, 2012;Salvaterra et al, 2010), very little research has examined cord blood banking from the perspectives of the FLS. One exception is the work of Machin (2016) who examines the views of various social actors involved in cord blood collection, including the views of phlebotomists who collect the cord blood. This research demonstrates how the different priorities of clinical staff and cord blood staff lead to competing definitions of a "quality" cord blood unit.…”

Section: Emotional Labour In Healthcarementioning

confidence: 99%

Emotional labour and cord blood collection: frontline perspectives

Haw

Polzer

Devine

2020

JHOM

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PurposeThis paper aims to examine emotional labour in the work of frontline staff (FLS) of the Canadian Blood Services' Cord Blood Bank (CBB), contributes to understandings of emotional labour by allied healthcare workers and suggests implications for healthcare managers.Design/methodology/approachQualitative interviews with 15 FLS were conducted and analyzed as part of a process evaluation of donor recruitment and cord blood collection in Canada.FindingsEmotional labour with donors and hospital staff emerged as a vital component of FLS' donor recruitment and cord blood collection work. Emotional labour was performed with donors to contribute to a positive birthing experience, facilitate communication and provide support. Emotional labour was performed with hospital staff to gain acceptance and build relationships, enlist support and navigate hierarchies of authority.Research limitations/implicationsThe results indicate that FLS perform emotional labour with women to provide donor care and with hospital staff to facilitate organizational conditions. The findings are based on FLS' accounts of their work and would be enhanced by research that examines the perspectives of donors and hospital staff.Practical implicationsAttention should be paid to organizational conditions that induce the performance of emotional labour and may add to FLS workload. Formal reciprocal arrangements between FLS and hospital staff may reduce the responsibility on FLS and enable them to focus on recruitment and collections.Originality/valueThis paper addresses a gap in the healthcare management literature by identifying the emotional labour of allied healthcare workers. It also contributes to the cord blood banking literature by providing empirically grounded analysis of frontline collection staff.

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The collection of “quality” umbilical cord blood for stem cell treatments: conflicts, compromises, and clinical pragmatism

Cited by 7 publications

References 49 publications

Proposing a sociology of donation: The donation of body parts and products for art, education, research, or treatment

Proposing a sociology of donation: The donation of body parts and products for art, education, research, or treatment

Values in tension. Clinical quality and civic participation in umbilical cord blood banking in Italy

Emotional labour and cord blood collection: frontline perspectives

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