Acting in Anaesthesia: Ethnographic Encounters with by Dawn Goodwin PDF

By Dawn Goodwin

ISBN-10: 0511534302

ISBN-13: 9780511534300

ISBN-10: 0521882060

ISBN-13: 9780521882064

Lately, evidence-based drugs (EBM), medical governance responsibility became more and more major in shaping the association and supply of healthcare. in spite of the fact that, those notions all construct upon and exemplify the assumption of human-centred, person motion. during this e-book, sunrise Goodwin means that such versions of perform exaggerate the level to which practitioners may be able to expect and keep watch over the conditions and contingencies of healthcare. Drawing on ethnographic fabric, Goodwin explores the way in which that 'action' unfolds in a chain of empirical circumstances of anaesthetic and extensive care perform. Anaesthesia configures a dating among people, machines and units that transforms and redistributes capacities for motion and thereby demanding situations the determine of a rational, intentional, appearing person. This publication elucidates the ways that a number of entities (machines, instruments, units and subconscious sufferers in addition to healthcare practitioners) take part, and the way activities develop into valid and responsible.

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Extra info for Acting in Anaesthesia: Ethnographic Encounters with Patients, Practitioners and Medical Technologies (Learning in Doing: Social, Cognitive and Computational Perspectives)

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It requires, thus, a further localisation of the tool: a moving away from its ideal-typed universality and uniformity. (Berg, 1997a: 152, original emphasis) Accordingly, EBM and clinical guidelines are just one of the elements that gets worked into clinical practice alongside the other, perhaps less visible but no less relevant, elements. 20 Acting in Anaesthesia In this sense, Timmermans and Berg (1997) argue that universality is always ‘local universality’. Only when studying how a guideline works in practice does it become clear what is not explicitly mentioned, how the guideline both relies upon and changes pre-existing practices and routines, and the knowledge and expertise of practitioners.

2000: 766) However, Berg (1997a) notes that guidelines do not confine themselves to carrying ‘rational’ knowledge; rather, the construction process will interweave a wide, heterogeneous range of elements. Take, for example, a National Institute for Clinical Excellence (NICE) technology appraisal: in line with EBM these guidelines rely heavily on the RCT as the preferred source of evidence for the critical review. However, in tackling somewhat less than glamorous subjects such as wound care, which Understanding Anaesthesia 19 command less publicity, and research interest and funding than perhaps new surgical techniques or new drugs, NICE are compelled to work with other forms of evidence, those lower down, or even off the bottom of, the hierarchy.

Importantly, the dominance of medicine, in terms of the ability of doctors to determine a patient’s state of health and command compliance with treatment regimes, has itself come under scrutiny by medical sociology and by feminist studies of medicine. These critiques have raised awareness of the manifold ways in which patients’ participation in decision making has been systematically diminished, patients are thus constructed as passive objects of medical treatment rather than as active agents in the healing of their bodies.

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Acting in Anaesthesia: Ethnographic Encounters with Patients, Practitioners and Medical Technologies (Learning in Doing: Social, Cognitive and Computational Perspectives) by Dawn Goodwin

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