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Taking sides with patients using institutional ethnography
Journal of Organizational Ethnography Pub Date : 2021-02-02 , DOI: 10.1108/joe-12-2019-0048
Caroline Cupit , Janet Rankin , Natalie Armstrong

Purpose

The main purpose of this paper is to document the first author's experience of using institutional ethnography (IE) to “take sides” in healthcare research. The authors illustrate the points with data and key findings from a study of cardiovascular disease prevention.

Design/methodology/approach

The authors use Dorothy E Smith's IE approach, and particularly the theoretical tool of “standpoint”.

Findings

Starting with the development of the study, the authors trouble the researcher's positionality, highlighting tensions between institutional knowledge of “prevention” and other locations where knowledge about patients' health needs materialises. The authors outline how IE's theoretically and methodologically integrated toolkit became a framework for “taking sides” with patients. They describe how the researcher used IE to take a standpoint and map institutional relations from that standpoint. They argue that IE enabled an innovative analysis but also reflect on the challenges of conducting an IE – the conceptual unpicking and (re)thinking, and demarcating boundaries of investigation within an expansive dataset.

Originality/value

This paper illustrates IE's relevance for organisational ethnographers wishing to find a theoretically robust approach to taking sides, and suggests ways in which the IE approach might contribute to improving services, particularly healthcare. It provides an illustration of how taking a patient standpoint was accomplished in practice, and reflects on the challenges involved.



中文翻译:

使用制度民族志陪伴患者

目的

本文的主要目的是记录第一作者使用制度民族志(IE)在医疗保健研究中“占便宜”的经验。作者通过对心血管疾病预防研究的数据和关键发现来说明这些观点。

设计/方法/方法

作者使用Dorothy E Smith的IE方法,尤其是“立场”的理论工具。

发现

从研究的发展开始,作者困扰着研究者的位置,着重强调了“预防”的机构知识与其他需要患者健康知识的地方之间的紧张关系。作者概述了IE的理论和方法上集成的工具包如何成为与患者“站在一边”的框架。他们描述了研究人员如何使用IE来站在一个立场上,并从那个角度绘制制度关系。他们认为,IE支持创新的分析,但同时也反思了进行IE所面临的挑战-概念上的挑剔和(重新)思考,以及在扩展数据集中划定调查范围的界限。

创意/价值

本文说明了IE与希望从理论上寻求支持的方方面面的组织民族志研究者的相关性,并提出了IE方法可能有助于改善服务(尤其是医疗保健)的方法。它说明了在实践中如何实现以患者的立场,并反思了所涉及的挑战。

更新日期:2021-03-22
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