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The Neonatal Intensive Care Unit is a site where hi-tech medicine
and vulnerable human beings come into close contact. Focusing on a
number of medical and ethical challenges encountered by staff and
parents, this book provides a new perspective on the complexity of
these treatments and the inventiveness of those involved. *Winner
of the British Sociology Association's Sociology of Health and
Illness Prize*
This innovative, practical guide introduces researchers to the use
of the video reflexive ethnography in health and health services
research. This methodology has enjoyed increasing popularity among
researchers internationally and has been inspired by developments
across a range of disciplines: ethnography, visual and applied
anthropology, medical sociology, health services research, medical
and nursing education, adult education, community development, and
qualitative research ethics.
The Neonatal Intensive Care Unit is a site where hi-tech medicine
and vulnerable human beings come into close contact. Focusing on a
number of medical and ethical challenges encountered by staff and
parents, this book provides a new perspective on the complexity of
these treatments and the inventiveness of those involved.
This innovative, practical guide introduces researchers to the use
of the video reflexive ethnography in health and health services
research. This methodology has enjoyed increasing popularity among
researchers internationally and has been inspired by developments
across a range of disciplines: ethnography, visual and applied
anthropology, medical sociology, health services research, medical
and nursing education, adult education, community development, and
qualitative research ethics.
Why is it that in spite of all the health policy reforms, clinical
practice innovations, increasing intersectoral interdependencies
and new medical and information technologies, so little has changed
in the way we research and evaluate health care? Don't these
changes cry out for new ways of being studied and appraised? And
don't our approaches to clinical practice innovation cry out for
being reinvented too? Surely, we cannot continue to wheel out
research and evaluation paradigms, improvement approaches and
methods that were designed for 20th century problems and 20th
century health care, and assume they will be able to make sense of
the problems we experience and the care we provide in the 21st
century? These changes necessitate a new paradigm of health service
research, evaluation and improvement and this new model adopts
approaches and methods that embrace complexity. The approaches and
methods can account for the vicissitudes of front-line care, the
activities of front-line staff and the experiences of patients and
families - where care happens. Visualising Health Care Practice
Improvement draws on years of video feedback research shaping an
approach that enables not only a retrospective understanding but
also a view into the future, of what might be possible. It presents
the argument that change is not principally about adopting
solutions from elsewhere but that it is conditional on people
exploring whether proposed solutions suit existing habituations. It
involves a process of exploration, discovery, secession and
renewal. Health care managers, policy makers and shapers will find
this book enlightening. It will also be empowering to all health
care professionals and front-line staff.
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