@article{937632,
      author = {Webster, Fiona,},
      url = {http://library.usi.edu/record/937632},
      title = {The social organization of best practice : an  institutional ethnography of physicians' work /},
      abstract = {'This book offers a unique critique of evidence  based-medicine and how it plays out in everyday practice.  It engages with and problematizes the scholarship around  "best practice" in an informed and perceptive manner and in  doing so, advances the field in a critical way. -- Grainne  Kearney, Clinical Lecturer in the School of Medicine,  Dentistry, and Biomedical Sciences, Queens University  Belfast, Ireland 'Websters institutional ethnographic  research describes how standardizing approaches actually  play out in practice. In rich, thick detail we are shown  the institutional processes that organize how objective  clinical evidence is "rolled out" into the context-laden,  deeply social world of healthcare. Offering a unique  counter-narrative, the book is illustrative of gaps and  risks that may arise when local knowledge is subordinated  to coordinated directives from afar. -- Janet Rankin,  Associate Professor of Nursing, University of Calgary,  Canada This book explores how best practice for acute  stroke care was developed, translated and taken up in  medical practice across various sites in the province of  Ontario using institutional ethnographic research.  Institutional ethnography, an approach developed by Dorothy  E. Smith, builds on Smiths understanding of the social  organization of knowledge, allowing for an examination of  the complex social relations organizing peoples experiences  of their everyday working lives. This work thereby makes  visible some of the assumptions and hidden priorities  underlying the emphasis given to translating scientific  knowledge into medical practice. In this study, the  discourses of both evidence-based medicine and knowledge  translation, purportedly designed to improve patient care,  come into view as managerial tools that directed healthcare  resources toward academic hospitals rather than community  sites where the majority of patients receive care. These  models institutionalize inequities in access to care while  cl aiming to resolve them.},
      doi = {https://doi.org/10.1007/978-3-030-43165-5},
      recid = {937632},
      pages = {1 online resource},
}