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000937632 019__ $$a1163496775$$a1163501190$$a1163872294$$a1164759710$$a1173676292$$a1173827370
000937632 020__ $$a9783030431655$$q(electronic book)
000937632 020__ $$a3030431657$$q(electronic book)
000937632 020__ $$z3030431649
000937632 020__ $$z9783030431648
000937632 0247_ $$a10.1007/978-3-030-43165-5
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000937632 049__ $$aISEA
000937632 050_4 $$aRA418
000937632 08204 $$a362.1$$223
000937632 1001_ $$aWebster, Fiona,$$eauthor.
000937632 24514 $$aThe social organization of best practice :$$ban institutional ethnography of physicians' work /$$cFiona Webster.
000937632 264_1 $$aCham :$$bPalgrave Macmillan,$$c[2020]
000937632 264_4 $$c©2020
000937632 300__ $$a1 online resource
000937632 336__ $$atext$$btxt$$2rdacontent
000937632 337__ $$acomputer$$bc$$2rdamedia
000937632 338__ $$aonline resource$$bcr$$2rdacarrier
000937632 504__ $$aIncludes bibliographical references and index.
000937632 506__ $$aAccess limited to authorized users.
000937632 520__ $$a'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.
000937632 588__ $$aOnline resource ; title from PDF title page (viewed July 10, 2020).
000937632 650_0 $$aSocial medicine.
000937632 650_0 $$aEvidence-based medicine.
000937632 650_0 $$aSocial medicine$$zOntario$$vCase studies.
000937632 650_0 $$aEvidence-based medicine$$zOntario$$vCase studies.
000937632 650_0 $$aEthnosociology.
000937632 77608 $$iPrint version:$$z3030431649$$z9783030431648$$w(OCoLC)1141135415
000937632 852__ $$bebk
000937632 85640 $$3SpringerLink$$uhttps://univsouthin.idm.oclc.org/login?url=http://link.springer.com/10.1007/978-3-030-43165-5$$zOnline Access$$91397441.1
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000937632 980__ $$aEBOOK
000937632 980__ $$aBIB
000937632 982__ $$aEbook
000937632 983__ $$aOnline
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