Negotiating Tensions on the Front Line
Circuits of Accountability and Self-governance in Institutional Care of Adults with Intellectual Disability
Bibliographic Data
| ID | 2374367 |
|---|---|
| Authors | Khalilah Robinson Johnson (0000-0003-4774-056X, University of North Carolina at Chapel Hill, corresponding author), Nancy Bagatell (0000-0001-7275-4125, University of North Carolina at Chapel Hill) |
| Year | 2020 |
| Volume | 34 |
| Issue | 4 |
| Pages | 644-660 |
| Publication date | 2020-08-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Work Employment and Society (JOURNAL) |
| Journal identifiers | ISSN: 0950-0170 • E-ISSN: 1469-8722 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/0950017019872647 |
| OpenAlex | W2987916923 |
| Language | EN |
| Citations received | 5 |
| References cited | 27 |
This article explores how circuits of accountability impact front-line service work in an intermediate care facility for individuals with intellectual disability (ICF/IID). Institutional ethnography as a theory and methodology guided the data collection and analysis processes. Participant observation and interviews were completed, and text work was employed to make visible the ways staff enacted what they believed to be their roles and responsibilities. Results indicated the service criteria established by regulatory agencies were interpreted and executed in ways that negatively influenced staff's moral care to residents and restricted their ability to self-govern and utilize their experiential knowledge. Additionally, the institution's circuits of accountability reflected ideals of front-line work that were inconsistent with staff's perception of their responsibilities. These findings have implications for management and implementation of direct care in ICFs/IID and underscore the importance of aligning moral care and self-governance to front-line service work
Accountability · Business · Corporate governance · Front line · Negotiation · Political science · Public relations · Service (business · Sociology · Work (physics · Healthcare Decision-Making and Restraints · Mental Health and Patient Involvement · Psychology · Qualitative Research Methods and Ethics
Institutional Ethnography
Characterising and justifying sample size sufficiency in interview-based studies
The Politics of Self-Governance
Institutional Ethnography as Practice
Using Institutional Ethnography to Explore how Social Policies Infiltrate into Daily Life
Beyond custodial care
We are actually, after all, just children’
Sample Size Policy for Qualitative Studies Using In-Depth Interviews
A Disability History of the United States
Sample Size in Qualitative Interview Studies
A Practical Iterative Framework for Qualitative Data Analysis
Speaking up, leaving or keeping silent
The nature of front-line service work
Reconceptualising employee silence
Unpacking the Service Triangle
Workers, Managers, and Customers
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,83 |
| Citation span | 2020 - 2026 (7) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 5 |