J Waring
Datos Biográficos
| ID | 185086 |
|---|---|
| NOMBRE | J Waring |
| NOMBRES | J |
| APELLIDO | Waring |
| FIRMA | WARING J |
| AFILIACIONES | University of Nottingham |
| ORCID | 0000-0003-1459-5896 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 64 |
| TOTAL DE CITAS | 635 |
| TOTAL COMO AUTOR | 63 |
| TOTAL COMO EDITOR | 1 |
| PRIMER AÑO DE PUBLICACIÓN | 1974 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 15 |
Reflections and Guidance on Using Ethnographic Approaches in Health and Care Research – Ten Researchers’ Diverse Insights
Ethnographic approaches to health and care research are invaluable. They offer rich insight into contextual and cultural factors that influence the health service, as well as the delivery of care within any given community, and recognise the centrality of the researcher in the process. Understanding the unfolding of real-life events, as well as interactions between people, space, technology and other affordances, is crucial to developing impactfu…
New forms of expertise and their implications for the system of professions in healthcare
Contemporary societal shifts are disrupting established professional divisions of labour in healthcare. Some have argued that professionalism itself is being transformed, with professions characterised less by claims to exclusive jurisdiction and more by connectivity and complementarity. This article puts these arguments to the test in a domain traditionally characterised as one of professional conflict: patient safety. Informed by the sociology …
Out of Sight, Out of Mind-Explaining and Challenging the Re-Institutionalisation of People With Learning Disabilities and/or Autistic People
During the twentieth century, many countries underwent processes of 'de-institutionalisation'-closing 'asylums' for people with mental health problems, learning disabilities and dementia. Despite this, the UK has witnessed a subsequent process of 're-institutionalisation' with the creation of new public/private sector facilities providing 'secure' care to large numbers of people, who can be residents for many years with no sense of when they may …
Muscling in and Making Space
This paper examines the micro-processes of jurisdictional change in the eco-systems of healthcare work. This qualitative study investigated the expansion of geriatrician involvement in the perioperative pathway for older people. This study shows how, in response to opposition from surgeons and anaesthetists, geriatricians developed linked strategies that involved claiming the medical needs of surgical patients, and simultaneously integrating geri…
De bon·ne·s pasteur·e·s ? Le rôle des gestionnaires-médecins « hybrides » au sein d'une gouvernance en pleine évolution
On assiste de plus en plus, dans le secteur de la gouvernance des activités professionnelles, au recrutement délibéré de professionnel·le·s pour pourvoir des postes de direction ou de gestion « hybrides ». Il reste à savoir si, du point de vue de l'organisation du travail des expert·e·s, ces « hybrides » servent les intérêts de leur profession ou bien ceux du gestionnariat. Cet article s'appuie sur le concept de « pouvoir pastoral » de Michel Fou…
Becoming active in the micro-politics of healthcare re-organisation
Decentering health research networks
Research innovations and breakthroughs are increasingly realised through collaborative networks amongst state and non-state actors. This article investigates the utilisation of such networks in the field of applied health services research, where policy narratives repeatedly emphasise the importance of collaboration between university researchers, clinical and health service leaders, patient representatives and industry. The translation of policy…
Organising Care in a Time of Covid-19
What does safety in mental healthcare transitions mean for service users and other stakeholder groups
BACKGROUND: Historically, safety mental health research has tended to focus on risks of homicide, suicide and deaths. Although wider safety issues are now recognized in regards to mental health services, the safety of mental health transitions, a key research and policy priority according to World Health Organisation, has not been explored. OBJECTIVE: The purpose of this study was to investigate perceptions of safety in mental health transitions …
The Cultivation of Digital Health Citizenship
Codesigning a Mental Health Discharge and Transitions of Care Intervention
This is the first study to codesign an interagency mental health discharge intervention based around a discharge team. We developed a model for working that places a greater focus on a patient generated discharge plan, interagency working, and information flow. A pilot of the proposed intervention is now needed to test the feasibility and effectiveness in reducing adverse outcomes
A comparative ethnographic study of collective knowledge brokering across the syntactic, semantic and pragmatic knowledge boundaries in applied health research
Background Knowledge brokers facilitate the creation, sharing and use of knowledge among different research, policy and practice communities. This paper examines the way collective knowledge brokering can address the syntactic, semantic and pragmatic boundaries that separate research and practice communities. Methods A comparative ethnographic study of three applied health research projects, each researching the implementation of clinical interve…
The contingencies of medical restratification across inter-organisational care networks
Health States of Exception
This paper draws on the work of Giorgio Agamben to understand how the social organisation of care transitions can reduce people to their 'bare' life thereby making harmful and degrading treatment seemingly legitimate. The findings of a 2-year ethnographic study show how some people experience hospital discharge as undignified, inhumane and unsafe process, expressed through their lack of involvement in care planning, delayed discharge from hospita…
Towards equity
The co-produced digital educational intervention increases pharmacy professionals' awareness and motivation to engage with marginalised groups. However structural barriers often hindered translation into practice. Patients reported significant health and medicine challenges that were going unnoticed. They welcomed the additional support the medication review offered. Policy makers and employers should better enable and facilitate ways for pharmac…
Inside co‐production
It might be argued that a narrative of co-production has come to re-define contemporary social and public policy. Elinor Ostrom’s pioneering work on co-production, that started in the 1970s and was awards the Nobel prize for economics in 2009, offers a way to bridge the gap between the market and the state through involving citizens in the production of common goods (Ostrom et al. 1978; Ostrom 2015). This ‘disarmingly simple’ idea (Alford 2014) i…
The challenge of inclusive coproduction
Previous studies highlight that coproduced research initiatives are influenced by how individuals interact together and that group inclusivity amongst diverse members is crucial. However, it is not fully understood how inclusivity is sustained over time, particularly through routine encounters. Our study examines how coproduction occurs through routine and ritualistic patterns of everyday practices, which have the potential to facilitate sustaina…
From boundary object to boundary subject; the role of the patient in coordination across complex systems of care during hospital discharge
Patients' Conceptualizations of Responsibility for Healthcare
This study examines how patients conceptualize 'responsibility' for their healthcare and make sense of the complex boundaries between patient and professional roles. Focusing on the specific case of patient safety, narrative methods were used to analyze semistructured interviews with 28 people recently discharged from hospital in England. We present a typology of attribution, which demonstrates that patients' attributions of responsibility to sta…
Transforming professional and service user identities in the heterotopian ‘hybrid spaces’ of public–private partnerships
Public–private partnerships (PPPs) are interpreted as ‘hybrid’ organisations that combine the distinct organising principles of public and private sectors. This paper develops a spatial analysis of these ‘hybrid spaces’ to understand how they transform the practices and identities of professionals and service users. Informed by Foucault's ‘heterotopia’ concept, the paper considers how the juxtaposition of competing organising principles disrupts …
Realising governmentality
Michel Foucault's concept of governmentality has been hugely influential in sociology and other disciplinary fields. However, its application has been criticised by those who suggest it neglects agency, and gives overwhelming power to governmental discourses in constituting subjectivities, determining behaviour and reproducing social reality. Drawing on posthumously translated lecture transcripts, in this article the authors suggest that Foucault…
Between empowerment and self-discipline
Of Shepherds, Sheep and Sheepdogs? Governing the Adherent Self through Complementary and Competing 'Pastorates
Foucault's concept of 'pastoral power' describes an important technique for constituting obedient subjects. Derived from his analysis of the Christian pastorate, he saw pastoral power as a prelude to contemporary technologies of governing 'beyond the State', where 'experts' shepherd self-governing subjects. However, the specific practices of modern pastorate have been little developed. This article examines the relational practices of pastoral po…
The transformative role of interaction rituals within therapeutic communities
Mental health settings are fraught with emotion as clients address difficult life experiences and relational patterns. Clients spend a substantial amount of time together outside of structured therapy, but little is known about how these moments are potentially therapeutic, especially as sites of emotional change. We draw on interaction ritual chain theory to explore how negative emotions in situations outside of formal therapy can be transformed…
I expected just to walk in, get my tablets and then walk out
Reconfiguration of the healthcare division of labour is becoming increasingly attractive in the context of increased patient demand and resource constraints. One example is the introduction of extended roles for pharmacists to provide patients additional support to manage their medicines, while also reducing work pressures experienced by other health professionals. Understanding how such policies are framed by those delivering and receiving care …
Hybrid Manager–professionals' Identity Work
We examine the ‘identity work’ of manager–professional ‘hybrids’, specifically medical professionals in managerial roles in the British National Health Service, to maintain and hybridize their professional identity and wider professionalism in organizational and policy contexts affected by managerialist ideas. Empirically, we differentiate between ‘incidental hybrids’, who represent and protect traditional institutionalized professionalism while …
Adaptive regulation or governmentality
This paper explores how current 'patient safety' reforms offer to change the regulation of medicine. Drawing on existing literature, it is argued that this policy agenda represents a new frontier in medical/managerial relations, introducing a disciplinary expertise within the health service that provides managers with the knowledge and legitimacy to survey and scrutinise medical performance, made real through procedures for incident reporting and…
Realising governmentality
Michel Foucault's concept of governmentality has been hugely influential in sociology and other disciplinary fields. However, its application has been criticised by those who suggest it neglects agency, and gives overwhelming power to governmental discourses in constituting subjectivities, determining behaviour and reproducing social reality. Drawing on posthumously translated lecture transcripts, in this article the authors suggest that Foucault…
Beyond blame
Constructing and re-constructing narratives of patient safety
Lean in healthcare
Between empowerment and self-discipline
Lean healthcare
The role of institutional entrepreneurs in reforming healthcare
Of Shepherds, Sheep and Sheepdogs? Governing the Adherent Self through Complementary and Competing 'Pastorates
Foucault's concept of 'pastoral power' describes an important technique for constituting obedient subjects. Derived from his analysis of the Christian pastorate, he saw pastoral power as a prelude to contemporary technologies of governing 'beyond the State', where 'experts' shepherd self-governing subjects. However, the specific practices of modern pastorate have been little developed. This article examines the relational practices of pastoral po…
McDonaldization or Commercial Re-stratification
The possibilities of technology in shaping healthcare professionals
Rules, safety and the narrativisation of identity
Patient safety has become a health policy priority around the world. Acknowledging that 'to err is human' has led to attempts to design systems and rules that limit the capacity for individual discretion and thereby reduce clinical errors. In addition, great emphasis is being placed on the need to eradicate cultures of blame, which are assumed to discourage clinicians from reporting errors, and to establish a 'safety culture', which encourages op…
Restratification, Hybridity and Professional Elites
This paper re‐visits and re‐appraises Freidson's restratification thesis. His thesis was proposed in the mid‐1980s to counter the idea of de‐professionalisation, suggesting professional elites can retain collective interests in a more bureaucratic and marketised workplace. Contemporary research highlights the growth of professional–managerial hybrids, and the blurring of professional and organisational boundaries. Within this context, the restrat…
Let's dance
Becoming hybrid
This article examines how tensions in institutional logics, created in the formation of hybrid organizations, are played out, and partially resolved, through micro-level interactions within everyday work. Drawing on the negotiated order perspective, our research examined how the ‘context’, ‘processes’ and ‘outcomes’ of micro-level negotiations reflect and mitigate tensions between institutional logics. Our ethnographic study of a public–private p…
Towards a sociology of healthcare safety and quality
The contributions to this collection address technologies, practices, experiences and the organisation of quality and safety across a wide range of healthcare contexts. Spanning three continents, from hospital to community, maternity to mental health, they shine a light into the boardrooms, back offices and front-lines of healthcare, offering sociological insights from the perspectives of managers, clinicians and patients. We review these article…
An exploratory study of knowledge brokering in hospital settings
From boundary object to boundary subject; the role of the patient in coordination across complex systems of care during hospital discharge
The Limits of Knowledge Management for Uk Public Services Modernization
This article assesses the contribution of management of knowledge across organizational and professional boundaries towards improved public services. We empirically investigate the potential for knowledge sharing within the context of the NHS modernization agenda, taking as our focus the current ‘patient safety’ policy agenda. Specifically, we evaluate the introduction of a knowledge management system, namely the National Reporting and Learning S…
Inside co‐production
It might be argued that a narrative of co-production has come to re-define contemporary social and public policy. Elinor Ostrom’s pioneering work on co-production, that started in the 1970s and was awards the Nobel prize for economics in 2009, offers a way to bridge the gap between the market and the state through involving citizens in the production of common goods (Ostrom et al. 1978; Ostrom 2015). This ‘disarmingly simple’ idea (Alford 2014) i…
Healthcare identities at the crossroads of service modernisation
Health policies increasingly support private businesses to take an active role in the organisation and delivery of public healthcare services. For the English NHS, this is exemplified by the introduction of Independent Sector Treatment Centres. A number of these facilities involve the wholesale secondment of NHS clinicians to the private sector which, we suggest, raises important questions about the identities of healthcare professionals accustom…
Looking the Part
Recent theoretical developments in the sociology of professions reveal how a ubiquitous discourse of professionalism can represent a basis for occupational control that centres on expectations of performance and conformity. Few studies, however, explore how such a discourse is manifest within the workplace and embodied within individual practice and identity. Taking 'city professionals' as its focus, this article investigates the relationship bet…
Pastoral power in the community pharmacy
Policy and practice in the use of root cause analysis to investigate clinical adverse events
Research Planning and Action for the Elderly
RESEARCH PLANNING AND ACTION FOR THE ELDERLY: THE POWER AND POTENTIAL OF SOCIAL SCIENCE. Edited by Donald P. Kent, Robert Kastenbaum, and Sylvia Sherwood and THE SOCIAL FORCES IN LATER LIFE: AN INTRODUCTION TO SOCIAL GERONTOLOGY. By Robert C. Atchley Get access Joan Waring, Joan Waring Fairleigh Dickinson University Search for other works by this author on: Oxford Academic Google Scholar Matilda White Riley Matilda White Riley Rutgers University …
‘Balancing risk, that is my life’
The management of risk has become a policy priority in health systems around the world. Current orthodoxy within patient safety policy circles stresses the need to identify and manage risk to reduce harm to patients. However, this rests on an assumption that there is common agreement that risk can be managed, together with a shared set of beliefs about what constitutes risk and the methods for managing risk. The framing of particular issues as ri…
Patient safety
Beyond blame
At the Cutting Edge? Modernization and Nostalgia in a Hospital Operating Theatre Department
Attempts by government to 'modernize' the British National Health Service involve constructing previous working practices and forms of organization as dys-functional, whilst at the same time selectively drawing on nostalgic images of the NHS in an attempt to win public support for and employee commitment to modernization. The use of nostalgic and nostophobic discourses by government can be interpreted as an attempt not merely to adjust working pa…
Rules, safety and the narrativisation of identity
Patient safety has become a health policy priority around the world. Acknowledging that 'to err is human' has led to attempts to design systems and rules that limit the capacity for individual discretion and thereby reduce clinical errors. In addition, great emphasis is being placed on the need to eradicate cultures of blame, which are assumed to discourage clinicians from reporting errors, and to establish a 'safety culture', which encourages op…
The Limits of Knowledge Management for Uk Public Services Modernization
This article assesses the contribution of management of knowledge across organizational and professional boundaries towards improved public services. We empirically investigate the potential for knowledge sharing within the context of the NHS modernization agenda, taking as our focus the current ‘patient safety’ policy agenda. Specifically, we evaluate the introduction of a knowledge management system, namely the National Reporting and Learning S…
Doctors' thinking about 'the system' as a threat to patient safety
Systems thinking' is an important feature of the emerging 'patient safety' agenda. As a key component of a 'safety culture', it encourages clinicians to look past individual error to recognize the latent factors that threaten safety. This article investigates whether current medical thinking is commensurate with the idea of 'systems thinking' together with its implications for policy. The findings are based on qualitative semi-structured intervie…
Adaptive regulation or governmentality
This paper explores how current 'patient safety' reforms offer to change the regulation of medicine. Drawing on existing literature, it is argued that this policy agenda represents a new frontier in medical/managerial relations, introducing a disciplinary expertise within the health service that provides managers with the knowledge and legitimacy to survey and scrutinise medical performance, made real through procedures for incident reporting and…
Managing Expert Knowledge
The blurring of managerial and professional jurisdictions remains a significant area of organizational research. This process is often described as involving `re-stratification', the drawing of professional elites into bureaucratic roles; or `bureaucratization', the standardization of work operating procedures. We examine these processes further through considering how professional work is reordered through the application of knowledge management…
Narratives of professional regulation and patient safety
Government prescription for the management of clinical risk and patient safety relies upon the development of a shared perspective between stakeholders engaged in the delivery of healthcare about what constitutes clinical risk and what mechanisms are suitable to manage such risk to ensure patient safety. However, there are tensions arising from notions of clinical risk and its management, specifically between healthcare professionals and those ma…
Organizing and Reorganizing
Constructing and re-constructing narratives of patient safety
Looking the Part
Recent theoretical developments in the sociology of professions reveal how a ubiquitous discourse of professionalism can represent a basis for occupational control that centres on expectations of performance and conformity. Few studies, however, explore how such a discourse is manifest within the workplace and embodied within individual practice and identity. Taking 'city professionals' as its focus, this article investigates the relationship bet…
Organisation Studies and the Analysis of Health Systems
Social Science & Medicine invites submissions that make connections with organisation studies in the analysis of health policy and management. This interdisciplinary Special Issue aims to promote greater theoretical and empirical integration in the analysis of health policy and management by linking social science and health research with the potential contribution of organisation studies. Reflecting the interdisciplinary nature of Social Science…
Lean healthcare
Policy and practice in the use of root cause analysis to investigate clinical adverse events
Healthcare identities at the crossroads of service modernisation
Health policies increasingly support private businesses to take an active role in the organisation and delivery of public healthcare services. For the English NHS, this is exemplified by the introduction of Independent Sector Treatment Centres. A number of these facilities involve the wholesale secondment of NHS clinicians to the private sector which, we suggest, raises important questions about the identities of healthcare professionals accustom…
Institutional Work to Maintain Professional Power
The creation of new roles commonly threatens the power and status of elite professionals through the substitution of their labour. In this paper we examine the institutional work carried out by elite professionals to maintain their professional dominance when threatened. Drawing on 11 case sites from the English National Health Service (NHS) where new nursing or medical roles have been introduced, threatening the power and status of specialist do…
The role of institutional entrepreneurs in reforming healthcare
Lean in healthcare
Let's dance
The possibilities of technology in shaping healthcare professionals
A Contingent Approach to the Organization and Management of Public–Private Partnerships
Public–private partnerships ( PPPs ) have become a prominent feature of contemporary public policy. Although research shows variation in the contractual configuration of partnerships, there is little evidence of how these shape service and workforce organization. Through comparative ethnographic research on two PPP health care providers in the English National Health Service, this article develops the idea that PPPs exhibit “tight” and “loose” ar…
An exploratory study of knowledge brokering in hospital settings
Political science (53 obras) · Public relations (44 obras) · Sociology (44 obras) · Health care (34 obras) · Medicine (30 obras) · Law (29 obras) · Business (24 obras) · Healthcare Quality and Management (23 obras) · Management and Organizational Studies (21 obras) · Nursing (21 obras)