David Hughes
Biographic Data
| ID | 3582732 |
|---|---|
| NAME | David Hughes |
| GIVEN NAMES | David |
| FAMILY NAME | Hughes |
| SIGNATURE | HUGHES D |
| AFFILIATIONS | Swansea University |
| ORCID | 0000-0002-7631-7763 |
| VERIFIED | Yes |
| TOTAL WORKS | 92 |
| TOTAL CITATIONS | 434 |
| AUTHOR COUNT | 92 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1980 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 11 |
Cocooning Nurse Autonomy in Türkiye: Navigating a Path to Professionalism That Does Not Challenge Medical Dominance
Nursing work in several Western countries has been affected by evolving discourses of managerialism and professionalism. Interdisciplinary working has given nurses more prominence in high‐level teams and created hybrid management roles that have affected understandings of professionalism. Such changes generally followed broader new public management (NPM) reforms that shifted power from senior doctors to executive managers. Yet, although there is…
The Nāṭyaśāstra and virtual metatheatre
In this practice-based project, workshops were conducted in and out of virtual reality, exploring the transitional processes of the Nāṭyaśāstra, an ancient Sanskrit dramaturgical treatise. This project is an intercultural and technological investigation of ancient tools of liminality and how they can be applied in a virtual theatre. A virtual cave theatre was built to the design of the Nāṭyaśāstra and inhabited with seventh-century farce, Bhagava…
Diversity in Judicial Leadership in the American States
Evaluating the factors influencing the location strategies of specialty grocers versus traditional supermarkets in the United States
Chief Justice Selection Rules and Judicial Ideology
We examine how institutional selection procedures affect the ideology of state supreme court chief justices. We argue that institutional selection methods empower those charged with choosing chief justices to select court leaders who reflect their own preferences, and we test this theory using data from all 50 American states from 1970 to 2017. Our results show that states that use popular elections to select chief justices tend to produce court …
Development of mobile application for hypertension surveillance and telemonitoring in older persons in rural community
Hypertension is a cause of cardiovascular complications and premature death worldwide. Prevalence of hypertension is doubled older population. Close monitoring must be promptly equipped by healthcare team without delays to preserve intact cardiovascular system. In Thailand, village health volunteers (VHVs, OSOMO in Thai) are key healthcare personnel that co-ordinate health information between the older persons and health care professionals. The V…
Tooth Loss, Cognitive Impairment and Fall Risk: A Cross-Sectional Study of Older Adults in Rural Thailand
Tooth loss is associated with both cognitive impairment and fall risk. However, the relationships between these variables are complex and bidirectional. Observed associations have been reported in separate studies but data on rural-dwelling older adults remain sparse. This cross-sectional study investigated socioeconomic and dental factors affecting cognitive functions, and the association between tooth loss, cognitive functioning, and fall risk.…
Leadership, creativity and innovation: A meta-analytic review
This paper reports the most comprehensive meta-analytic examination of the relationship between leadership and both followers’ creative and innovative performance. Specifically, we examined 13 leadership variables (transformational, transactional, ethical, humble, leader-member exchange, benevolent, authoritarian, entrepreneurial, authentic, servant, empowering, supportive, and destructive) using data from 266 studies. In addition to providing ro…
Improvement of long-term risks of cardiovascular events associated with community-based disease management in Chinese patients of the Xinjiang autonomous region of China
The implementation of CBDM in China's Xinjiang autonomous region is expected to significantly reduce incidences of CHD, strokes, and CV-related deaths
Of Tactics, Illegal Occupation and the Boundaries of Legal Capability: A Reply to Ardi Imseis
This contribution engages with Ardi Imseis’s article ‘Negotiating the Illegal: On the United Nations and the Illegal Occupation of Palestine, 1967–2020’. In reply, I contemplate whether an occupation’s legal status can or should affect the requirement that an occupying power must withdraw from the territory that it controls. I consider Imseis’s claim that it is necessary to declare that an occupation has become illegal to move beyond the tension …
Truth and the Silence of the IR Discipline
International Relations (IR) scholars uncritically accept the official narrative regarding the events of 9/11 and refuse to examine the massive body of evidence generated by the 9/11 truth movement. Nevertheless, as calls for a new inquiry into the events of 9/11 continue to mount, with the International 9/11 Consensus Panel and World Trade Centre Building 7 Evaluation inquiries having recently published their findings, and with a U.S. Federal Gr…
New-Style Campaigns in State Supreme Court Retention Elections
Scholarly research finds that partisan, hard-fought, expensive, and churlish state supreme court campaigns increase voter participation and their support for challenger candidates. These insights, however, are drawn nearly exclusively from competitive state supreme court elections. Little is known about voter behavior in uncompetitive retention elections. Traditionally, these races are not salient to the public given that incumbents raise and spe…
Doing evidence-based medicine? How NHS managers ration high-cost drugs
Constructing 'exceptionality: A neglected aspect of NHS rationing
In the British NHS the principle of exceptionality involves assessing whether a patient is sufficiently different from the generality of patients to justify providing a treatment, such as an expensive cancer drug, not approved for routine funding. In England, individual requests for certain high-cost treatments are considered by local panels that examine exceptionality alongside treatment efficacy and cost as the main criteria for funding. This w…
Tribunals, inquiries, and the ombudsmen remedy
This chapter begins by distinguishing between tribunals and inquiries. A tribunal is a permanent body that sits periodically, while an inquiry is something which is established on an ad hoc basis. Tribunals are empowered to make decisions that are binding on those parties subject to their jurisdiction; inquiries generally do not have formal decision-making powers. Tribunals are concerned with matters of fact and law, whereas inquiries are concern…
To the Lighthouse Under the Shadow
Preview this article: To the Lighthouse Under the Shadow, Page 1 of 1 /docserver/preview/fulltext/fint/16/4/fiin.16.4.6_1-1.gif
Roles and capacities of Thai family development centres
Purpose The purpose of this paper is to examine Family Development Centre (FDC) staff’s[1] perspectives on their roles and capacity to promote early childhood language learning through good parenting. Design/methodology/approach This research employed in-depth interviews with 30 FDC coordinators and volunteer staff, supported by limited field observations. Findings Identifying risk, surveillance of at-risk families, building community solidarity …
Energy without Conscience: Oil, Climate Change, and Complicity
My informants, who include many of these people, assisted the research and, obviously, made it possible.These women and men are too many to name, and more than a few wish their identities to
Zimbabwe's Exodus: Crisis, Migration, Survival
Unmaking an exception: A critical genealogy of US exceptionalism
US exceptionalism is a hot topic in contemporary political discourse in the United States and in recent years it has attracted increasing attention from International Relations (IR) scholars. Unfortunately, however, analysis of US exceptionalism in has been compromised by its failure to historicise the concept and by its reliance on myths cultivated in other disciplines. This article offers a critical genealogy of US exceptionalism in order to ex…
Renaissance Catholicism and Contemporary Liberalism: W estern Ideology on the Eve of the Reformation
Contemporary (post‐1945) liberalism functions analogously to R oman C atholicism in the decades after 1443. Both ideologies, in their respective periods, represent the hegemonic ideology of W estern civilization, despite the fact that both comprise a miscellany of competing belief systems. Both ideologies are dominated by a single hegemonic power—the U nited S tates and the R enaissance papacy, respectively—which strives for doctrinal stability. …
Modeling the Relationship Between Prosodic Sensitivity and Early Literacy
A growing literature has demonstrated that prosodic sensitivity is related to early literacy development; however, the precise nature of this relationship remains unclear. It has been speculated in recent theoretical models that the observed relationship between prosodic sensitivity and early literacy might be partially mediated by children's vocabulary knowledge, phonological awareness, and morphological awareness, although such models have yet …
Des pistes de solution pour une meilleure intégration des considérations éthiques en santé publique
Climate Change and the Victim Slot: From Oil to Innocence
People change the climate. Ethnography, however, tends to look past these perpetrators and see only victims. In such accounts, parties vulnerable to climate change suffer, adapt, or do both. To varying degrees, their societies are resilient and may soon make themselves more so. These comparatively cheerful keywords overlook an entire moral field of responsibility, complicity, and culpability. High emitters of carbon dioxide bear the bulk of respo…
Devolution and Patient Choice: Policy Rhetoric versus Experience in Practice
Background: market reforms in England have been identified as making a clear distinction between English health policy and health policy in the devolved systems in Northern Ireland, Scotland and Wales. Patient choice is a high profile policy in the English National Health Service that constitutes significant changes to the demand side of health care. It is not clear what national differences this has led to regarding implementation of policy. Thi…
When nurse knows best: Some Aspects of Nurse/Doctor Interaction in a Casualty Department
It is commonly supposed that the working relationship between doctor and nurses is one in which the latter are subordinate to the former. An analysis of previously unpublished data from a wider study of the processes of patient categorisation in one casualty setting reveals both areas in which nurses' work appears to move closer to the focal tasks of diagnosis and treatment in particular and also observed patterns of doctor-nurse interaction at o…
Third Nature: Making Space and Time in the Great Limpopo Conservation Area
In southern Africa's "Great Limpopo Transboundary Conservation Area," potential nature, envisioned as ideal habitats for wildlife, may outweigh actual nature. I refer to this notion of conditional biodiversity as "third nature," distinguishing it from the equally anthropogenic, but tangible, second nature ("nature" as including human habitation). Conservationists and investors are inventing nature on a new scale that crosses national boundaries i…
Energy without Conscience: Oil, Climate Change, and Complicity
My informants, who include many of these people, assisted the research and, obviously, made it possible.These women and men are too many to name, and more than a few wish their identities to
Paper and people: The Work of the Casualty Reception Clerk
This paper examines the exercise of discretion by casualty reception staff, focussing on the problems of accountability that arise when their judgements help shape the process of patient categorization that culminates in clinical diagnosis. Rules and guidelines which ostensibly relate to bureaucratic objectives, are applied in ways which reflect situational exigencies of reception work, and values embedded in organisational culture. But reception…
The Ambulance Journey as an Information Generating Process
One aspect of the emergency ambulance journey often overlooked is its importance as a source of subjective definitions and verbal descriptions which ultimately are likely to influence the form of the incoming patient's initial reception at hospital. Crewmen's need for some'picture'of the case being processed from the time an emergency telephone call is received, is linked to their reliance on a stock of typified knowledge in recognizing and order…
Introduction: A sociological perspective on rationing: power, rhetoric and situated practices
Climate Change and the Victim Slot: From Oil to Innocence
People change the climate. Ethnography, however, tends to look past these perpetrators and see only victims. In such accounts, parties vulnerable to climate change suffer, adapt, or do both. To varying degrees, their societies are resilient and may soon make themselves more so. These comparatively cheerful keywords overlook an entire moral field of responsibility, complicity, and culpability. High emitters of carbon dioxide bear the bulk of respo…
Hydrology of hope: Farm dams, conservation, and whiteness in Zimbabwe
In Zimbabwe, many whites have affiliated themselves with the land rather than with surrounding societies. Theories of settler culture-which emphasize ethnic conflict-often overlook this environmentalist form of identity. As conservationists, white, large-scale farmers sought to belong to the landscape, and they modified it in ways that facilitated that sense of belonging. On the semiarid highlands, they manipulated the most manipulable of environ…
Ruling in" and "ruling out: Two approaches to the micro-rationing of health care
On Penalties and the Patient's Charter: Centralism v De-Centralised Governance in the NHS
A paradox of the 1991 British NHS reforms is that increased central control over policy and strategy goes hand in hand with greater operational de-centralisation. Some commentators argue that market structures are leading to a dispersal of power, with local purchasers and providers assuming greater responsibility for the governance of their own relationships. Drawing inter alia on the Foucauldian concept of 'governmentality', they contend that 'a…
Applying the Delphi technique in a study of GPs’ information requirements
This article describes some dilemmas and problems encountered in a Delphi study of general practitioners' (GPs) information requirements. The research involved a three-round Delphi administered to an expert panel of 50 GPs in one Welsh health authority area. The Delphi is generally perceived as a qualitative METHOD: However, we argue that the requirements of the technique make it difficult to sustain the kind of inductive analysis - faithfully re…
Cadastral Politics: The Making of Community-Based Resource Management in Zimbabwe and Mozambique
Projects promoting community-based management of natural resources frequently encourage local smallholders to share flora, fauna, or land forms with state agencies and/or private companies. Ideals of common property and moral economy have inspired this agenda and helped spread it globally. In Southern Africa, however, the general model of shared landscapes has collided with a bitter history of white colonization and land grabbing. This article re…
Talking contracts and taking care: Managers and professionals in the British National Health Service internal market
Control in the Medical Consultation: Organizing Talk in a Situation where Co-Participants have Differential Competence
Medical sociologists who suggest that some form of interactional control can be seen to operate in medical consultations frequently relate 'control' to the doctor's use of strategies which resist challenges to his professional authority and prevent patients from increasing their influence on decisions affecting treatment and disposal. This paper argues that much of the interactional 'work' discernable in the encounter is concerned less with the m…
Refugees and Squatters: Immigration and the Politics of Territory on the Zimbabwe-Mozambique Border
For Mozambicans, border-crossing is neither new nor liberating. Many current analyses of refugees, labor migrants, smuggles, and other “transnational subjects ” emphasize their range of options, arguing that they are less and less constrained by porous, poilitically “soft ” international borders. This paper argues that, for at least a segment, the Mozambique-Zimbabwe border is hard and constraining and has been so since the beginning of the 20 th…
NHS managers as rhetoricians: A Case of Culture Management
In the wake of Peters and Waterman'sIn Search of Excellencefew NHS managers are unaware of culture management as a tool for shaping organisational change. Yet the first wave of post-Griffiths studies found little evidence of 'culture management' in action. This paper draws on data from an ethnographic study carried out in 1988-90 to suggest that the symbolic facet of management action is an important, though neglected, element in the 1991 NHS ref…
New-Style Campaigns in State Supreme Court Retention Elections
Scholarly research finds that partisan, hard-fought, expensive, and churlish state supreme court campaigns increase voter participation and their support for challenger candidates. These insights, however, are drawn nearly exclusively from competitive state supreme court elections. Little is known about voter behavior in uncompetitive retention elections. Traditionally, these races are not salient to the public given that incumbents raise and spe…
The use of standard contracts in the English National Health Service: A case study analysis
Deliberating Tarceva: A case study of how British NHS managers decide whether to purchase a high-cost drug in the shadow of Nice guidance
Devolution and Patient Choice: Policy Rhetoric versus Experience in Practice
Background: market reforms in England have been identified as making a clear distinction between English health policy and health policy in the devolved systems in Northern Ireland, Scotland and Wales. Patient choice is a high profile policy in the English National Health Service that constitutes significant changes to the demand side of health care. It is not clear what national differences this has led to regarding implementation of policy. Thi…
The Discursive Turn in Policy Analysis and the Validation of Policy Stories
This paper is concerned with the language of policy documents in the field of health care, and how 'readings' of such documents might be validated in the context of a narrative analysis. The substantive focus is on a comparative study of UK health policy documents (N= 20) as produced by the various assemblies, governments and executives of England, Scotland, Wales and Northern Ireland during the period 2000-09. Following the identification of som…
Contracts in the English NHS: Market levers and social embeddedness
This paper draws parallels between the market trend in the English NHS and Polanyi’s (1957) The Great Transformation: The political and economic origins of our time, Beacon Press: Boston (originally published in 1944 in the United States as The Great Transformation, Rinehart: and Co: New York, and in 1945 in England as Origins of our time, Gollancz: London) account of how the rise of markets provokes a self-protective counter-reaction that tries …
Rezoned for Business: How Eco-Tourism Unlocked Black Farmland in Eastern Zimbabwe
Eco-tourism is undermining black smallholders' entitlement to land in Zimbabwe. In the 1890s, British administrators restrained whites from alienating the whole of the country by demarcating native reserves. In terms of this limited aim, the policy of native reserves worked. It ensured a land base for black agriculture, particularly for women and children. In the late 1980s, however, CAMPFIRE (Communal Areas Management Programme for Indigenous Re…
Typification in a Neuro-Rehabilitation Centre: Scheff Revisited
This paper presents data on the admissions process in a Regional neuro-rehabilitation centre, using the framework proposed in Thomas Scheff's classic paper on typification in the diagnostic process as a starting point for analysis. We argue that typification is a more complex and diffuse process than Scheff's 'diagnostic stereotype' concept suggests, and that this may be linked to the particular work imperatives and relevancies that are important…
Chief Justice Selection Rules and Judicial Ideology
We examine how institutional selection procedures affect the ideology of state supreme court chief justices. We argue that institutional selection methods empower those charged with choosing chief justices to select court leaders who reflect their own preferences, and we test this theory using data from all 50 American states from 1970 to 2017. Our results show that states that use popular elections to select chief justices tend to produce court …
Trust Principles and the Operation of a Trust-Controlled Corporation
The Ambulance Journey as an Information Generating Process
One aspect of the emergency ambulance journey often overlooked is its importance as a source of subjective definitions and verbal descriptions which ultimately are likely to influence the form of the incoming patient's initial reception at hospital. Crewmen's need for some'picture'of the case being processed from the time an emergency telephone call is received, is linked to their reliance on a stock of typified knowledge in recognizing and order…
Control in the Medical Consultation: Organizing Talk in a Situation where Co-Participants have Differential Competence
Medical sociologists who suggest that some form of interactional control can be seen to operate in medical consultations frequently relate 'control' to the doctor's use of strategies which resist challenges to his professional authority and prevent patients from increasing their influence on decisions affecting treatment and disposal. This paper argues that much of the interactional 'work' discernable in the encounter is concerned less with the m…
Forms of Talk (Book)
Survival Practices of Rescue Workers: Hidden Dimensions of Watchful Readiness (Book)
Order, Rules and Social Control in Two Training Centres for Mentally Retarded Adults
Although settings for the mentally retarded accommodate persons of markedly differing social and congnitive competence, everyday activities nevertheless proceed with a considerable degree of order and regulatiry. This paper uses the example of training centres for mentally retarded adults to examine the example the basis of social order in a situaltion where common orientation to a culturally-derived normative framework appears to be absent. It s…
Organising Services for People with Mental Handicap: The Californian Experience
The organisation of services for California's mentally handicapped population is outlined and critically examined. Its distinctive features are noted: a concern for rights, rather than needs; an underlying free market philosophy; an explicit attempt to combine public and private enterprise; and an elaborate system of checks and balances designed to restrain the welfare bureaucracies and ensure that they remain responsive to the changing nature of…
Growing up on Ward Twenty: The Everyday Life of Teenagers in a Mental Handicap Hospital
Among closed institutions surviving in contemporary Britain, mental handicap hospitals are virtually unique in assuming responsibility both for the primary socialization, and the long- term adult care of a resident population. This paper uses ethnographic data on an adolescent ward to consider the process of growing up in hospital. It examines the extent of cultural patterning in ward life, sources of cultural knowledge open to patients, and the …
When nurse knows best: Some Aspects of Nurse/Doctor Interaction in a Casualty Department
It is commonly supposed that the working relationship between doctor and nurses is one in which the latter are subordinate to the former. An analysis of previously unpublished data from a wider study of the processes of patient categorisation in one casualty setting reveals both areas in which nurses' work appears to move closer to the focal tasks of diagnosis and treatment in particular and also observed patterns of doctor-nurse interaction at o…
Paper and people: The Work of the Casualty Reception Clerk
This paper examines the exercise of discretion by casualty reception staff, focussing on the problems of accountability that arise when their judgements help shape the process of patient categorization that culminates in clinical diagnosis. Rules and guidelines which ostensibly relate to bureaucratic objectives, are applied in ways which reflect situational exigencies of reception work, and values embedded in organisational culture. But reception…
The Mentally Ill in Contemporary Society, Second Edition (Book)
The Reorganisation of the National Health Service: The Rhetoric and Reality of the Internal Market
The Dilemma of Qualitative Method: Herbert Blumer and the Chicago Tradition
British Journal of Ethnomusicology, Vol. 1
Typification in a Neuro-Rehabilitation Centre: Scheff Revisited
This paper presents data on the admissions process in a Regional neuro-rehabilitation centre, using the framework proposed in Thomas Scheff's classic paper on typification in the diagnostic process as a starting point for analysis. We argue that typification is a more complex and diffuse process than Scheff's 'diagnostic stereotype' concept suggests, and that this may be linked to the particular work imperatives and relevancies that are important…
Innocent Parties" and "Disheartening" Experiences: Natural Rhetorics in Neuro-Rehabilitation Admissions Conferences
This research investigates how neuro-rehabilitation staff attend to the issue of patient deservingnesss" in admissions conference talk. Examined are the instances in which staff move from a reporting mode dealing with clinical information to a storytelling mode that conveys personal and moral information for example, that the patient is an "innocent party" in an accident, that the patient has family commitments, or that relatives have struggled b…
‘But if you look at the coronary anatomy …’: Risk and rationing in cardiac surgery
Recently there has been wide public debate in Britain about the denial of cardiac surgery to smokers and other patients possessing negative risk factors. While some senior medical practitioners have insisted that such decisions are based on objective clinical grounds linked to prognosis and effective use of resources, other commentators argue that doctors are policing lifestyle and making judgements about deservingness. One way of shedding light …
A Successful Transition? ACT Public Finances Under Self‐government
Generous Commonwealth funding before self‐government in 1989 meant that the ACT enjoyed high government expenditures and low taxation compared with the states. Self‐government meant a transition to normal state funding, ultimately involving substantial reductions in Commonwealth grants. Successive governments aligned taxes with other jurisdictions, but failed to reduce expenditures, which remained well above Commonwealth Grants Commission (CGC) a…
Research and the Teachers: A Qualitative Introduction to School-Based Research
Purchasing for Health: A Multidisciplinary Introduction to the Theory and Practice of Health Purchasing (Book)
NHS managers as rhetoricians: A Case of Culture Management
In the wake of Peters and Waterman'sIn Search of Excellencefew NHS managers are unaware of culture management as a tool for shaping organisational change. Yet the first wave of post-Griffiths studies found little evidence of 'culture management' in action. This paper draws on data from an ethnographic study carried out in 1988-90 to suggest that the symbolic facet of management action is an important, though neglected, element in the 1991 NHS ref…
Ruling in" and "ruling out: Two approaches to the micro-rationing of health care
Managing Scarcity: Priority Setting and Rationing in the National Health Service
Purchasing in the British NHS: Does Contracting Mean Explicit Rationing
Early commentators on the British NHS reforms argued that the new requirements for health authorities to carry out formal assessments of the health needs of their local populations and contract for clinical services, would force them to be clear about what they purchased and did not purchase. It was predicted that implicit rationing by doctors would give way to explicit rationing by health authorities. Apart from the rationing question per se, th…
Original Article
Political science (61 works) · Sociology (43 works) · Law (40 works) · Psychology (32 works) · Economics (26 works) · Law (26 works) · Medicine (26 works) · Business (24 works) · Computer Science (21 works) · Politics (19 works)