Dawn Goodwin
Biographic Data
| ID | 85649 |
|---|---|
| NAME | Dawn Goodwin |
| GIVEN NAMES | Dawn |
| FAMILY NAME | Goodwin |
| SIGNATURE | GOODWIN D |
| AFFILIATIONS | Lancaster University |
| ORCID | 0000-0002-9435-9107 |
| VERIFIED | Yes |
| TOTAL WORKS | 17 |
| TOTAL CITATIONS | 82 |
| AUTHOR COUNT | 16 |
| EDITOR COUNT | 1 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 6 |
Decolonising medicine
In response to calls for medicine, sociology, the university, and healthcare to be decolonised, this article considers the role of sociologists working in medical education in decolonising medicine. Efforts to decolonise medicine have largely focussed on biomedical knowledge and practice, while work to decolonise sociology has under-explored issues of health or medicine. Sociology in medical education sits between these two lines of work and has …
What we do and do not know about public inquiries
Public inquiries have become a common governmental response to high-profile organisational failures, disasters or flagrant abuses of professional standards. Inquiries are detailed investigations charged with establishing ‘the facts’, ‘learning lessons’ and making recommendations to prevent similar events recurring. Despite their increasing frequency and public importance, knowledge about inquiries is limited and fragmented across political scienc…
Organisational failure
The duty to protect patient welfare underpins undergraduate medical ethics and patient safety teaching. The current syllabus for patient safety emphasises the significance of organisational contribution to healthcare failures. However, the ongoing over-reliance on whistleblowing disproportionately emphasises individual contributions, alongside promoting a culture of blame and defensiveness among practitioners. Diane Vaughan’s ‘Normalisation of De…
Response to
Objective To explore the barriers and facilitators to inhaled asthma treatment in adolescents with asthma. Design Qualitative analysis of posts about inhaler treatment in adolescents from an online forum for people with asthma. Analysis informed by the Perceptions and Practicalities Approach. Participants Fifty-four forum participants (39 adolescents ≥16 years, 5 parents of adolescents, 10 adults with asthma) identified using search terms ‘teenag…
Describing failures of healthcare
In 2008, five 'serious untoward incidents' occurred on a small maternity unit in a hospital in the UK. The prevailing view, held by clinical staff, hospital managers, and executives, was that these events were unconnected and did not signal systemic failures in care. This view was maintained by the testimony of staff and governance procedures which prevented the incidents from being considered together. Drawing on the inquiry report of the Moreca…
NHS Inquiries and the Problem of Culture
If inquiries are about learning the lessons of the past, why do they appear to find the same failings time and again? Bristol, Mid Staffordshire, Morecambe Bay, Liverpool Community Health are all examples of where culture went wrong. The lack of learning from inquiries is a prominent concern and one raised elsewhere in this issue. In this article, I explore why it might be that culture is repeatedly found to be the cause of healthcare failures. I…
Cultures of caring
In the UK, a series of high-profile healthcare 'scandals' and subsequent inquiries repeatedly point to the pivotal role culture plays in producing and sustaining healthcare failures. Inquiries are a sociotechnology of accountability that signal a shift in how personal accountabilities of healthcare professionals are being configured. In focusing on problematic organizational cultures, these inquiries acknowledge, make visible, and seek to distrib…
An Alternative View of Self-Discharge Against Medical Advice
In this article, we present the experiences of discharging against medical advice from the perspectives of 17 hospital and community-based health care practitioners, and 16 patients, and relatives from a range of medical and surgical wards. Semistructured, in-depth interviews were conducted and thematically analyzed. We identified that practitioners, patients, and relatives frequently expressed empathy for each other during the interviews, and di…
Socialization, Indifference, and Convenience
The Chief Medical Officer recommends that all health care workers receive an influenza vaccination annually. High vaccination coverage is believed to be the best protection against the spread of influenza within a hospital, although uptake by health care workers remains low. We conducted semistructured interviews with seven medical students and nine early career doctors, to explore the factors informing their influenza vaccination decision making…
The social life of the dead
Decision-making and accountability
The cognitive and individual framing of clinical decision-making has been undermined in the social sciences by attempts to reframe decision-making as being distributed. In various ways, shifts in understanding in social science research and theorising have wrested clinical decision-making away from the exclusive domain of medical practice and shared it throughout the healthcare disciplines. The temporality of decision-making has been stretched fr…
Ethnographies of Diagnostic Work
The diverse studies of diagnostic work in this book give shape to a new view of diagnostic work. They highlight just how much more than individual cognitive capability is needed, the close relationship between analysis and intervention, the often implicit nature of diagnosis, and the fact that there are several degrees or levels of diagnostic work. Different knowledges, motivations, skills and forms of expertise are mobilised in often collaborati…
Refashioning Bodies, Reshaping Agency
Poovey has argued that the anesthetized "unresisting body" can offer no impediment to a doctor's interpretation of its conduct. In contrast, drawing on ethnographic data of anesthetic practice, this article suggests that the technological augmentation of the body required by present-day anesthesia enhances the ability of an unconscious body to convey its needs and shape the course of the anesthetic. In analyzing the expressions of anesthesia's cy…
Upsetting the Order of Teamwork
In this ar ticle I examine the spatial dimensions of the workplace, the arrangement of material resources, and the development of embodied knowledge. Drawing on ethnographic fieldwork of anaesthetic practice, I show how the accomplishment of anaesthetic techniques depends on the precise alignment of practitioners' bodies, tools, and the patient's body. By exploring disruptions to customar y configurations of teamwork I explore the utility of thes…
Safe asleep? Human-machine relations in medical practice
Access, boundaries and their effects
The distribution of work, knowledge and responsibilities in the delivery of anaesthesia has attained particular significance recently as attempts to meet the demands of the European Working Times Directive intensify existing pressures to reorganise anaesthetic services. Using Lave and Wenger's (1991) notions of 'legitimate peripheral participation' in 'communities of practice' (and Wenger 1998) to analyse ethnographic data of anaesthetic practice…
Ethics and Ethnography
In this article, the authors discuss an ethical dilemma faced by the first author during the fieldwork of an ethnographic study of expertise in anesthesia. The example, written from the perspective of the first author, addresses a number of ethical issues commonly faced, namely, the researcher-researched relationship, anonymity and confidentiality, privacy, and exploitation. She deliberates on the influences that guided her decision and in doing …
Ethics and Ethnography
In this article, the authors discuss an ethical dilemma faced by the first author during the fieldwork of an ethnographic study of expertise in anesthesia. The example, written from the perspective of the first author, addresses a number of ethical issues commonly faced, namely, the researcher-researched relationship, anonymity and confidentiality, privacy, and exploitation. She deliberates on the influences that guided her decision and in doing …
Access, boundaries and their effects
The distribution of work, knowledge and responsibilities in the delivery of anaesthesia has attained particular significance recently as attempts to meet the demands of the European Working Times Directive intensify existing pressures to reorganise anaesthetic services. Using Lave and Wenger's (1991) notions of 'legitimate peripheral participation' in 'communities of practice' (and Wenger 1998) to analyse ethnographic data of anaesthetic practice…
Cultures of caring
In the UK, a series of high-profile healthcare 'scandals' and subsequent inquiries repeatedly point to the pivotal role culture plays in producing and sustaining healthcare failures. Inquiries are a sociotechnology of accountability that signal a shift in how personal accountabilities of healthcare professionals are being configured. In focusing on problematic organizational cultures, these inquiries acknowledge, make visible, and seek to distrib…
Decision-making and accountability
The cognitive and individual framing of clinical decision-making has been undermined in the social sciences by attempts to reframe decision-making as being distributed. In various ways, shifts in understanding in social science research and theorising have wrested clinical decision-making away from the exclusive domain of medical practice and shared it throughout the healthcare disciplines. The temporality of decision-making has been stretched fr…
Safe asleep? Human-machine relations in medical practice
Refashioning Bodies, Reshaping Agency
Poovey has argued that the anesthetized "unresisting body" can offer no impediment to a doctor's interpretation of its conduct. In contrast, drawing on ethnographic data of anesthetic practice, this article suggests that the technological augmentation of the body required by present-day anesthesia enhances the ability of an unconscious body to convey its needs and shape the course of the anesthetic. In analyzing the expressions of anesthesia's cy…
Upsetting the Order of Teamwork
In this ar ticle I examine the spatial dimensions of the workplace, the arrangement of material resources, and the development of embodied knowledge. Drawing on ethnographic fieldwork of anaesthetic practice, I show how the accomplishment of anaesthetic techniques depends on the precise alignment of practitioners' bodies, tools, and the patient's body. By exploring disruptions to customar y configurations of teamwork I explore the utility of thes…
NHS Inquiries and the Problem of Culture
If inquiries are about learning the lessons of the past, why do they appear to find the same failings time and again? Bristol, Mid Staffordshire, Morecambe Bay, Liverpool Community Health are all examples of where culture went wrong. The lack of learning from inquiries is a prominent concern and one raised elsewhere in this issue. In this article, I explore why it might be that culture is repeatedly found to be the cause of healthcare failures. I…
An Alternative View of Self-Discharge Against Medical Advice
In this article, we present the experiences of discharging against medical advice from the perspectives of 17 hospital and community-based health care practitioners, and 16 patients, and relatives from a range of medical and surgical wards. Semistructured, in-depth interviews were conducted and thematically analyzed. We identified that practitioners, patients, and relatives frequently expressed empathy for each other during the interviews, and di…
Socialization, Indifference, and Convenience
The Chief Medical Officer recommends that all health care workers receive an influenza vaccination annually. High vaccination coverage is believed to be the best protection against the spread of influenza within a hospital, although uptake by health care workers remains low. We conducted semistructured interviews with seven medical students and nine early career doctors, to explore the factors informing their influenza vaccination decision making…
Ethics and Ethnography
In this article, the authors discuss an ethical dilemma faced by the first author during the fieldwork of an ethnographic study of expertise in anesthesia. The example, written from the perspective of the first author, addresses a number of ethical issues commonly faced, namely, the researcher-researched relationship, anonymity and confidentiality, privacy, and exploitation. She deliberates on the influences that guided her decision and in doing …
Safe asleep? Human-machine relations in medical practice
Access, boundaries and their effects
The distribution of work, knowledge and responsibilities in the delivery of anaesthesia has attained particular significance recently as attempts to meet the demands of the European Working Times Directive intensify existing pressures to reorganise anaesthetic services. Using Lave and Wenger's (1991) notions of 'legitimate peripheral participation' in 'communities of practice' (and Wenger 1998) to analyse ethnographic data of anaesthetic practice…
Upsetting the Order of Teamwork
In this ar ticle I examine the spatial dimensions of the workplace, the arrangement of material resources, and the development of embodied knowledge. Drawing on ethnographic fieldwork of anaesthetic practice, I show how the accomplishment of anaesthetic techniques depends on the precise alignment of practitioners' bodies, tools, and the patient's body. By exploring disruptions to customar y configurations of teamwork I explore the utility of thes…
Refashioning Bodies, Reshaping Agency
Poovey has argued that the anesthetized "unresisting body" can offer no impediment to a doctor's interpretation of its conduct. In contrast, drawing on ethnographic data of anesthetic practice, this article suggests that the technological augmentation of the body required by present-day anesthesia enhances the ability of an unconscious body to convey its needs and shape the course of the anesthetic. In analyzing the expressions of anesthesia's cy…
Ethnographies of Diagnostic Work
The diverse studies of diagnostic work in this book give shape to a new view of diagnostic work. They highlight just how much more than individual cognitive capability is needed, the close relationship between analysis and intervention, the often implicit nature of diagnosis, and the fact that there are several degrees or levels of diagnostic work. Different knowledges, motivations, skills and forms of expertise are mobilised in often collaborati…
Decision-making and accountability
The cognitive and individual framing of clinical decision-making has been undermined in the social sciences by attempts to reframe decision-making as being distributed. In various ways, shifts in understanding in social science research and theorising have wrested clinical decision-making away from the exclusive domain of medical practice and shared it throughout the healthcare disciplines. The temporality of decision-making has been stretched fr…
The social life of the dead
Socialization, Indifference, and Convenience
The Chief Medical Officer recommends that all health care workers receive an influenza vaccination annually. High vaccination coverage is believed to be the best protection against the spread of influenza within a hospital, although uptake by health care workers remains low. We conducted semistructured interviews with seven medical students and nine early career doctors, to explore the factors informing their influenza vaccination decision making…
Cultures of caring
In the UK, a series of high-profile healthcare 'scandals' and subsequent inquiries repeatedly point to the pivotal role culture plays in producing and sustaining healthcare failures. Inquiries are a sociotechnology of accountability that signal a shift in how personal accountabilities of healthcare professionals are being configured. In focusing on problematic organizational cultures, these inquiries acknowledge, make visible, and seek to distrib…
An Alternative View of Self-Discharge Against Medical Advice
In this article, we present the experiences of discharging against medical advice from the perspectives of 17 hospital and community-based health care practitioners, and 16 patients, and relatives from a range of medical and surgical wards. Semistructured, in-depth interviews were conducted and thematically analyzed. We identified that practitioners, patients, and relatives frequently expressed empathy for each other during the interviews, and di…
NHS Inquiries and the Problem of Culture
If inquiries are about learning the lessons of the past, why do they appear to find the same failings time and again? Bristol, Mid Staffordshire, Morecambe Bay, Liverpool Community Health are all examples of where culture went wrong. The lack of learning from inquiries is a prominent concern and one raised elsewhere in this issue. In this article, I explore why it might be that culture is repeatedly found to be the cause of healthcare failures. I…
Describing failures of healthcare
In 2008, five 'serious untoward incidents' occurred on a small maternity unit in a hospital in the UK. The prevailing view, held by clinical staff, hospital managers, and executives, was that these events were unconnected and did not signal systemic failures in care. This view was maintained by the testimony of staff and governance procedures which prevented the incidents from being considered together. Drawing on the inquiry report of the Moreca…
Organisational failure
The duty to protect patient welfare underpins undergraduate medical ethics and patient safety teaching. The current syllabus for patient safety emphasises the significance of organisational contribution to healthcare failures. However, the ongoing over-reliance on whistleblowing disproportionately emphasises individual contributions, alongside promoting a culture of blame and defensiveness among practitioners. Diane Vaughan’s ‘Normalisation of De…
Response to
Objective To explore the barriers and facilitators to inhaled asthma treatment in adolescents with asthma. Design Qualitative analysis of posts about inhaler treatment in adolescents from an online forum for people with asthma. Analysis informed by the Perceptions and Practicalities Approach. Participants Fifty-four forum participants (39 adolescents ≥16 years, 5 parents of adolescents, 10 adults with asthma) identified using search terms ‘teenag…
What we do and do not know about public inquiries
Public inquiries have become a common governmental response to high-profile organisational failures, disasters or flagrant abuses of professional standards. Inquiries are detailed investigations charged with establishing ‘the facts’, ‘learning lessons’ and making recommendations to prevent similar events recurring. Despite their increasing frequency and public importance, knowledge about inquiries is limited and fragmented across political scienc…
Decolonising medicine
In response to calls for medicine, sociology, the university, and healthcare to be decolonised, this article considers the role of sociologists working in medical education in decolonising medicine. Efforts to decolonise medicine have largely focussed on biomedical knowledge and practice, while work to decolonise sociology has under-explored issues of health or medicine. Sociology in medical education sits between these two lines of work and has …
Psychology (11 works) · Sociology (11 works) · Political science (8 works) · Law (7 works) · Medicine (7 works) · Engineering (6 works) · Health care (6 works) · Ethnography (5 works) · Public relations (5 works) · Social Psychology (5 works)