Bedtime negotiations

Unravelling normative complexity in hospital-based prevention

Dados Bibliográficos

ID2250226
AutoresHugo Peeters (0000-0003-3738-6915, Erasmus School of Health Policy & Management Erasmus University Rotterdam Rotterdam The Netherlands, autor correspondente), Lieke Oldenhof (0000-0001-6188-3933, Erasmus University Rotterdam), Lieke E Oldenhof (Erasmus School of Health Policy & Management Erasmus University Rotterdam Rotterdam The Netherlands), Wilma Van Der Scheer (0000-0002-7910-5838, Erasmus School of Health Policy & Management Erasmus University Rotterdam Rotterdam The Netherlands), Kim Putters (Tilburg University Tilburg The Netherlands)
Ano2023
Volume45
Fascículo5
Páginas1082-1100
Data de publicação2023-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociology of Health & Illness (JOURNAL)
Identificadores do periódicoISSN: 0141-9889 • E-ISSN: 1467-9566
EditoraWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.13633
PMID36967487
OpenAlexW4360985093
IdiomaEN
Citações recebidas1
Referências citadas55

This study explores how actors deal with normative complexity in the design and implementation of practices of preventative care. Previous studies have identified conflicting (e)valuations of prevention within health care at large, but little empirical research describes how these conflicts are resolved in day-to-day interactions. Zooming in on the work of a single actor, our ethnographic study describes a Dutch psychiatrist developing a novel type of hospital bed that provides preventative psychiatric care for women in the post-partum period. Drawing on pragmatic sociology of justification, we construe 'beds'-and the time, people and resources they represent-as points of convergence between conflicting valuations of care. The results show that embedded modes of valuation in a curative hospital setting generate significant normative complexity during implementation. We identify three main strategies through which normative complexity is managed: (a) translating between different modes of valuing prevention, (b) compromising in (material) design of care beds and (c) transcending embedded valuations through moral appeals. By showing the normative complexity of prevention in practice, our study highlights the need for a diverse and situated accounting for preventative care

Adversarial system · Business · Health care · Negotiation · Normative · Political science · Preventive care · Situated · Social science · Sociology · Valuation (finance · Artificial Intelligence · Computer Science · Health Policy Implementation Science · Law · Management and Organizational Studies · Medicine · Mental Health and Patient Involvement · Nursing · Psychology · Social Psychology