Muscling in and Making Space
Demonstrable Claims' and 'Jurisdictional Clipping' in the Reconfiguration of Professional Jurisdictions in the Surgical Care of Older People
Bibliographic Data
| ID | 2250463 |
|---|---|
| Authors | J Waring (0000-0003-1459-5896, School of Social Science and Humanities Loughborough University Loughborough UK), Graham P Martins (0000-0003-1979-7577, University of Cambridge), Graham P Martin (The Healthcare Improvement Studies Institute University of Cambridge Cambridge UK) |
| Year | 2025 |
| Volume | 47 |
| Issue | 2 |
| Pages | e70003-e70003 |
| Publication date | 2025-02-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.70003 |
| PMID | 39950514 |
| OpenAlex | W4407583591 |
| Language | EN |
| Citations received | 1 |
| References cited | 45 |
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 geriatric expertise into the non-surgical peripheries of the pathway. By progressively demonstrating their ability to mitigate risks and improve surgical outcomes, geriatricians acquired an expanded role in the care pathway. This paper develops the concepts of 'demonstrable claims' and 'jurisdictional clipping' to explain the strategies of jurisdictional expansion. It also problematises these strategies by suggesting that role expansion was controlled and contained by more powerful incumbent groups, whereby the expansion of work was limited to temporal and spatial peripheries that were less valued by surgeons or anaesthetists
Business · Health care · Older people · Opposition (politics · Perioperative · Political science · Public relations · Dental Education, Practice, Research · Healthcare Quality and Management · Healthcare Systems and Challenges · Law · Medicine · Nursing · Psychology · Surgery · Gerontology
The System of Professions
Boundary Work among Groups, Occupations, and Organizations
Perspective—Professional Work
Legitimizing a New Role
Seeking Qualitative Rigor in Inductive Research
Professional status in a changing world
The cause of death vs. the gift of life
Invisible walls within multidisciplinary teams
Reconfiguring or reproducing intra-professional boundaries? Specialist expertise, generalist knowledge and the 'modernization' of the medical workforce
The struggle to improve patient care in the face of professional boundaries
The roles of specialisation and evidence-based practice in inter-professional jurisdictions
Brokerage Professions and Implementing Reform in an Age of Experts
Grounded theory research
Professional competition and modernizing the clinical workforce in the NHS
Doing Occupational Demarcation
Modernisation as a professionalising strategy
The role of governmentality in the establishment, maintenance and demise of professional jurisdictions
Professional legitimacy claims in the multidisciplinary workplace
Dynamic professional boundaries in the healthcare workforce
Linked Ecologies
Hospital consultations and jurisdiction over patients
The Nursing-Medical Boundary
Ecologies of Boundaries
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |