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Negotiating Tensions on the Front Line

Circuits of Accountability and Self-governance in Institutional Care of Adults with Intellectual Disability

Dados Bibliográficos

ID2374367
AutoresKhalilah Robinson Johnson (0000-0003-4774-056X, University of North Carolina at Chapel Hill, autor correspondente), Nancy Bagatell (0000-0001-7275-4125, University of North Carolina at Chapel Hill)
Ano2020
Volume34
Fascículo4
Páginas644-660
Data de publicação2020-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoWork Employment and Society (JOURNAL)
Identificadores do periódicoISSN: 0950-0170 • E-ISSN: 1469-8722
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/0950017019872647
OpenAlexW2987916923
IdiomaEN
Citações recebidas5
Referências citadas27

This article explores how circuits of accountability impact front-line service work in an intermediate care facility for individuals with intellectual disability (ICF/IID). Institutional ethnography as a theory and methodology guided the data collection and analysis processes. Participant observation and interviews were completed, and text work was employed to make visible the ways staff enacted what they believed to be their roles and responsibilities. Results indicated the service criteria established by regulatory agencies were interpreted and executed in ways that negatively influenced staff's moral care to residents and restricted their ability to self-govern and utilize their experiential knowledge. Additionally, the institution's circuits of accountability reflected ideals of front-line work that were inconsistent with staff's perception of their responsibilities. These findings have implications for management and implementation of direct care in ICFs/IID and underscore the importance of aligning moral care and self-governance to front-line service work

Accountability · Business · Corporate governance · Front line · Negotiation · Political science · Public relations · Service (business · Sociology · Work (physics · Healthcare Decision-Making and Restraints · Mental Health and Patient Involvement · Psychology · Qualitative Research Methods and Ethics

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Obras citantes distintas5
Citações por ano0,83
Intervalo de citações2020 - 2026 (7)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 5
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