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Access, Boundaries and their effects: legitimate participation in anaesthesia.

Research output: Contribution to journalJournal article

Published

Journal publication date09/2005
JournalSociology of Health and Illness
Journal number6
Volume27
Number of pages17
Pages855-871
Original languageEnglish

Abstract

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 we illustrate how work and knowledge are currently configured, and when knowledge may legitimately be taken as the basis for action. The ability to initiate action, to prescribe healthcare interventions, we suggest, is a critical element in the organisation of anaesthetic practices and therefore central to any attempts to reshape the delivery of anaesthetic services.