Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Access, Boundaries and their effects: legitimate participation in anaesthesia.
AU - Goodwin, Dawn
AU - Pope, Catherine
AU - Mort, Maggie
AU - Smith, Andrew
PY - 2005/9
Y1 - 2005/9
N2 - 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.
AB - 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.
KW - anaesthesia • boundaries • communities of practice • ethnography
U2 - 10.1111/j.1467-9566.2005.00477.x
DO - 10.1111/j.1467-9566.2005.00477.x
M3 - Journal article
VL - 27
SP - 855
EP - 871
JO - Sociology of Health and Illness
JF - Sociology of Health and Illness
SN - 0141-9889
IS - 6
ER -