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Power/knowledge, identity and patien...

Rowland, Paula.

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Power/knowledge, identity and patient safety: Intersections of patient safety and professional practice discourses in a Canadian acute care hospital.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Power/knowledge, identity and patient safety: Intersections of patient safety and professional practice discourses in a Canadian acute care hospital./
Author:	Rowland, Paula.
Description:	207 p.
Notes:	Source: Dissertation Abstracts International, Volume: 74-05(E), Section: A.
Contained By:	Dissertation Abstracts International74-05A(E).
Subject:	Sociology, Organizational. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3549754
ISBN:	9781267863393

Power/knowledge, identity and patient safety: Intersections of patient safety and professional practice discourses in a Canadian acute care hospital.
Rowland, Paula.

Power/knowledge, identity and patient safety: Intersections of patient safety and professional practice discourses in a Canadian acute care hospital. - 207 p.

Source: Dissertation Abstracts International, Volume: 74-05(E), Section: A.

Thesis (Ph.D.)--Fielding Graduate University, 2013.

This thesis is concerned with discourses of patient safety operating within the Canadian acute hospital setting. Generally, this concern is with the productive effects of patient safety discourses, meaning the ways in which discourses produce ways in which we can think about, talk about, and know about patient safety. More precisely, the object of study is the intersections of patient safety discourses with specific professional discourses. This study begins with the assumption that these intersections are important because they are productive, meaning that the intersections themselves create possibilities for action. As patient safety discourses intersect with the discourses that construct professional bodies, and it is these professional bodies that must interact to enact patient safety, an examination of these intersections addresses a critical gap in mainstream patient safety literature.

ISBN: 9781267863393Subjects--Topical Terms:

1018023
Sociology, Organizational.

Power/knowledge, identity and patient safety: Intersections of patient safety and professional practice discourses in a Canadian acute care hospital.
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020 $a 9781267863393
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100 1 $a Rowland, Paula. $3 2095818
245 1 0 $a Power/knowledge, identity and patient safety: Intersections of patient safety and professional practice discourses in a Canadian acute care hospital.
300 $a 207 p.
500 $a Source: Dissertation Abstracts International, Volume: 74-05(E), Section: A.
500 $a Adviser: Marie P. Farrell.
502 $a Thesis (Ph.D.)--Fielding Graduate University, 2013.
520 $a This thesis is concerned with discourses of patient safety operating within the Canadian acute hospital setting. Generally, this concern is with the productive effects of patient safety discourses, meaning the ways in which discourses produce ways in which we can think about, talk about, and know about patient safety. More precisely, the object of study is the intersections of patient safety discourses with specific professional discourses. This study begins with the assumption that these intersections are important because they are productive, meaning that the intersections themselves create possibilities for action. As patient safety discourses intersect with the discourses that construct professional bodies, and it is these professional bodies that must interact to enact patient safety, an examination of these intersections addresses a critical gap in mainstream patient safety literature.
520 $a The conceptual framework used to inform this study is built primarily from Michel Foucault's concepts of discourse, subjectivity, and governmentality. To bring focus to the study, the object of consideration is limited to patient safety discourses operating within a single, Canadian tertiary hospital. The focus is further limited to considerations of safety applied to patients, age 60 years or older, admitted to acute medical units.
520 $a This study proceeded in phases. The first phase was a document analysis of relevant national, provincial, regional, and organizational texts. The second phase involved interviews of formal leaders (n=6) involved in translating provincial health policy into organizational programs. The third phase involved interviews of practicing clinicians from four professional groups: medicine (n=2), nursing ( n=3), rehabilitation therapy (n=2), and social work (n=2). Analysis was informed through Dean's (2010) analytics of government.
520 $a The overarching argument displaces the notion of patient safety as constructed from a neutral, objective, and ahistorical safety science. Instead, this argument brings attention to how patient safety discourses intersect with professional discourses in ways that produce certain truths about practice, require particular subjectivities from clinicians and patients, and therefore have implications for the relationships between clinicians and managers, between clinicians from different professions, and between clinicians and patients. The final discussion frames patient safety discourses as forms of disciplinary logic, acting as modes of organizing at an institutional level while intersecting with advanced liberal modes of governing operating at the level of society.
590 $a School code: 1503.
650 4 $a Sociology, Organizational. $3 1018023
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0703
690 $a 0769
710 2 $a Fielding Graduate University. $b The School of Human and Organization Development. $3 1670280
773 0 $t Dissertation Abstracts International $g 74-05A(E).
790 $a 1503
791 $a Ph.D.
792 $a 2013
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3549754