Risk, governance and the experience of care

Hillman, Alexandra ORCID: https://orcid.org/0000-0003-1859-1075, Tadd, Winifred, Calnan, Sian, Calnan, Michael, Bayer, Antony James ORCID: https://orcid.org/0000-0002-7514-248X and Read, Simon Mark 2013. Risk, governance and the experience of care. Sociology of Health and Illness 35 (6) , pp. 939-955. 10.1111/1467-9566.12017 Item availability restricted.

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Abstract

Drawing on perspectives from the governmentality literature and the sociology of risk, this article explores the strategies, tools and mechanisms for managing risk in acute hospital trusts in the United Kingdom. The article uses qualitative material from an ethnographic study of four acute hospital trusts undertaken between 2008 and 2010 focusing on the provision of dignified care for older people. Extracts from ethnographic material show how the organisational mechanisms that seek to manage risk shape the ways in which staff interact with and care for patients. The article bridges the gap between the sociological analysis of policy priorities, management strategy and the organisational cultures of the NHS, and the everyday interactions of care provision. In bringing together this ethnographic material with sociological debates on the regulation of healthcare, the article highlights the specific ways in which forms of governance shape how staff care for their patients challenging the possibility of providing dignified care for older people.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Centre for Economic and Social Aspects of Genomics (CESAGen) Medicine Social Sciences (Includes Criminology and Education)
Subjects:	H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine
Uncontrolled Keywords:	clinical governance; risk; care; dignity; older people
Additional Information:	Article first published online: 29 January 2013
Publisher:	Wiley-Blackwell
ISSN:	0141-9889
Date of First Compliant Deposit:	30 March 2016
Last Modified:	06 Nov 2024 00:00
URI:	https://orca.cardiff.ac.uk/id/eprint/46854

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