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

Goodwin, Dawn and Pope, Catherine and Mort, Maggie and Smith, Andrew (2005) Access, Boundaries and their effects: legitimate participation in anaesthesia. Sociology of Health and Illness, 27 (6). pp. 855-871. ISSN 0141-9889

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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.

Item Type: Article
Journal or Publication Title: Sociology of Health and Illness
Uncontrolled Keywords: anaesthesia • boundaries • communities of practice • ethnography
Subjects: H Social Sciences > H Social Sciences (General)
Departments: Faculty of Health and Medicine > Health Research
Faculty of Health and Medicine > Medicine
ID Code: 22908
Deposited By: Dr Dawn Goodwin
Deposited On: 07 Jan 2009 10:28
Refereed?: Yes
Published?: Published
Last Modified: 26 Jul 2012 16:08
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/22908

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