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Modes of Orderings and Standardisation: Enacting medical and social conditions through care planning and record keeping within acute inpatient care and community care settings

Hild, Andreas (2007) Modes of Orderings and Standardisation: Enacting medical and social conditions through care planning and record keeping within acute inpatient care and community care settings. John Rylands University Library, Manchester, UK.

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Abstract

This thesis investigates the relationship between objects and organisational forms, with particular reference to the transformation and enactment of clinical and administrative objects, practices and relations within NHS inpatient and community care settings. Through the use of an ethnographic style of enquiry this thesis investigates inpatient admission and discharge processes in the light of various health and social care practices, service commissioning issues, the Department of Health's initiative of the Care Planning Approach and other local electronic-based initiatives, and how this relates to the notions of “good” and “bad” practices, changing regimes of trust from practitioners to administrators, and from experts to documentary evidence. In particular, a range of narratives associated with mental health care which seek to provide a coordinating frame for different relations are reviewed. This involves exploring the attempts to link different information practices and ontologically distinct objects, and how this process relies on both multiplicity and singularity (e.g. both a sense of stability and heterogenous relations). Finally, this research examines how these mediating objects and processes in acute inpatient care settings seek to contribute to the creation of composite conditions and multiple bodies that fractionally relate to one another, but also the many problems experienced by those involved in the process of mental health care. In conclusion, this thesis explores several issues relating to specific organisational practices of care planning and record keeping, as well as broader questions of how objects are both enacted and enact practices in relation to complex modes of orderings and standardisation.

Item Type: Other
Copyright, Publisher and Additional Information: 1. Copyright in text of this thesis rests with the author. Copies (by any process) either in full, or of extracts, may be made only in accordance with instructions given by the author and lodged in the John Rylands University Library of Manchester. Details may be obtained from the Librarian. This page must form part of any such copies made. Further copies (by any process) of copies made in accordance with such instructions may not be made without permission (in writing) of the Author. 2. The ownership of any intellectual property rights which may be described in this thesis is vested in the University of Manchester, subject to any prior agreement to the contrary, and may not be made available for use by third parties without the written permission of the University, which will prescribe the terms and conditions of any such agreement. 3. Further information on the conditions under which disclosures and exploitation may take place is available from the Dean of Manchester Business School
Keywords: Sociology of Science and technology, Sociology of Translation, Actor Network Theory, standardisation, inpatient care, community care
Institution: The University of Leeds
Academic Units: The University of Leeds > Faculty of Medicine and Health (Leeds) > Institute of Health Sciences (Leeds) > Centre for Health and Social Care (Leeds)
Depositing User: Andreas Hild
Date Deposited: 03 Sep 2009 16:53
Last Modified: 18 Jun 2014 15:15
Published Version: http://www.library.manchester.ac.uk/
Status: Published
Publisher: John Rylands University Library
Identification Number: Th29482-ER84Q
URI: http://eprints.whiterose.ac.uk/id/eprint/9266

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