IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v245y2020ics0277953619306823.html
   My bibliography  Save this article

Boundary spanners: Negotiating connections across primary care and domestic violence and abuse services

Author

Listed:
  • Dowrick, Anna
  • Kelly, Moira
  • Feder, Gene

Abstract

Improving access to support for people experiencing domestic violence and abuse requires better connections between healthcare services and specialist domestic violence and abuse (DVA) support agencies. We examined the work involved in restructuring the relationship between primary care and specialist DVA support services. This was part of a broader study of the implementation of a general practice DVA training and support programme (IRIS). We conducted an ethnography in two different UK areas where the IRIS programme was being delivered. We investigated the work done by specialist DVA workers (Advocate Educators) in the dual role of providing training to GPs and advocacy support to patients. Drawing on concepts of boundary actors and boundary objects, we examined how interactions between clinicians and patients changed after the introduction of the IRIS programme. The referral pathway emerged as a boundary object, meeting a shared ambition of general practitioners and patients to distribute responsibility for addressing DVA. However, maintaining this as a boundary object-in-use required significant, and often unseen, work on the part of the Advocate Educator as boundary spanner. Our study contributes to scholarship on boundary work by highlighting the role of marginal boundary actors in maintaining the use of boundary objects among disparate groups.

Suggested Citation

  • Dowrick, Anna & Kelly, Moira & Feder, Gene, 2020. "Boundary spanners: Negotiating connections across primary care and domestic violence and abuse services," Social Science & Medicine, Elsevier, vol. 245(C).
    • Handle: RePEc:eee:socmed:v:245:y:2020:i:c:s0277953619306823
    DOI: 10.1016/j.socscimed.2019.112687
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953619306823
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2019.112687?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Owens, Kellie, 2015. "Boundary objects in complementary and alternative medicine: Acupuncture vs. Christian Science," Social Science & Medicine, Elsevier, vol. 128(C), pages 18-24.
    2. Wright, Sarah & Porteous, Mary & Stirling, Diane & Young, Oliver & Gourley, Charlie & Hallowell, Nina, 2019. "Negotiating jurisdictional boundaries in response to new genetic possibilities in breast cancer care: The creation of an ‘oncogenetic taskscape’," Social Science & Medicine, Elsevier, vol. 225(C), pages 26-33.
    3. Lindberg, Kajsa & Walter, Lars & Raviola, Elena, 2017. "Performing boundary work: The emergence of a new practice in a hybrid operating room," Social Science & Medicine, Elsevier, vol. 182(C), pages 81-88.
    4. Allen, Davina, 2009. "From boundary concept to boundary object: The practice and politics of care pathway development," Social Science & Medicine, Elsevier, vol. 69(3), pages 354-361, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Fleming, Mark D. & Safaeinili, Nadia & Knox, Margae & Hernandez, Elizabeth & Brewster, Amanda L., 2023. "Between health care and social services: Boundary objects and cross-sector collaboration," Social Science & Medicine, Elsevier, vol. 320(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fleming, Mark D. & Safaeinili, Nadia & Knox, Margae & Hernandez, Elizabeth & Brewster, Amanda L., 2023. "Between health care and social services: Boundary objects and cross-sector collaboration," Social Science & Medicine, Elsevier, vol. 320(C).
    2. Cupit, Caroline, 2022. "Public health in the making: Dietary innovators and their on-the-job sociology," Social Science & Medicine, Elsevier, vol. 305(C).
    3. Per Magnus Mæhle & Ingrid Kristine Small Hanto & Sigbjørn Smeland, 2020. "Practicing Integrated Care Pathways in Norwegian Hospitals: Coordination through Industrialized Standardization, Value Chains, and Quality Management or an Organizational Equivalent to Improvised Jazz," IJERPH, MDPI, vol. 17(24), pages 1-32, December.
    4. Gilbert, Patrick & Laporte, Marie-Eve, 2022. "War and peace in hospitals: Humans, objects and paradoxes," Journal of Business Research, Elsevier, vol. 141(C), pages 253-263.
    5. Kristín Björnsdóttir, 2014. "The place of standardisation in home care practice: an ethnographic study," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(9-10), pages 1411-1420, May.
    6. Davina Allen & Carl May, 2017. "Organizing Practice and Practicing Organization: An Outline of Translational Mobilization Theory," SAGE Open, , vol. 7(2), pages 21582440177, June.
    7. Lindberg, Kajsa & Mørk, Bjørn Erik & Walter, Lars, 2019. "Emergent coordination and situated learning in a Hybrid OR: The mixed blessing of using radiation," Social Science & Medicine, Elsevier, vol. 228(C), pages 232-239.
    8. Skovgaard, Anna Louise & Jørgensen, Marianne Johansson & Tjørnhøj-Thomsen, Tine & Høybye, Mette Terp, 2022. "Discharge readiness as an infrastructure: Negotiating the transfer of care for elderly patients in medical wards," Social Science & Medicine, Elsevier, vol. 312(C).
    9. Krafft, Manfred & Sajtos, Laszlo & Haenlein, Michael, 2020. "Challenges and Opportunities for Marketing Scholars in Times of the Fourth Industrial Revolution," Journal of Interactive Marketing, Elsevier, vol. 51(C), pages 1-8.
    10. Zarhin, Dana & Negev, Maya & Vulfsons, Simon & Sznitman, Sharon R., 2018. "Rhetorical and regulatory boundary-work: The case of medical cannabis policy-making in Israel," Social Science & Medicine, Elsevier, vol. 217(C), pages 1-9.
    11. Mériade, Laurent & Rochette, Corinne, 2021. "Integrated care pathway for breast cancer: A relational and geographical approach," Social Science & Medicine, Elsevier, vol. 270(C).
    12. Pedersen, Kirstine Zinck & Roelsgaard Obling, Anne, 2020. "‘It's all about time’: Temporal effects of cancer pathway introduction in treatment and care," Social Science & Medicine, Elsevier, vol. 246(C).
    13. Knaapen, Loes & Cazeneuve, Hervé & Cambrosio, Alberto & Castel, Patrick & Fervers, Beatrice, 2010. "Pragmatic evidence and textual arrangements: A case study of French clinical cancer guidelines," Social Science & Medicine, Elsevier, vol. 71(4), pages 685-692, August.
    14. Standing, Holly & Patterson, Rebecca & Dalkin, Sonia & Exley, Catherine & Brittain, Katie, 2020. "A critical exploration of professional jurisdictions and role boundaries in inter-professional end-of-life care in the community," Social Science & Medicine, Elsevier, vol. 266(C).
    15. Per Magnus Mæhle & Senada Hajdarevic & Erna Håland & Rikke Aarhus & Sigbjørn Smeland & Bjørn Erik Mørk, 2021. "Exploring the triggering process of a cancer care reform in three Scandinavian countries," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(6), pages 2231-2247, November.
    16. Battin, Gudrun Songøygard & Romsland, Grace Inga & Christiansen, Bjørg, 2021. "The puzzle of therapeutic emplotment: creating a shared clinical plot through interprofessional interaction in biopsychosocial pain rehabilitation," Social Science & Medicine, Elsevier, vol. 277(C).
    17. Wright, Sarah & Porteous, Mary & Stirling, Diane & Young, Oliver & Gourley, Charlie & Hallowell, Nina, 2019. "Negotiating jurisdictional boundaries in response to new genetic possibilities in breast cancer care: The creation of an ‘oncogenetic taskscape’," Social Science & Medicine, Elsevier, vol. 225(C), pages 26-33.
    18. Saario, Sirpa & Hall, Christopher & Peckover, Sue, 2012. "Inter-professional electronic documents and child health: A study of persisting non-electronic communication in the use of electronic documents," Social Science & Medicine, Elsevier, vol. 75(12), pages 2207-2214.
    19. Wiig, Siri & Robert, Glenn & Anderson, Janet E. & Pietikainen, Elina & Reiman, Teemu & Macchi, Luigi & Aase, Karina, 2014. "Applying different quality and safety models in healthcare improvement work: Boundary objects and system thinking," Reliability Engineering and System Safety, Elsevier, vol. 125(C), pages 134-144.
    20. Mathias Waelli & Marie-Léandre Gomez & Claude Sicotte & Adrian Zicari & Jean-Yves Bonnefond & Philippe Lorino & Etienne Minvielle, 2016. "Keys to successful implementation of a French national quality indicator in health care organizations: a qualitative study," Post-Print hal-01632642, HAL.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:245:y:2020:i:c:s0277953619306823. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.