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“We don't experiment with our patients!” An ethnographic account of the epistemic politics of (re)designing nursing work

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  • Kuijper, Syb
  • Felder, Martijn
  • Clegg, Stewart
  • Bal, Roland
  • Wallenburg, Iris

Abstract

This article draws on ethnographic research investigating experimental reform projects in local nursing practices. These are aimed at strengthening nursing work and fostering nurses' position within healthcare through bottom-up nurse-driven innovations. Based on literature on epistemic politics and critical nursing studies, the study examines and conceptualizes how these nurses promote professional and organizational change. The research draws on data from two pilot projects to show how epistemic politics frame the production and use of knowledge within reform efforts. The study finds that knowledge produced through such experimenting is often not considered valid within the contexts of broader organizational transitions. The nurse-driven innovations fail to meet established legitimate criteria for informing change, both among stakeholders in the nurses' socio-political environment, as well as within the nursing community. The research reveals that the processes inadvertently reinforce normative knowledge hierarchies, perpetuating forms of epistemic injustice, limiting both nurses' ability to function as change agents and healthcare organizations’ capacity to learn.

Suggested Citation

  • Kuijper, Syb & Felder, Martijn & Clegg, Stewart & Bal, Roland & Wallenburg, Iris, 2024. "“We don't experiment with our patients!” An ethnographic account of the epistemic politics of (re)designing nursing work," Social Science & Medicine, Elsevier, vol. 340(C).
    • Handle: RePEc:eee:socmed:v:340:y:2024:i:c:s0277953623008390
    DOI: 10.1016/j.socscimed.2023.116482
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    1. Philip R.P. Coelho & James E. McClure, 2005. "Learning from Failure," American Journal of Business, Emerald Group Publishing Limited, vol. 20(1), pages 1-1, April.
    2. Debra Jackson & Caroline Bradbury‐Jones & Diana Baptiste & Leslie Gelling & Karen Morin & Stephen Neville & Graeme D. Smith, 2020. "Life in the pandemic: Some reflections on nursing in the context of COVID‐19," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2041-2043, July.
    3. Sheard, Laura & Marsh, Claire & O'Hara, Jane & Armitage, Gerry & Wright, John & Lawton, Rebecca, 2017. "The Patient Feedback Response Framework – Understanding why UK hospital staff find it difficult to make improvements based on patient feedback: A qualitative study," Social Science & Medicine, Elsevier, vol. 178(C), pages 19-27.
    4. Vernooij, Eva & Koker, Francess & Street, Alice, 2022. "Responsibility, repair and care in Sierra Leone's health system," Social Science & Medicine, Elsevier, vol. 300(C).
    5. Carr, E. Summerson & Obertino-Norwood, Hannah, 2022. "Legitimizing evidence: The trans-institutional life of evidence-based practice," Social Science & Medicine, Elsevier, vol. 310(C).
    6. Perrotta, Manuela & Geampana, Alina, 2020. "The trouble with IVF and randomised control trials: Professional legitimation narratives on time-lapse imaging and evidence-informed care," Social Science & Medicine, Elsevier, vol. 258(C).
    7. Kuhlmann, Stefan & Stegmaier, Peter & Konrad, Kornelia, 2019. "The tentative governance of emerging science and technology—A conceptual introduction," Research Policy, Elsevier, vol. 48(5), pages 1091-1097.
    8. Haridimos Tsoukas & Robert Chia, 2002. "On Organizational Becoming: Rethinking Organizational Change," Organization Science, INFORMS, vol. 13(5), pages 567-582, October.
    9. Salhani, Daniel & Coulter, Ian, 2009. "The politics of interprofessional working and the struggle for professional autonomy in nursing," Social Science & Medicine, Elsevier, vol. 68(7), pages 1221-1228, April.
    10. Nugus, Peter & Greenfield, David & Travaglia, Joanne & Westbrook, Johanna & Braithwaite, Jeffrey, 2010. "How and where clinicians exercise power: Interprofessional relations in health care," Social Science & Medicine, Elsevier, vol. 71(5), pages 898-909, September.
    11. T. Lawrence & R. Suddaby & B. Leca, 2011. "Institutional work - Re-focusing institutional studies of organization," Post-Print hal-00802293, HAL.
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