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Routines of resistance: an ethnography of the everyday care of people with...
Tue 28 March 2017, 16:30 – 18:00 BST
University of Southampton, Health Sciences, Health Work and Systems and Complex Healthcare Research Groups present a Seminar with guest speaker:
Dr Katie Featherstone, School of Healthcare Sciences, Cardiff University
The event will begin with refreshments at 16.00 followed by the speaker from 16:30 - 18:00
This seminar will examine a key feature and challenge of the contemporary hospital: an increasing population of people with dementia admitted to acute general wards. In the UK, although people with dementia over 65 years of age currently use 1 in 4 acute hospital beds, within this setting they are known to receive inappropriate or poor care, have poor overall health outcomes, and have significantly higher mortality rates. There is an evidence vacuum in understanding the everyday organisational and interactional aspect of care that contribute to these phenomena.
In response, our detailed ethnographic study within 5 UK hospitals (NIHR HS&DR researcher led funding: 13/10/80) reveals the everyday routines of hospital care and its consequences for people with dementia and ward staff. This presentation will examine the ways in which key behavioural features of dementia becomes framed as risk that must be controlled. We show the struggle of hospital staff to fit and contain this patient group into the fixed and standardized routines and rituals of a space designed for an archetypal rational compliant patient. We examine the ways in which this creates challenging cycles of struggle and conflict between staff and patients that can in themselves become engrained in everyday routines, with powerful and detrimental impacts on patients, their families, and ward staff. We show the consequences for personhood, identity, dignity, and access to healthcare.
Katie is a Reader within the School of Healthcare Sciences, Cardiff University. She has produced two first authored research monographs: Risky Relations: Family and kinship in the era of new genetics (Berg), and Creating Conditions: The Making and Remaking of a Genetic Condition (Routledge), which provide detailed exploration of the impact of new genetic knowledge on both families and the clinic. The focus of her current programme is the development of clinically relevant detailed ethnographic research that identifies the needs of people with dementia, their carers, and nursing and healthcare staff within in the acute setting. This work has a strong focus on improving the quality and humanity of care and providing the empirical foundations for developing low-cost interventions and training. Katie also leads a programme of public engagement to reduce social exclusion in dementia in collaboration with the British Film Institute (http://filmhubwales.org).