Skip to main content

An Occupational Therapist Ethnographer on an Acute Medical Unit: Using Reflexivity to Understand Situational Identities and the Weight of Expectation

  • Chapter
  • First Online:
Ethnographies and Health
  • 347 Accesses

Abstract

This chapter reflects on the situational identities used during an ethnographic study on an acute medical unit in the English NHS. This includes an exploration of both the deliberate and the tacit shifting between identities in the field; of student, occupational therapist and researcher. This chapter argues for the need to pay attention to the factors in the field that lead to the use of a certain identity over another and the impact that this has on fieldwork. Taking a reflexive approach to interpreting situational field identities produced an increased depth of understanding of the social and organisational norms of the acute medical unit and its’ wider context beyond my tacit knowledge as a health professional.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Allen, D. (2004). Ethnomethodological insights into insider-outsider relationships within nursing ethnographies of healthcare settings. Nursing Inquiry, 11(1), 14–24.

    Article  Google Scholar 

  • Bell, D., Skene, H., Jones, M., & Vaughan, L. (2008). A guide to the acute medical unit. British Journal of Hospital Medicine, 69(7 MMC Supp), M107–M109.

    Article  Google Scholar 

  • Blair, S. E., & Robertson, L. J. (2005). Hard complexities–soft complexities: An exploration of philosophical positions related to evidence in occupational therapy. The British Journal of Occupational Therapy, 68(6), 269–276.

    Article  Google Scholar 

  • Bridges, J., Flatley, M., & Meyer, J. (2010). Older people’s and relatives’ experiences in acute care settings: Systematic review and synthesis of qualitative studies. International Journal of Nursing Studies, 47(1), 89–107.

    Article  Google Scholar 

  • Coffey, A. (1999). The Ethnographic Self: Fieldwork and the Representation of Identity. London, UK: Sage.

    Book  Google Scholar 

  • Dill, A. E. P. (1995). The ethics of discharge planning for older adults: An ethnographic analysis. Social Science and Medicine, 41(9), 1289–1299.

    Article  Google Scholar 

  • Dixon-Woods, M., Suokas, A., Pitchforth, E., & Tarrant, C. (2009). An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Social Science and Medicine, 69(3), 362–369.

    Article  Google Scholar 

  • Fisher, M., Qureshi, H., Hardyman, W., & Homewood, J. (2006). Using Qualitative Research in Systematic Reviews: Older People’s Views of Hospital Discharge. London, UK: Social Care Institute for Excellence. Available from https://www.scie.org.uk/publications/reports/report09.asp. Accessed November 15, 2017.

  • Goodwin, D., Pope, C., Mort, M., & Smith, A. (2003). Ethics and ethnography an experiential account. Qualitative Health Research, 13(4), 567–577.

    Article  Google Scholar 

  • Hammersley, M., & Atkinson, P. (2007). Ethnography (3rd ed.). London, UK: Routledge.

    Google Scholar 

  • Health Education England. (2017). Clinical Academic Careers. London, UK: Health Education England. Available from https://www.hee.nhs.uk/our-work/developing-our-workforce/clinical-academic-careers. Accessed September 9, 2017.

  • House of Commons Committee of Public Accounts. (2016). Discharging Older People from Acute Hospitals. London, UK: House of Commons. Available from https://www.parliament.uk/business/committees/committees-a-z/commons-select/public-accounts-committee/inquiries/parliament-2015/discharging-older-people-acute-hospitals-15-16/. Accessed November 15, 2017.

  • Jansson, G., & Nikolaidou, Z. (2013). Work-identity in ethnographic research: Developing field roles in a demanding workplace setting. International Journal of Qualitative Methods, 12(1), 152–167.

    Article  Google Scholar 

  • Ledger, A. (2010). Exploring multiple identities as a health care ethnographer. International Journal of Qualitative Methods, 9(3), 291–304.

    Article  Google Scholar 

  • Long, D., Hunter, C., & Van Der Geest, S. (2008). When the field is a ward or a clinic: Hospital ethnography. Anthropology & Medicine, 15(2), 71–78.

    Article  Google Scholar 

  • McMurdo, M. E., Roberts, H., Parker, S., Wyatt, N., May, H., Goodman, C. et al. (2011). Improving recruitment of older people to research through good practice. Age and Ageing, 40(6), 659–665.

    Article  Google Scholar 

  • Mearns, N., Duguid, I., & The SAM Physiotherapy and Occupational Therapy Group. (2015). Physiotherapy and Occupational Therapy in the Acute Medical Unit: Guidelines for Practice. London, UK: Society for Acute Medicine. Available from http://www.acutemedicine.org.uk/wp-content/uploads/2015/05/10.2-PTOT-AMU-Guidance-Document-2015.pdf. Accessed November 15, 2017.

  • Murchison, J. (2009). Ethnography Essentials. San Francisco: Wiley.

    Google Scholar 

  • Royal College of Occupational Therapists. (2017). What is Occupational Therapy? Available from https://www.rcot.co.uk/about-occupational-therapy/what-is-occupational-therapy. Accessed September 9, 2017.

  • Savage, J. (2006). Ethnographic evidence the value of applied ethnography in healthcare. Journal of Research in Nursing, 11(5), 383–393.

    Article  Google Scholar 

  • Shepperd, S., Mcclaran, J., Phillips, C., Lannin, N., Clemson, L., McCluskey, A., et al. (2013). Discharge Planning from Hospital to Home (Review). London, UK: The Cochrane Collaboration. Available from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000313.pub4/abstract. Accessed November 15, 2017.

  • Van Maanen, J. (2011). Tales of the Field on Writing Ethnography (2nd ed.). London, UK: The University of Chicago Press.

    Book  Google Scholar 

  • Yin, R. K. (2014). Case Study Research Design and Methods (5th ed.). London, UK: Sage.

    Google Scholar 

Download references

Acknowledgements

The research described above formed part of a clinical doctoral studentship funded by Southern Health NHS Foundation Trust and hosted by the University of Southampton. Professor Jo Adams and Professor Jackie Bridges provided supervision for the project. The research would not have been possible without the participation of patients, relatives and health professionals.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Annabel Rule .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 The Author(s)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rule, A. (2018). An Occupational Therapist Ethnographer on an Acute Medical Unit: Using Reflexivity to Understand Situational Identities and the Weight of Expectation. In: Garnett, E., Reynolds, J., Milton, S. (eds) Ethnographies and Health. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-89396-9_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-89396-9_6

  • Published:

  • Publisher Name: Palgrave Macmillan, Cham

  • Print ISBN: 978-3-319-89395-2

  • Online ISBN: 978-3-319-89396-9

  • eBook Packages: Social SciencesSocial Sciences (R0)

Publish with us

Policies and ethics