The Social Organization of Best Practice An Institutional Ethnograph
‘This book offers a unique critique of evidence based-medicine and how it plays out in everyday practice. It engages with and problematizes the scholarship around “best practice” in an informed and perceptive manner and in doing so, advances the field in
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The Social Organization of Best Practice
Fiona Webster
The Social Organization of Best Practice An Institutional Ethnography of Physicians’ Work
Fiona Webster Arthur Labatt Family School of Nursing Western University London, ON, Canada
ISBN 978-3-030-43164-8 ISBN 978-3-030-43165-5 (eBook) https://doi.org/10.1007/978-3-030-43165-5 © The Editor(s) (if applicable) and The Author(s), under exclusive licence to Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Cover illustration: PeopleImages/E+/Getty Images This Palgrave Macmillan imprint is published by the registered company Springer Nature Switzerland AG. The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Foreword
This is a remarkable book. It opens up a whole new terrain of exploration and discovery in the health care field that, so far as I know, has never been attempted before. Though Fiona Webster does not give a detailed account here, her dissertation, on which this draws, gathered together the research literature establishing ‘best practices’ for the treatment of thrombolytic strokes. The venture of discovery she undertook and recounts in this book found and made visible ‘best practices’ as they are taken up in actual local situations of medical practice in the Canadian province of Ontario. This is valuable work, with implications way beyond those for the particular case of therapy for thrombolytic strokes. Its significance is not only in what we learn about how ‘best practice’ recommendations may be grounded in assumptions about the availability of specialized skills and relevant technology which are not always present in the actual local situations of delivery work. What Webster brings into view is the significance of the actual local organization of professional work in realizing as a local reality the abstr
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