125 results on '"Nettleton, S."'
Search Results
2. WS01-6 Pathways, practices and architectures: containing antimicrobial resistance (AMR) in the cystic fibrosis clinic
- Author
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Brown, N., primary, Buse, C., additional, Nettleton, S., additional, Martin, D., additional, Lewis, A., additional, West, J., additional, and Oza, H., additional
- Published
- 2019
- Full Text
- View/download PDF
3. An open letter to The BMJ editors on qualitative research
- Author
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Greenhalgh, T., Annandale, E., Ashcroft, R., Barlow, J., Black, N., Bleakley, A., Boaden, R., Braithwaite, J., Britten, N., Carnevale, F., Checkland, K., Cheek, J., Clark, A., Cohn, S., Coulehan, J., Crabtree, B., Cummins, S., Davidoff, F., Davies, H., Dingwall, R., Dixon-Woods, M., Elwyn, G., Engebretsen, E., Ferlie, E., Fulop, N., Gabbay, J., Gagnon, M.P., Galasinski, D., Garside, R., Gilson, L., Griffiths, P., Hawe, P., Helderman, J.K., Hodges, B., Hunter, D., Kearney, M., Kitzinger, C., Kitzinger, J., Kuper, A., Kushner, S., May, A.L., Légaré, F., Lingard, L., Locock, L., Maben, J., Macdonald, M.E., Mair, F., Mannion, R., Marshall, M., May, C., Mays, N., McKee, L., Miraldo, M., Morgan, D., Morse, J., Nettleton, S., Oliver, S., Pearce, W., Pluye, P., Pope, C., Robert, G., Roberts, C., Rodella, S., Rycroft-Malone, J., Sandelowski, M., Shekelle, P., Stevenson, F., Straus, S., Swinglehurst, D., Thorne, S., Tomson, G., Westert, G.P., Wilkinson, S., Williams, B., Young, T., Ziebland, S., Greenhalgh, T., Annandale, E., Ashcroft, R., Barlow, J., Black, N., Bleakley, A., Boaden, R., Braithwaite, J., Britten, N., Carnevale, F., Checkland, K., Cheek, J., Clark, A., Cohn, S., Coulehan, J., Crabtree, B., Cummins, S., Davidoff, F., Davies, H., Dingwall, R., Dixon-Woods, M., Elwyn, G., Engebretsen, E., Ferlie, E., Fulop, N., Gabbay, J., Gagnon, M.P., Galasinski, D., Garside, R., Gilson, L., Griffiths, P., Hawe, P., Helderman, J.K., Hodges, B., Hunter, D., Kearney, M., Kitzinger, C., Kitzinger, J., Kuper, A., Kushner, S., May, A.L., Légaré, F., Lingard, L., Locock, L., Maben, J., Macdonald, M.E., Mair, F., Mannion, R., Marshall, M., May, C., Mays, N., McKee, L., Miraldo, M., Morgan, D., Morse, J., Nettleton, S., Oliver, S., Pearce, W., Pluye, P., Pope, C., Robert, G., Roberts, C., Rodella, S., Rycroft-Malone, J., Sandelowski, M., Shekelle, P., Stevenson, F., Straus, S., Swinglehurst, D., Thorne, S., Tomson, G., Westert, G.P., Wilkinson, S., Williams, B., Young, T., and Ziebland, S.
- Abstract
Contains fulltext : 165909.pdf (publisher's version ) (Open Access)
- Published
- 2016
4. The power of pull in engineering student learning
- Author
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Nettleton, S
- Subjects
ComputingMilieux_COMPUTERSANDEDUCATION ,Education - Abstract
Biggs' Study Process Questionnaire is used to measure the constructive alignment of student choice with deep and shallow approaches to learning in established undergraduate and postgraduate engineering subjects designed for pull-learning, in contrast to push-teaching. Dividend output factors of increased student marks are established for a deep approach to learning and the inverse of a Shallow Approach to learning. Empirical Bayesian analysis comprising Exploratory Factor Analysis and Bayesian Con?rmatory Strategies is used to deeply mine and draw inferences from relatively small sample sizes. This research con?rms Biggs' suggestion that the tendency of education to erode towards Shallow Learning may be addressed through curriculum design that constructively aligns student choices with deep engagement. Students in subjects designed for pull-learning do appreciate the constructive alignment of their choices with deep engagement. Furthermore, there is a dividend payo? in marks for both deep engagement and the opposite of shallow engagement. The ?ndings provide considerable optimism for the development of pull-learning techniques to increase the generic work-ready skills of graduate engineering students. © 2012 TEMPUS Publications.
- Published
- 2012
5. Compiling and using input-output frameworks through collaborative virtual laboratories
- Author
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Lenzen, M, Geschke, A, Wiedmann, T, Lane, J, Anderson, N, Baynes, T, Boland, J, Daniels, P, Dey, C, Fry, J, Hadjikakou, M, Kenway, S, Malik, A, Moran, D, Murray, J, Nettleton, S, Poruschi, L, Reynolds, C, Rowley, H, Ugon, J, Webb, D, West, J, Lenzen, M, Geschke, A, Wiedmann, T, Lane, J, Anderson, N, Baynes, T, Boland, J, Daniels, P, Dey, C, Fry, J, Hadjikakou, M, Kenway, S, Malik, A, Moran, D, Murray, J, Nettleton, S, Poruschi, L, Reynolds, C, Rowley, H, Ugon, J, Webb, D, and West, J
- Abstract
Compiling, deploying and utilising large-scale databases that integrate environmental and economic data have traditionally been labour- and cost-intensive processes, hindered by the large amount of disparate and misaligned data that must be collected and harmonised. The Australian Industrial Ecology Virtual Laboratory (IELab) is a novel, collaborative approach to compiling large-scale environmentally extended multi-region input-output (MRIO) models.The utility of the IELab product is greatly enhanced by avoiding the need to lock in an MRIO structure at the time the MRIO system is developed. The IELab advances the idea of the "mother-daughter" construction principle, whereby a regionally and sectorally very detailed "mother" table is set up, from which "daughter" tables are derived to suit specific research questions. By introducing a third tier - the "root classification" - IELab users are able to define their own mother-MRIO configuration, at no additional cost in terms of data handling. Customised mother-MRIOs can then be built, which maximise disaggregation in aspects that are useful to a family of research questions.The second innovation in the IELab system is to provide a highly automated collaborative research platform in a cloud-computing environment, greatly expediting workflows and making these computational benefits accessible to all users.Combining these two aspects realises many benefits. The collaborative nature of the IELab development project allows significant savings in resources. Timely deployment is possible by coupling automation procedures with the comprehensive input from multiple teams. User-defined MRIO tables, coupled with high performance computing, mean that MRIO analysis will be useful and accessible for a great many more research applications than would otherwise be possible. By ensuring that a common set of analytical tools such as for hybrid life-cycle assessment is adopted, the IELab will facilitate the harmonisation of fragmented, di
- Published
- 2014
6. Being a Doctor: a Sociological Analysis, 2005-2006
- Author
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Nettleton, S.
- Abstract
Amongst members of the medical profession there has been much discussion in recent years about the nature and content of medical work and the appropriate role that doctors should play in contemporary health and social care. There has even been a suggestion that there needs to be a ‘cultural revolution’ in medicine. High profile public inquiries, media attention and a more consumer orientated culture are some of the factors that have contributed to this. This project investigated the views and day to day experiences of medical clinicians and examined how they are being shaped by ongoing social, policy, organisational and technological transformations. Being a Doctor: a Sociological Analysis, 2005-2006 was an exploratory study which aimed to develop a sociological understanding of the views and experiences of doctors working within the National Health Service (NHS). The research questions that guided the study were: what do doctors who work day in and day out delivering patient care in hospitals, health centres and clinics make of changes to health care? Are they aware of these calls for changes to their practice and values? Do contemporary developments affect how they feel about themselves? Qualitative interviews were carried out with 52 doctors from NHS health care settings who varied in terms of medial specialities, age, gender, ethnicity, seniority, and locality. Forty-seven doctors (28 men and 19 women) who were working in hospital settings in the North of England and 5 (4 men and 1 woman) who were working in general practice were interviewed. Users should note that the UKDA collection contains only 50 interview transcripts. Further information is available from the ESRC Award web page.
- Published
- 2009
- Full Text
- View/download PDF
7. Work-ready wiki: Supporting the learning and teaching of professional graduate attributes
- Author
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Litchfield, A and Nettleton, S
- Abstract
The paper presents the background, design and formative evaluation of a wiki of workready learning activities and teaching support resources to improve the learning of professional graduate attributes. The 'Improving graduate work-readiness' project is a University of Technology Sydney curriculum renewal project involving five Faculties. The project aims to improve graduates' professional attributes and employability skills by designing new subjects, new subject modules and integrating short well-designed contextualised work-ready learning activities into existing subjects. The authors inquired of relevant professional societies their understandings of the key professional attributes required of a graduate in the contemporary workplace. These findings informed the design of a matrix of 11 professional attributes and associated sub-attributes and aligned understandings and skills that can be learnt. The work-ready wiki gives access to a matrix of generic work-ready learning activities and 16 matrixes of learning activities contextualised for each professional area of study involved in the project to-date. Workready activities contextualised for each profession maximises student relevance and motivation to learn. Maximising the ease of integration of work-ready activities into existing subjects has guided the design of the wiki-based learning activities. From the wiki practical teaching support resources can be downloaded to enable easier integration of the work-ready learning activities. The beginning of collections of work-ready learning activities can be found at . © 2008 Andrew Litchfield and Skye Nettleton.
- Published
- 2008
8. Contextualising and integrating into the curriculum the learning and teaching of work-ready professional graduate attributes
- Author
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Litchfield, A, Frawley, J, Nettleton, S, Litchfield, A, Frawley, J, and Nettleton, S
- Abstract
Government, employers and professional societies want university graduates who are better prepared for employment. The UTS Work-Ready Project is a curriculum renewal initiative that aims to improve graduates' professional attributes and employability skills. The paper provides an overview of the project's curriculum renewal strategy of 'contextualised by the profession and integrated into the curriculum'. Representatives of professional societies were interviewed for their understandings of the professional attributes required of a contemporary graduate. Eleven key work-ready graduate attributes were identified, with relevant sub-attributes, understandings and skills. These formed a matrix for the development of potential learning activities. The project website gives access to matrices of generic and professionally contextualised work-ready learning activities. Each work-ready activity includes learning and teaching support resources that can be downloaded to enable easy integration into existing subjects. Formative evaluation of the project's website is presented, together with the strategies for integrating and embedding improved work-ready learning into UTS's diverse professional and disciplinary curriculum. © 2010 HERDSA.
- Published
- 2010
9. Partners in our care: patient safety from a patient perspective
- Author
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Hovey, R. B., primary, Morck, A., additional, Nettleton, S., additional, Robin, S., additional, Bullis, D., additional, Findlay, A., additional, and Massfeller, H., additional
- Published
- 2010
- Full Text
- View/download PDF
10. Commentary: The appearance of new medical cosmologies and the re-appearance of sick and healthy men and women: a comment on the merits of social theorizing
- Author
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Nettleton, S., primary
- Published
- 2009
- Full Text
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11. Book: Home Sweet Home? The Impact of Poor Housing on Health
- Author
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Nettleton, S., primary
- Published
- 2000
- Full Text
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12. Measurement of patient perceptions of pain and disability in relation to total hip replacement: the place of the Oxford hip score in mixed methods
- Author
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McMurray, R., primary, Heaton, J., additional, Sloper, P., additional, and Nettleton, S., additional
- Published
- 1999
- Full Text
- View/download PDF
13. Reassessing the body: A review essay
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Turner, Bryan S., primary, Jones, C., additional, Porter, R., additional, Nettleton, S., additional, Watson, J., additional, and Seymour, W., additional
- Published
- 1999
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14. Heroin users' views and experiences of physical activity, sport and exercise.
- Author
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Neale J, Nettleton S, and Pickering L
- Abstract
BACKGROUND: Although there is limited research on heroin users' participation in physical activity, sport and exercise, public health literature asserts that being physically active is good for individuals. Critics, however, caution that the benefits of sport and exercise are overstated and sport may itself reinforce or create inequalities. METHODS: In-depth interviews were conducted with 40 current or ex-heroin users, of whom 37 were re-interviewed three months later. Data from all 77 interviews were analysed to explore individuals' self-reported participation in physical activity, sport and exercise; their desire to participate; and any barriers to participation experienced. FINDINGS: Participants were very interested in sport and exercise and engaged in a wide variety of active pastimes. Although they did little structured sport or exercise during periods of heavy heroin use, they still often walked or cycled. Enjoyment was a key feature of being physically active in treatment and in early recovery. Additionally, individuals reported diverse health and social gains and felt that sport and exercise helped them to reduce their heroin use. These benefits notwithstanding, there were personal, social and structural barriers to being active and so individuals were generally keen to take advantage of any sport or exercise opportunities offered to them by services. CONCLUSIONS: By focusing on the meanings that heroin users themselves attribute to being active, our analyses reveal that members of this population derive great pleasure from all manner of physical pastimes. A small but growing literature on embodied sporting practices helps us to interpret this. We conclude that there is an important role for physical activity, sport and exercise within policy and practice responses to heroin use, but with a need to be creative and flexible regarding the kinds of activities promoted. [ABSTRACT FROM AUTHOR]
- Published
- 2012
15. Regulating medical bodies? The consequences of the 'modernisation' of the NHS and the disembodiment of clinical knowledge.
- Author
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Nettleton S, Burrows R, and Watt I
- Published
- 2008
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16. 'I just want permission to be ill': towards a sociology of medically unexplained symptoms.
- Author
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Nettleton S
- Abstract
A significant proportion of symptoms are medically unexplained. People experience illness but no pathological basis for the symptoms can be discerned by the medical profession. Living without a clinical diagnosis or medical explanation has consequences for such patients. This paper reports on a small qualitative interview-based study of 18 neurology outpatients in England who live with such medically unexplained symptoms (MUS). The findings broadly concur with those identified in the related literatures on medically unexplained syndromes and unexplained pain: the difficulties of living with uncertainty; dealing with legitimacy; and a resistance to psychological explanations of their suffering. From a thematic analysis of the interview data we identify and elaborate on three related issues, which we refer to as: 'morality'; 'chaos'; and 'ambivalence'. Although this article presents empirical data its aim is primarily conceptual; it integrates the findings of the empirical analysis with the existing literature in order to try to make some sociological sense of the emergent themes by drawing on sociological and cultural analyses of risk and the body. We draw on Bauman's concept of ambivalence to suggest that the very processes associated with more precise 'problem solving' and 'classification' do, in fact, generate even more uncertainty and anxiety. On the one hand, we seek closure and certainty and yet this leaves no means of living with uncertainty. Indeed, society does not readily grant permission to be ill in the absence of disease. We conclude by suggesting that an appreciation of the experience of such embodied doubt articulated by people who live with MUS may have a more general applicability to the analysis of social life under conditions of late modernity. [ABSTRACT FROM AUTHOR]
- Published
- 2006
- Full Text
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17. Rehabilitation and total hip replacement: patients' perspectives on provision.
- Author
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Heaton J, McMurray R, Sloper P, and Nettleton S
- Published
- 2000
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18. Going against the grain: smoking and 'heavy' drinking amongst the British middle classes.
- Author
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Burrows R and Nettleton S
- Subjects
- *
MIDDLE class , *ALCOHOL , *HEALTH attitudes , *HEALTH behavior , *SMOKING , *BEHAVIORAL medicine - Abstract
This paper examines the characteristics of those members of the British middle classes who 'go against the grain' of healthy living by both smoking and drinking alcohol over recommended levels. Using logistic regression procedures on GHS data, it concludes that there are significant gender differences, with men being much more likely to adopt such risky health behaviours than women. Further, the social correlates of such behaviours differ for men and women. For men, such behaviours are significantly associated with marital status, the experience of social mobility and region. For women, such behaviours are associated with the presence of dependent children, educational level and the number of hours worked in paid employment. The paper attempts some tentative interpretations of these results by drawing upon the available sociological literature. [ABSTRACT FROM AUTHOR]
- Published
- 1995
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19. Wisdom, diligence and teeth: discursive practices and the creation of mothers.
- Author
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Nettleton S
- Subjects
- *
MOTHERS , *DILIGENCE , *FAMILIES , *PATIENTS , *MEDICAL care , *MOUTH - Published
- 1991
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20. British women's smoking in the employers and managers socio-economic group.
- Author
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Burrows, R and Nettleton, S
- Subjects
- *
WOMEN , *SOCIAL status , *HEALTH promotion , *SMOKING - Abstract
Presents an earlier study on the implications of the socio-economic status of women to health promotion policy. Basis for the measurement of women's socio-economic groups (SEG); Sub-categories of the employer/manager SEG; Social correlates of smoking among women in the employer/manager SEG.
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- 1997
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21. Suprascapular Entrapment Neuropathy: A Clinical, Anatomical, and Comparative Study
- Author
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Setti S. Rengachary, James P. Neff, Philip A. Singer, Charles E. Brackett, Nettleton S. Payne, and George T. Tindall
- Subjects
Surgery ,Neurology (clinical) - Abstract
The clinical syndrome of suprascapular entrapment neuropathy is described and three illustrative cases are discussed. Diagnostic criteria for this entity are outlined.
- Published
- 1979
22. Hypothalamic hypothyroidism and hypogonadism in prolonged traumatic coma
- Author
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Alan S. Fleischer, George T. Tindall, Nettleton S. Payne, and Daniel Rudman
- Subjects
Adult ,Male ,Adenosine monophosphate ,medicine.medical_specialty ,Time Factors ,Thyrotropin ,chemistry.chemical_compound ,Cerebrospinal fluid ,Hypothyroidism ,Internal medicine ,Cyclic AMP ,medicine ,Humans ,Testosterone ,Coma ,Triiodothyronine ,business.industry ,Hypogonadism ,Traumatic Coma ,Luteinizing Hormone ,Middle Aged ,Thyroxine ,Endocrinology ,chemistry ,Brain Injuries ,Follicle Stimulating Hormone ,medicine.symptom ,Luteinizing hormone ,business ,Hormone - Abstract
✓ Prolonged coma after head trauma is associated with depletion of 3′,5′cyclic adenosine monophosphate (cAMP) in the cerebrospinal fluid (CSF). Because cAMP has previously been implicated in neuroendocrine secretion, this study examines the pituitary-hypothalamic function in 15 adult male patients (to exclude the effects of puberty and menses) with traumatic coma lasting longer than 2 weeks. Ventricular CSF cAMP was measured at 2- to 4-day intervals for 10 to 25 days. Simultaneously, plasma hormone concentrations were also determined. In all 15 cases, CSF cAMP and plasma levels of thyroid-stimulating hormone (TSH), thyroxine (T4), free T4, triiodothyronine (T3), luteinizing hormone (LH), follicle-stimulating hormone (FSH), and testosterone became subnormal. In 11 patients whose level of consciousness fluctuated, the reduction in plasma T4 and testosterone were proportional to both severity of coma (r > 0.81, p < 0.05) and depletion of CSF cAMP (r > 0.81, p < 0.05). In four patients who remained deeply comatose for 17 to 25 days, the hypothyroidism and hypogonadism persisted. In six patients who regained consciousness, both endocrine defects improved partially or completely. Injection of 1) thyrotrophic-releasing hormone and 2) gonadotrophic-releasing hormone elicited normal or supernormal increases in plasma concentrations of 1) TSH, and 2) LH and FSH, reduced, respectively, suggesting a suprahypophyseal deficiency. These observations demonstrate that suprahypophyseal hypothyroidism and hypogonadism may occur regularly in patients with traumatic coma lasting longer than 2 weeks.
- Published
- 1978
23. Complications of Surgery for Subdural Hematoma
- Author
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Mark S. O'Brien, Nettleton S. Payne, and George T. Tindall
- Subjects
medicine.medical_specialty ,Percutaneous ,medicine.medical_treatment ,Burr holes ,Iatrogenic Disease ,Water-Electrolyte Imbalance ,Brain Edema ,Subdural Space ,Cerebral Ventricles ,Lesion ,Epilepsy ,Postoperative Complications ,Hematoma ,Recurrence ,medicine ,Humans ,Surgical Wound Infection ,cardiovascular diseases ,Subdural space ,Child ,Craniotomy ,Cerebral Hemorrhage ,Brain Diseases ,business.industry ,Age Factors ,Infant ,Intracranial Aneurysm ,Shock ,Middle Aged ,medicine.disease ,Surgery ,body regions ,Hematoma, Subdural ,surgical procedures, operative ,medicine.anatomical_structure ,Acute Disease ,Chronic Disease ,cardiovascular system ,Female ,Neurology (clinical) ,Neurosurgery ,medicine.symptom ,business ,Hydrocephalus - Abstract
In this report we have discussed the complications of surgery for subdural hematoma. The complications are varied and many depend primarily on the type of treatment required by the patient. We have considered the problems associated with: percutaneous tap in infants, subdural shunts in infants and children, craniotomy for membranectomy, twist-drill drainage, and burr holes, craneictomy, and/or craniotomy. Infection, epilepsy, and reaccumulation of the subdural hematoma are common to all forms of therapy, while other complications are related to the specific form of subdural hematoma treatment. In addition, significant serum and electrolyte abnormalities which may occur as a consequence of subdural hematoma surgery have been reviewed. In general, the over-all complication rate of surgery for subdural hematoma is low in relationship to the morbidity and mortality associated with this lesion. Because of the frequency of subdural hematoma, the neurosurgeon should be ever vigilant in the prevention, recognition, and management of these complications.
- Published
- 1976
24. Benign Hemangioendothelioma Involving the Central Nervous System
- Author
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Mark S. O'Brien, Nettleton S. Payne, Gary S. Pearl, Yoshio Takei, James C. Hoffman, and George T. Tindall
- Subjects
Adult ,Central Nervous System ,Male ,Pathology ,medicine.medical_specialty ,Hemangiosarcoma ,Spinal Cord Neoplasm ,Hemangioendothelioma ,Spinal cord compression ,Hemangioblastoma ,Vascular Neoplasm ,Humans ,Medicine ,Nevus ,Spinal Cord Neoplasms ,Aged ,Brain Neoplasms ,business.industry ,Infant, Newborn ,medicine.disease ,Falx cerebri ,Surgery ,Neurology (clinical) ,business ,Benign Hemangioendothelioma - Abstract
Benign hemangioendothelioma is rarely included in discussions of vascular neoplasms involving the central nervous system, whereas it is a well-defined entity outside the neuraxis. We present four cases of benign hemangioendothelioma, including an infantile hemangioendothelioma with venous drainage into the transverse dural sinus, an intracranial hemangioendothelioma adherent to the falx cerebri, a spinal epidural hemangioendothelioma causing spinal cord compression, and a parasellar hemangioendothelioma. Although hemangioendothelioma resembles hemangioblastoma in some ways, it is a distinct entity differing from the other vascular lesions involving the central nervous system.
- Published
- 1980
25. Measurement of patient perceptions of pain and disability in relation to total hip replacement: the place of the Oxford hip score in mixed methods.
- Author
-
McMurray, R, Heaton, J, Sloper, P, and Nettleton, S
- Abstract
To describe the practical difficulties experienced by patients when completing the Oxford hip score, and to highlight the need to reconsider aspects of its structure and conceptual base.
- Published
- 1999
26. Intraventricular fiberscopic observations in adult hydrocephalic patients
- Author
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George T. Tindall, Alan S. Fleischer, Nettleton S. Payne, C B Fresh, Gary S. Pearl, and Yoshio Takei
- Subjects
Adult ,Endoscopes ,Male ,medicine.medical_specialty ,business.industry ,Teaching Materials ,Videotape Recording ,Endoscopy ,Middle Aged ,Cerebral Ventricles ,Medicine ,Fiber Optic Technology ,Humans ,Surgery ,Female ,Neurology (clinical) ,Radiology ,business ,Pathological ,Value (mathematics) ,Aged ,Hydrocephalus - Abstract
A flexible ventriculofiberscope was used to diagnose intraventricular pathological conditions in eight adult hydrocephalic patients. In each case the entire procedure was recorded on videotape for documentation, review, and teaching. Four representative cases are presented to illustrate the use and value of this technique.
- Published
- 1979
27. Non-linear model of the carotid sinus baroreceptor
- Author
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Nettleton, S. J.
- Subjects
Pressure transducers, Biomedical ,Carotid sinus ,Blood pressure - Published
- 1978
- Full Text
- View/download PDF
28. Rupture of spinal cord ependymoma. Case report
- Author
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Nettleton S. Payne and Joseph V. McDonald
- Subjects
musculoskeletal diseases ,Ependymoma ,Rupture ,Pathology ,medicine.medical_specialty ,Subarachnoid hemorrhage ,Cauda Equina ,business.industry ,Spinal Cord Ependymoma ,Clinical course ,Cauda equina ,Subarachnoid Hemorrhage ,medicine.disease ,Spinal cord tumor ,medicine.anatomical_structure ,medicine ,Humans ,Female ,Spinal Cord Neoplasms ,business ,Child ,Myelography ,Spinal Cord Injuries - Abstract
✓ The rupture of an ependymoma of the cauda equina associated with trauma and subarachnoid hemorrhage is described. The clinical course of the patient is discussed, and the mechanism and significance of the rupture postulated.
- Published
- 1973
29. Transsphenoidal hypophysectomy for disseminated carcinoma of the prostate gland. Results in 53 patients
- Author
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Nettleton S. Payne, George T. Tindall, and Daniel W. Nixon
- Subjects
Male ,medicine.medical_specialty ,Transsphenoidal hypophysectomy ,Hypophysectomy ,Cerebrospinal Fluid Rhinorrhea ,medicine.medical_treatment ,Pain relief ,Disease ,Cerebrospinal fluid ,Sphenoid Bone ,medicine ,Humans ,Pain Management ,Aged ,business.industry ,Palliative Care ,Prostatic Neoplasms ,Middle Aged ,Partial diabetes insipidus ,Surgery ,Prolactin ,Growth Hormone ,Prostate gland ,business ,Diabetes Insipidus ,Disseminated Carcinoma - Abstract
✓ Transsphenoidal microsurgical hypophysectomy was performed in 53 men with disseminated carcinoma (Stage IV) of the prostate gland. The mean age was 64.8 years. Forty-three of the 53 men had severe pain due to their disease. Significant pain relief was obtained following hypophysectomy, usually within 24 hours, in 39 (91%) of these 43 patients. Objective remission occurred in 16 (36%) of 45 patients in whom the follow-up review was adequate to make this decision. Although dramatic, pain relief was not permanent in every patient. Four patients died in the early postoperative period, and in one, death was directly related to the operative procedure. Significant complications included partial diabetes insipidus in 40 cases (75.5%), and cerebrospinal fluid leaks in six (11.3%). The authors conclude that hypophysectomy is an appropriate operation in patients with disseminated carcinoma of the prostate gland, particularly when pain is a significant feature of the illness. Further, the transsphenoidal microsurgical approach appears to be the operative procedure of choice for performing hypophysectomy.
- Published
- 1979
30. Non-linear model of the carotid sinus baroreceptor
- Author
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Nettleton, S. J., Centre for Biomedical Engineering, Faculty of Engineering, UNSW and Nettleton, S. J., Centre for Biomedical Engineering, Faculty of Engineering, UNSW
- Published
- 1978
31. Benign Hemangioendothelioma Involving the Central Nervous System
- Author
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Pearl, Gary S., primary, Takei, Yoshio, additional, Tindall, George T., additional, OʼBrien, Mark S., additional, Payne, Nettleton S., additional, and Hoffman, James C., additional
- Published
- 1980
- Full Text
- View/download PDF
32. Complications of Surgery for Subdural Hematoma
- Author
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Tindall, George T., primary, Payne, Nettleton S., additional, and O'brien, Mark S., additional
- Published
- 1976
- Full Text
- View/download PDF
33. Transsphenoidal hypophysectomy for disseminated carcinoma of the prostate gland
- Author
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Tindall, George T., primary, Payne, Nettleton S., additional, and Nixon, Daniel W., additional
- Published
- 1979
- Full Text
- View/download PDF
34. Suprascapular Entrapment Neuropathy: A Clinical, Anatomical, and Comparative Study
- Author
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Rengachary, Setti S., primary, Neff, James P., additional, Singer, Philip A., additional, Brackett, Charles E., additional, Payne, Nettleton S., additional, and Tindall, George T., additional
- Published
- 1979
- Full Text
- View/download PDF
35. Intraventricular Fiberscopic Observations in Adult Hydrocephalic Patients
- Author
-
Takei, Yoshio, primary, Pearl, Gary S., additional, Fresh, Babson C., additional, Fleischer, Alan S., additional, Payne, Nettleton S., additional, and Tindall, George T., additional
- Published
- 1979
- Full Text
- View/download PDF
36. Understanding dental health beliefs: an introduction to ethnography
- Author
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Nettleton, S, primary
- Published
- 1986
- Full Text
- View/download PDF
37. Rupture of spinal cord ependymoma
- Author
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Payne, Nettleton S., primary and McDonald, Joseph V., additional
- Published
- 1973
- Full Text
- View/download PDF
38. Hypothalamic hypothyroidism and hypogonadism in prolonged traumatic coma
- Author
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Fleischer, Alan S., primary, Rudman, Daniel R., additional, Payne, Nettleton S., additional, and Tindall, George T., additional
- Published
- 1978
- Full Text
- View/download PDF
39. Larval feeding and movement in two Plutella xylostella (Lepidoptera:Plutellidae) populations exposed to discrete deposits of permethrin
- Author
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Hoy, C. W., Adams, A. J., Hall, F. R., and Nettleton, S. Y.
- Subjects
INSECT behavior - Published
- 1992
40. Book reviews. Contemporary issues in cancer imaging -- gastric cancer.
- Author
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Nettleton S
- Published
- 2010
41. Borrowed identities : credit, debt and classificatory struggles in neoliberal Britain
- Author
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Sparkes, Matthew, Nettleton, S., and Hanquinet, L.
- Subjects
301 - Abstract
This thesis unpacks the complex and interconnected relationships between credit and debt, specific techniques of government, and social class processes over time. The thesis is underpinned by a social ecological model: it operates horizontally across the credit and debt realms and vertically on three levels – the meta, the macro and the micro. Methodologically, the data are generated from archival databases, experiences drawn from working within a debt charity, and in-depth interviews with 21 individuals using the services of StepChange Debt Charity to help with their financial difficulties. The thesis starts by exploring how a cadre of free-marketers proposed a series of economic and social policies from the 1950s which aimed to configure a new form of governmentality. Drawing upon documents drawn from various archives, the thesis reveals how their ideas – the market, the consumer, and the pursuit of private property – all rely on unhindered credit to operate. The thesis subsequently examines identity formation within a social domain dominated by these ideas and awash with credit. Building a theoretical framework based on Pierre Bourdieu’s relational understandings of class and Anthony Giddens’ notion of ontological security, the thesis then draws on interview data to outline how the participants use credit to build identities in response to amplifying inequality. A consequence of this process for the participants is the accumulation of a large credit balance, and their fall-into-debt. Here the thesis changes track, beginning to explore the dominant forms of governmentality that structure the debt realm. Initially tracing how debt collection practices threaten the participants’ capital stocks, the thesis moves onto expose how the shame and fear these practices induce are not unintended but instead serve to transform identities. The thesis shows how neoliberals classify and stigmatise those who fall-into-debt as irresponsible and immoral debtors, and disseminate a discourse of individual financial responsibility, with the intention of normalising total debt repayment. The thesis draws upon the interview data to reveal how the participants come to internalise these discourses and reconstruct their lives to make sure they submit to it. This thesis argues the realms of credit and debt, the forms of governmentality engendered to support them, and the ‘classificatory struggles’ they induce, are arranged to provide enduring, maximised and protected profit streams to those who produce and distribute credit.
- Published
- 2015
42. The 'quiet economy' : an ethnographic study of the contemporary UK charity shop
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Fitton, T. and Nettleton, S.
- Subjects
301 - Abstract
This thesis aims to examine the proposed professionalisation of charity shops through a better understanding of the intricate operations that take place on the shop floor. The main argument of this work is that professionalisation of this sector has been mediated by other factors, some of which are socially-oriented, and some of which are due to the problems inherent in the application of rational, bureaucratic systems within organisations. The research terms this mediation process the quiet economy of the modern charity shop: a subtle and nuanced system that operates uniquely within this sphere to negotiate and capitalise upon changes in the market. Within previous literature, professionalisation has come to be associated with paid work, efficiency and ‘business-like’ activities. In particular, a link has been made between this and the quest for ‘profit’, something that is conventionally a characteristic of the private sector. The jarring juxtaposition of this alongside the universal assumption of ‘charity’ and its espoused values of virtuousness and ethical accountability makes charity retail a highly contentious topical issue. The research uses an iterative ethnographic study involving participant observation in two case study charity shops, and supplementary interviews. Three features of the quiet economy emerged from the research: the unpredictable price negotiations, the diverse worker hierarchies, and the presence of intersectoral ties with the private and public sectors. The findings of this research update and contribute to theories on charity shops, charity and work; policy debates about for-profit and non-profit organisations, and are likely to be of interest to those working in charity retail and the wider charity sector. This thesis offers support for its main argument by developing a greater understanding of how charity shops have successfully navigated this contemporary epoch by way of their own quiet economy.
- Published
- 2013
43. Time, space and touch at work: Body work and labour process (re)organisation
- Author
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Cohen, R. L., Twigg, J., Wolkowitz, C., Cohen, R. L., and Nettleton, S.
- Subjects
HM - Abstract
With ‘efficiency savings’ the watchword for health and social care services, reorganisation and labour rationalisation are the order of the day. This article examines the difficulties involved in (re)organising work which takes bodies as its object, or material of production. It shows that working on bodies (‘body work’) systematically delimits possibilities for labour process rationalisation which, in turn, constrains reorganisation of the health and social care sector. It does this in three main ways. First: rigidity in the ratio of workers to bodies-worked-upon limits the potential to increase capital-labour ratios or cut labour. Secondly: the requirement for co-presence and temporal unpredictability in demand for body work diminish the spatial and temporal malleability of the labour process. Thirdly: the nature of bodies as a material of production – complex, unitary and responsive – makes it difficult to standardise, reorganise or rationalise work. A wide-ranging analysis of body work in health and social care, as well as other sectors, fleshes out these three constraints and shows that attempts to overcome them and reorganise the sector in pursuit of cost savings or ‘efficiency’, generate problems for workers and the patients, whose bodies they work upon.
- Published
- 2011
44. 'My cousin said to me . . .' Patients' use of third-party references to facilitate shared decision-making during naturally occurring primary care consultations.
- Author
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Lian OS, Nettleton S, Grange H, and Dowrick C
- Subjects
- Humans, Adult, Middle Aged, Male, Female, Aged, England, Patient Participation, Aged, 80 and over, Referral and Consultation, Communication, Physician-Patient Relations, Primary Health Care, Decision Making, Shared, General Practitioners
- Abstract
In this paper, we explore the ways in which patients invoke third parties to gain decision-making influence in clinical consultations. The patients' role in decision-making processes is often overlooked, and this interactional practice has rarely been systematically studied. Through a contextual narrative exploration of 42 naturally occurring consultations between patients (aged 22-84) and general practitioners (GPs) in England, we seek to fill this gap. By exploring how and why patients invoke third parties during discussions about medical treatments, who they refer to, what kind of knowledge their referents possess, and how GPs respond, our main aim is to capture the functions and implications of this interactional practice in relation to decision-making processes. Patients refer to third parties during decision-making processes in most of the consultations, usually to argue for and against certain treatment options, and the GPs recognise these utterances as pro-and-contra arguments. This enables patients to counter the GPs' professional knowledge through various knowledge-sources and encourage the GPs to target their specific concerns. By attributing arguments to third parties, patients claim decision-making influence without threatening the GPs' authority and expertise, which their disadvantaged epistemic position demands. Thereby, patients become able to negotiate their role and their epistemic position, to influence the agenda-setting, and to take part in the decision-making process, without being directly confrontational. Invoking third parties is a non-confrontational way of proposing and opposing treatment options that might facilitate successful patient participation in decision-making processes, and so limit the risk of patients being wronged in their capacity as knowers., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2024
- Full Text
- View/download PDF
45. Young adults' experiences of biographical retrogression whilst living with long COVID.
- Author
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Hunt K, Maclean A, Locock L, O'Dwyer C, Nettleton S, Ziebland S, and Wild C
- Abstract
During the early years (2020-2021) of the COVID-19 pandemic, relatively little attention focused on experiences of people with long-lasting symptoms, particularly young adults who were commonly understood to be invulnerable to serious effects of the virus. Drawing on narrative interviews with 15 adults in their twenties and living in the UK when they became ill with long COVID, we explore contextual factors which made their long COVID illness experience, and the wholescale disruption to their lives, challenging. We propose that existing adaptations of the concept of biographical disruption are problematic for this group, and instead suggest that 'biographical retrogression' may more accurately reflect these young adults' experiences. For many of these young adults, their illness occurred at a crucial stage in forming or solidifying (presumed) adult trajectories. Secondly, the recency of long COVID did not allow for comparison with an existing 'grand narrative' of recovery, so the future course of their illness was not just unknown for them as individuals; there was no prognostic map against which to assess their symptoms. Thirdly, the lives of people with long COVID have been disrupted in the context of global societal disruption by the same virus, rendering their experiences both topical yet invisible., (© 2024 The Author(s). Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.)
- Published
- 2024
- Full Text
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46. The double invisibility of Long Covid in children.
- Author
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Wild C, MacLean A, Nettleton S, Hunt K, and Ziebland S
- Subjects
- Child, Adolescent, Humans, Pandemics, Parents, Caregivers, Post-Acute COVID-19 Syndrome, COVID-19 epidemiology
- Abstract
The Covid-19 pandemic has been dominated by discussions of mild and short-lasting cases or acutely serious or lethal forms of the disease; less attention has been paid to long-term Covid-19 symptoms ('Long Covid'), particularly in children. This analysis of the experiences of children and adolescents with Long Covid, and those of their parents/caregivers, argues that children with Long Covid encounter a 'double invisibility' due to the condition's limited social currency and their status as the youngest members of society. We draw on 39 narrative interviews about children's and adolescents' experiences, conducted in 2021-2022 in the United Kingdom. The occurrence of Long Covid in children challenges key aspects of a dominant pandemic narrative, some of which have persisted from the early stages of the pandemic into 2023. Analysis of our qualitative interviews demonstrates that participant experiences were shaped and undermined by the convergence of three elements of the dominant pandemic narrative: that Covid-19 is mild, and everyone recovers; that children are not badly affected by Covid-19; and that worst of the pandemic was essentially 'over' as early as 2021/2022. In the face of these characterisations of Covid-19 experience, young people and their families reported significant additional challenges in making the illness experiences of children and adolescents visible, and thus in gaining appropriate support from medical and educational professionals. We interpret this in relation to 'social currency' - the extent to which an illness elicits understanding and acceptance by wider society. Children and adolescents with Long Covid struggled to signal the severity of their condition and elicit care in the manner expected for other debilitating illnesses. This was exacerbated by assumptions and stereotypes about unwell children and adolescents, and their parents, and questioning of their candidacy as reliable, trustworthy patients., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
47. Impact of Long Covid on the school experiences of children and young people: a qualitative study.
- Author
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MacLean A, Wild C, Hunt K, Nettleton S, Skea ZC, and Ziebland S
- Subjects
- Humans, Child, Female, Adolescent, Post-Acute COVID-19 Syndrome, Schools, Educational Status, COVID-19, Academic Success
- Abstract
Objectives: To explore the impact of Long Covid (LC) on the school experiences of children and young people (CYP)., Design: Qualitative study using narrative interviews., Participants: 22 CYP (aged 10-18 years, 15 female) with LC and 15 parents/caregivers (13 female) of CYP (aged 5-18 years) with LC., Setting: Interviews were conducted between October 2021 and July 2022 via online video call or telephone. Recruitment routes included social media, LC support groups, clinicians, community groups and snowballing., Results: Three key findings were identified. Finding 1: Going to school is a valued part of CYP's lives and participants viewed educational attainment as important for their future trajectories. Returning to school full time was highlighted as a key part of regaining 'normal life'. Finding 2: Attending school (in-person or online) with LC is extremely difficult; even a gradual return required CYP to balance the impact of being at and engaging with school, with the need to manage symptoms to prevent relapse. Often this meant prioritising school and rest over other aspects of their lives. Finding 3: School responses to CYP with LC were reported to be mixed and hampered by difficulties communicating with healthcare professionals during the pandemic and a lack of awareness of LC among healthcare and education professionals. Participants viewed supportive school responses as staff believing, understanding and taking them seriously, alongside schools offering tailored and flexible adaptations which allowed engagement with school while limiting any deterioration of symptoms., Conclusions: This study describes how LC affects the school experiences of CYP and generates recommendations for supportive school responses alongside supportive healthcare professionals. Further research could explore the approaches that facilitate a successful return to school for CYP with LC and investigate education professionals' perspectives on support they require to positively engage with returning pupils., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)
- Published
- 2023
- Full Text
- View/download PDF
48. 'It feels like my metabolism has shut down'. Negotiating interactional roles and epistemic positions in a primary care consultation.
- Author
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Lian OS, Nettleton S, Grange H, and Dowrick C
- Subjects
- Humans, Female, Emotions, Primary Health Care, Referral and Consultation, Physician-Patient Relations, Negotiating, General Practitioners
- Abstract
Introduction: Our aim is to explore the ways in which a patient and a general practitioner (GP) negotiate knowledge claims stemming from different epistemic domains while dealing with a mismatch between experiential and biomedical knowledge during the clinical consultation. We interpret their interaction in relation to the sociocultural context in which their negotiation is embedded and identify factors facilitating their successful negotiation (a medical error is avoided)., Methods: Based on a narrative analysis of a verbatim transcript of a complete naturally occurring primary care consultation, we explore the moment-to-moment unfolding of talk between the patient and the GP (two women)., Findings: The patient experiences symptoms of what she interprets as a thyroid condition, and indirectly asks for medication. She presents her case by drawing on experiential knowledge ('it feels like my metabolism has shut down') and biomedical knowledge (while suggesting a diagnosis and a diagnostic test). The GP informs her that her thyroid blood tests are normal and uses biomedical knowledge to explain why she turns down the patient's request. This stages a potential conflict between the patient's embodied experiential knowledge and the doctor's biomedical knowledge. However, during their encounter, the patient and the GP manage to co-construct the patient's illness story and make shared decisions about further actions., Conclusion: The transition from potential conflict to consensus is a result of the mutual efforts of two parties: a patient who persistently claims experiential as well as biomedical knowledge while at the same time deferring to the GP's professional knowledge, and a GP who maintains her epistemic authority while also acknowledging the patient's experiential and biomedical knowledge., Patient and Public Contribution: Our empirical data are sourced from a data archive and patients were not involved in the design or conduct of the study, but our study is based on a naturally occurring clinical consultation with a patient., (© 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd.)
- Published
- 2023
- Full Text
- View/download PDF
49. "I'm not the doctor; I'm just the patient": Patient agency and shared decision-making in naturally occurring primary care consultations.
- Author
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Lian OS, Nettleton S, Grange H, and Dowrick C
- Subjects
- Decision Making, Shared, Humans, Patient Participation, Primary Health Care methods, Referral and Consultation, Decision Making, Physician-Patient Relations
- Abstract
Objectives: To explore interactional processes in which clinical decisions are made in situ during medical consultations, particularly the ways in which patients show agency in decision-making processes by proposing and opposing actions, and which normative dimensions and role-expectations their engagement entail., Methods: Narrative analysis of verbatim transcripts of 22 naturally occurring consultations, sourced from a corpus of 212 consultations between general practitioners and patients in England. After thematically coding the whole dataset, we selected 22 consultations with particularly engaged patients for in-depth analysis., Results: Patients oppose further actions more often than they propose actions, and they oppose more directly than they propose. When they explain why they propose and oppose something, they reveal their values. Patients' role-performance changes throughout the consultations., Conclusion: Assertive patients claim - and probably also achieve - most influence when they oppose actions directly and elaborate why. Patients display ambiguous role-expectations. In final concluding stages of decision-making processes, patients usually defer to GPs' authority., Practice Implications: Clinicians should be attentive to the ways in which patients want to engage in decision-making throughout the whole consultation, with awareness of normative dimensions of both process and content, and the ways in which patient's actions are constrained by their institutional position., (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
50. Negotiating uncertainty in clinical encounters: A narrative exploration of naturally occurring primary care consultations.
- Author
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Lian OS, Nettleton S, Wifstad Å, and Dowrick C
- Subjects
- Clinical Decision-Making, Communication, Humans, Physician-Patient Relations, Primary Health Care, Referral and Consultation, Uncertainty, General Practitioners, Negotiating
- Abstract
Based on a narrative analysis of 20 naturally occurring clinical consultations between general practitioners and patients in England, sourced from the One in a million data archive, we explore how they conceptualize and negotiate medical and existential uncertainty. To capture the interactional element, which is often overlooked, three consultations receive special attention. While exploring the ongoing dynamics of the moment-to-moment realization of negotiations, we relate their actions to the institutionalized positions of doctor and patient. Situating their negotiations in the sociocultural context in which their interaction is embedded reveals how consultations unfold as a result of communication between two different positions in a normatively structured system. When uncertainty prevails, both patients and GPs mainly conceptualize uncertainty indirectly. By conceptualizing uncertainty indirectly and in a depersonalized manner, GPs manage to safeguard against clinical errors without compromising their authority and credibility. Contrary to medical uncertainty, which is continuously discussed, existential uncertainty usually recedes in the background. However, as our consultations unfold it becomes evident that medical and existential dimensions of uncertainty are inextricably linked. By acknowledging that clinical uncertainty is not only an epistemic concern but also an existential one, existential aspects may usefully rise to the surface., (Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
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