Soft authority: ecologies of infection management in the working lives of modern matrons and infection control staff.

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dc.contributor.author Brown, Brian J.
dc.contributor.author Crawford, Paul
dc.date.accessioned 2009-04-15T16:25:53Z
dc.date.available 2009-04-15T16:25:53Z
dc.date.issued 2008
dc.identifier.citation Brown, B.J. and Crawford, P. (2008) Soft authority: ecologies of infection management in the working lives of modern matrons and infection control staff. Sociology of Health and Illness, 30, pp. 756-771. en
dc.identifier.issn 0141-9889
dc.identifier.uri http://hdl.handle.net/2086/1691
dc.description The version of the article attached to this record is the authors final peer reviewed version. The definitive version of this article is available at http://dx.doi.org/10.1111/j.1467-9566.2008.01086.
dc.description.abstract This paper discusses the role of modern matrons and their work in the reduction of health care acquired infections. Based on in-depth interviews with 10 matrons in a health care trust in the UK Midlands region, we explore how they construe their working lives and their view of the powers they have to enhance cleanliness and reduce infection. Despite claims in policy documents that modern matrons would have considerable authority, participants felt their control over the environment was limited, and could be accomplished only through reflecting, communicating and liaising. The lack of formal structures of accountability and personal authority meant that participants could be characterised as working in what Courpasson calls a "soft bureaucracy". Moreover, in the light of limited power to command cleanliness, participants described their role in terms of reflexive work upon themselves and their interpersonal environment, involving self-scrutiny of their activity, channelling information, empowering, facilitating and remodelling the emotional environment of care delivery. This aligns with accounts of the self in the workplace from Anthony Giddens and Nikolas Rose where it is seen as a reflexive project. We explore why the project of the self seems to have eclipsed the managerial role as the major focus of matron's work. en
dc.language.iso en en
dc.publisher Wiley-Blackwell en
dc.subject matrons en
dc.subject management en
dc.subject soft bureaucracy en
dc.subject healthcare acquired infection en
dc.subject self-dentity en
dc.title Soft authority: ecologies of infection management in the working lives of modern matrons and infection control staff. en
dc.type Article en
dc.identifier.doi http://dx.doi.org/10.1111/j.1467-9566.2008.01086.x
dc.researchgroup Participation & Social Justice
dc.researchgroup Psychology
dc.researchgroup Health Policy
dc.researchgroup Health Policy Research Unit


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