The politics of health services research: health professionals as hired hands in a commissioned research project in England
Previous health services research has failed to account for the role played by clinical staff in the collection of data. In this paper we use the work of Roth on hired hand research to examine the politics of evidence production within health services research. Sociologies of work predict lack of engagement in the research tasks by subordinated groups of workers. We examine the role of midwives in researching ante-natal screening for sickle cell and thalassaemia in England, and construct three ideal types: repairers, refractors, and resisters to account for the variable engagement of health staff with research. We find some features of the hired hand phenomenon predicted by Roth to be in evidence, and suggest that the context of our project is similar to much health services research. We conclude that without concerted attempts (1) to change the social relations of research production; (2) to mitigate hired hand effects; (3) to assess the impact of the hired hand effect on the validity and reliability of findings, and (4) to report on these limitations, that health services research involving large teams of subordinated clinical staff as data collectors will be prone to produce evidence that is of limited trustworthiness.
Citation:Dyson, S.M. and Dyson S.E. (2014) The politics of health services research: health professionals as hired hands in a commissioned research project in England. Sociological Research Online, 19 (3):14
Showing items related by title, author, creator and subject.
Design covers a wide range of human activities. It is inherently multi-facetted, multi-layered and complex. Design research serves the dual purpose of understanding the phenomenon of design and improving particular aspects ...
Chown, Nick; Robinson, Jackie; Beardon, Luke; Downing, Jillian; Hughes, Elizabeth; Leatherland, Julia; Fox, Katrina; Hickman, Laura; MacGregor, Duncan (Article)It is both epistemologically, as well as ethically, problematic if the autistic voice is not heard in relation to social scientific research seeking to further develop knowledge of autism. Ever since autism first emerged, ...
From Computer Ethics to Responsible Research and Innovation in ICT: The transition of reference discourses informing ethics-related research in information systems The discourse concerning computer ethics qualifies as a reference discourse for ethics-related IS research. Theories, topics and approaches of computer ethics are reflected in IS. The paper argues that there is currently ...