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Constructing the meanings of PPI within local organisations: An ethnographic study in England and Wales. / Silvia Scalabrini

Swansea University Author: Silvia Scalabrini

Abstract

This thesis provides a sociological analysis of the process of the construction of meanings of Patient Public Involvement (PPI) policies within two Local Involvement Networks (LINks) and two Community Health Councils (CHCs), which were citizen-engagement organisations that formed part of the health...

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Published: 2013
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa42599
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first_indexed 2018-08-02T18:55:05Z
last_indexed 2018-08-03T10:10:34Z
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spelling 2018-08-02T16:24:29.7901969 v2 42599 2018-08-02 Constructing the meanings of PPI within local organisations: An ethnographic study in England and Wales. 6a809a0593884471d4a350057cdfe620 NULL Silvia Scalabrini Silvia Scalabrini true true 2018-08-02 This thesis provides a sociological analysis of the process of the construction of meanings of Patient Public Involvement (PPI) policies within two Local Involvement Networks (LINks) and two Community Health Councils (CHCs), which were citizen-engagement organisations that formed part of the health care systems of England and Wales. Drawing on symbolic interactionism, the study uses the selected bodies as sites to explore comparatively how frontline actors (such as volunteers, salaried staff and NHS professionals) understood and enacted PPI in everyday work. An ethnographic approach was employed to investigate the interaction and the meaning-making activities of stakeholders in local PPI arenas. The research is based on a combination of observations, semi-structured interviews and documentary analysis undertaken over a period of sixteen months. The study shows that the meanings of PPI in LINks and CHCs is shaped by social processes, such as the interplay between informants' understandings of role and everyday relationships between volunteers, officers and NHS professionals in the course of the work. The research suggests that, despite different legislation, Welsh and English informants understood their place in CHCs and LINks in similar ways by drawing on established working practices and a notion of the ideal volunteer. Volunteers made sense of their role by drawing on images of 'the public', viewed as an imagined community of people with negative attributes against which volunteers constructed the positive meaning of their own role. Informants in the study understood PPI in multiple ways that evidenced the relevance of the organisational and social context in 'doing involvement'. In discussing how local stakeholders' concerns to comply with the legal requirement 'to do PPI' were translated into practical devices to show evidence that involvement was proceeding, the concept of juridification is used to develop a better understanding of grassroots actors' interpretations of policy. E-Thesis Health care management. 31 12 2013 2013-12-31 COLLEGE NANME Nursing COLLEGE CODE Swansea University Doctoral Ph.D 2018-08-02T16:24:29.7901969 2018-08-02T16:24:29.7901969 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Silvia Scalabrini NULL 1 0042599-02082018162507.pdf 10805357.pdf 2018-08-02T16:25:07.1530000 Output 9070961 application/pdf E-Thesis true 2018-08-02T16:25:07.1530000 false
title Constructing the meanings of PPI within local organisations: An ethnographic study in England and Wales.
spellingShingle Constructing the meanings of PPI within local organisations: An ethnographic study in England and Wales.
Silvia Scalabrini
title_short Constructing the meanings of PPI within local organisations: An ethnographic study in England and Wales.
title_full Constructing the meanings of PPI within local organisations: An ethnographic study in England and Wales.
title_fullStr Constructing the meanings of PPI within local organisations: An ethnographic study in England and Wales.
title_full_unstemmed Constructing the meanings of PPI within local organisations: An ethnographic study in England and Wales.
title_sort Constructing the meanings of PPI within local organisations: An ethnographic study in England and Wales.
author_id_str_mv 6a809a0593884471d4a350057cdfe620
author_id_fullname_str_mv 6a809a0593884471d4a350057cdfe620_***_Silvia Scalabrini
author Silvia Scalabrini
author2 Silvia Scalabrini
format E-Thesis
publishDate 2013
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description This thesis provides a sociological analysis of the process of the construction of meanings of Patient Public Involvement (PPI) policies within two Local Involvement Networks (LINks) and two Community Health Councils (CHCs), which were citizen-engagement organisations that formed part of the health care systems of England and Wales. Drawing on symbolic interactionism, the study uses the selected bodies as sites to explore comparatively how frontline actors (such as volunteers, salaried staff and NHS professionals) understood and enacted PPI in everyday work. An ethnographic approach was employed to investigate the interaction and the meaning-making activities of stakeholders in local PPI arenas. The research is based on a combination of observations, semi-structured interviews and documentary analysis undertaken over a period of sixteen months. The study shows that the meanings of PPI in LINks and CHCs is shaped by social processes, such as the interplay between informants' understandings of role and everyday relationships between volunteers, officers and NHS professionals in the course of the work. The research suggests that, despite different legislation, Welsh and English informants understood their place in CHCs and LINks in similar ways by drawing on established working practices and a notion of the ideal volunteer. Volunteers made sense of their role by drawing on images of 'the public', viewed as an imagined community of people with negative attributes against which volunteers constructed the positive meaning of their own role. Informants in the study understood PPI in multiple ways that evidenced the relevance of the organisational and social context in 'doing involvement'. In discussing how local stakeholders' concerns to comply with the legal requirement 'to do PPI' were translated into practical devices to show evidence that involvement was proceeding, the concept of juridification is used to develop a better understanding of grassroots actors' interpretations of policy.
published_date 2013-12-31T03:53:17Z
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score 11.035634

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