Achieving clinical behaviour change : A case of becoming indeterminate.
This paper is based on an empirical study of attempts to achieve change in clinical behaviour across a United Kingdom National Health Service (NHS) Health Authority (HA).
We suggest that the evidence based medicine (EBM) movement underpinning uc attempts is premised upon a highly rationalistic conception of change.
Here the generation and implementation of research findings into clinical practice is understood as movement between discrete entities.
Drawing upon poststructural philosophy, social studies of science and technology, social anthropology, and gender studies, we challenge such linear perspectives through a more immanent alternative.
We conceive of change as movement within indeterminate or ambiguous relationships.
We then proceed to discuss the implications of this modality for the management of clinical behaviour change.
Mots-clés Pascal : Changement comportement, Recherche appliquée, Application médicale, Pratique professionnelle, Connaissance, Analyse sociologique, Personnel sanitaire, Royaume Uni, Europe, Homme, Médecine d'observation, Poststructuralisme
Mots-clés Pascal anglais : Behavior change, Applied research, Medical application, Professional practice, Knowledge, Social analysis, Health staff, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0046930
Code Inist : 002B30A05. Création : 31/05/1999.