Exploring the legacies of filmed patient narratives: the interpretation and appropriation of patient films by Health Care staff

Adams, M, Robert, G and Maben, Jill (2015) Exploring the legacies of filmed patient narratives: the interpretation and appropriation of patient films by Health Care staff Qualitative Health Research, 25 (9). pp. 1241-1250.

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Abstract

We trace the legacies of filmed patient narratives that were edited and screened to encourage engagement with a participatory quality improvement project in an acute hospital setting in England. Using Gabriel’s theory of “narrative contract,” we examine the initial success of the films in establishing common grounds for participatory project and later, and more varied, interpretations of the films. Over time, the films were interpreted by staff as either useful sources of learning by critical reflection, dubious (invalid or unreliable) representations of patient experience, or as “closed” items available as auditable evidence of completed quality improvement work. We find these interpretations of the films to be shaped by the effect of social distance, the differential outcomes of project work, and changing organizational agendas. We consider the wider conditions of patient narrative as a form of quality improvement knowledge with immediate potency and fragile or fluid legitimacy over time.

Item Type:	Article
Divisions :	Faculty of Health and Medical Sciences > School of Health Sciences
Authors :	Name Email ORCID Adams, M Robert, G Maben, Jill j.maben@surrey.ac.uk
Date :	9 January 2015
Identification Number :	10.1177/1049732314566329
Copyright Disclaimer :	Copyright 2015 Sage Publications
Uncontrolled Keywords :	health care, users’ experiences, health care, work environment, knowledge construction, research, participatory action research (PAR), quality improvement, stories / storytelling, visual methods
Depositing User :	Melanie Hughes
Date Deposited :	13 Dec 2017 10:37
Last Modified :	13 Dec 2017 10:37
URI:	http://epubs.surrey.ac.uk/id/eprint/845248

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