NDLI: Decision-making and accountability: differences of distribution

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Decision-making and accountability: differences of distribution

Content Provider	Scilit
Author	Goodwin, Dawn
Copyright Year	2013
Description	Journal: Sociology of Health & Illness The cognitive and individual framing of clinical decision‐making has been undermined in the social sciences by attempts to reframe decision‐making as being distributed. In various ways, shifts in understanding in social science research and theorising have wrested clinical decision‐making away from the exclusive domain of medical practice and shared it throughout the healthcare disciplines. The temporality of decision‐making has been stretched from discrete moments of cognition to being incrementally built over many instances of time and place, and the contributors towards decision‐making have been expanded to include non‐humans such as policies, guidelines and technologies. However, frameworks of accountability fail to recognise this distributedness and instead emphasise independence of thought and autonomy of action. In this article I illustrate this disparity by contrasting my ethnographic accounts of clinical practice with the professional codes of practice produced by the General Medical Council and the Nursing and Midwifery Council. I argue that a ‘thicker’ concept of accountability is needed; one that can accommodate the diffuseness of decision‐making and the dependencies incurred in collaborative work.
Ending Page	59
Starting Page	44
ISSN	2573508X
e-ISSN	14679566
DOI	10.1111/1467-9566.12042
Journal	Sociology of Health & Illness
Issue Number	1
Volume Number	36
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2013-09-20
Access Restriction	Open
Subject Keyword	Journal: Sociology of Health & Illness History and Philosophy of Science Distributed Decision‐making Professional Codes of Practice
Content Type	Text
Resource Type	Article

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