Please enable JavaScript.
Coggle requires JavaScript to display documents.
Maintaining Places of Social Inclusion: Ebola and the Emergency Department
Maintaining Places of Social Inclusion: Ebola and the Emergency Department
Institutions and place
Places of Social Inclusion:
important institutions of the democratic state that provide citizens with universal access to essential human services
Maintaining Places of Social Inclusion:
place is just the site where actors perform institutional work directed at other institutions
Institutions:
regulative, normative and cultural-cognitive elements that, together with associated activities and resources, provide stability and meaning to social life
Guardians:
professionals working inside formal organizations who are entrusted with institutional values and given autonomy to defend them from subversion by other goals (custodians)
Methods
Research Setting
Emergency departments (EDs): the accessible front door
to the healthcare system
Data Collection
210 hours of observational data
over a six-month period
47 interviews with senior emergency physicians; 09 residents; 29 nurses
The outbreak of the Ebola virus in West Africa
Data Analysis
Results
Local Resources and Maintaining the Place of Social Inclusion
Resource rationing:
rationing the ED’s finite resources
Resource enabling:
activate intense moral emotions; situations where the resource rationing isn't sufficient
Place disruption
Local custodians can respond appropriately to a person’s health
needs
They managed the inclusion–resource tension at the local place
by ensuring that the ED remained open
Safety and Maintaining the Place of Social Inclusion
Harm mitigation:
Doctors and nurses classified the threat of harm as a known risk based on their familiarity with the threat and their confidence that the risk of harm could be mitigated; fear
Harm avoidance:
custodianship can break down when claims carry unknown risks of harm, amplifying tension between the value of social inclusion and safety of the local place
Place disruption
Process Model of Maintaining Places of Social Inclusion