The roles of specialisation and evidence-based practice in inter-professional jurisdictions:  A qualitative study of stroke services in England, Sweden and Poland

Juan I. Baeza; Annette Boaz; Alec Fraser

doi:10.1016/j.socscimed.2016.03.001

The roles of specialisation and evidence-based practice in inter-professional jurisdictions: A qualitative study of stroke services in England, Sweden and Poland

Juan I. Baeza, Annette Boaz, Alec Fraser

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

180 Downloads (Pure)

Abstract

This paper investigates how the concepts of clinical specialisation and evidence influence the jurisdictional power of doctors, nurses and therapists involved in stroke care in Sweden, England and Poland. How stroke care has become a distinct specialism across Europe and the role that evidence has played in this development are critically analysed. Five qualitative case studies were undertaken across the three countries, consisting of 119 semi-structured interviews with a range of healthcare workers. The informants were purposively selected and their perspectives of evidence-based practice (EBP) within stroke care were explored. The data were analysed through thematic content analysis. The two key themes that emerged from the data were the health professionals' degrees of EBP and specialisation. The results illustrate how the two concepts of clinical specialisation and evidence are interrelated and work together to influence the different professions' degree of professional jurisdiction. It is concluded that doctors' professional dominance gives them full jurisdiction in stroke care and that nurses' and therapists' degrees of jurisdiction is dependent on their ability to specialise.

Original language	English
Pages (from-to)	15-23
Journal	Social Science & Medicine
Volume	155
Issue number	0
Early online date	3 Mar 2016
DOIs	https://doi.org/10.1016/j.socscimed.2016.03.001
Publication status	Published - 1 Apr 2016

Keywords

England
Poland
Sweden
Jurisdictions
Evidence
Specialisation
Stroke care
Abbott

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This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.socscimed.2016.03.001

The roles of specialisation_BAEZA_Accepted 1 February_ GREEN AAMAccepted author manuscript, 526 KB

Cite this

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