Purpose: The purpose of this paper is to understand the barriers and enablers to lean implementation as part of an imaging quality improvement programme from a socio-cultural perspective. Design/methodology/approach: An in-depth 33 month ethnographic study, using observation and qualitative...

The English version of the WPAI-GERD showed good cross-sectional construct validity, and results indicated that the WPAI-GERD is responsive to change. Although the results also indicated that longitudinal construct validity may be poor, the overall findings suggest that further study of the...

At the age of 16, many young people in the UK decide to leave school and enter vocational education or training, either at a Further Education (FE) college, or on a Government training scheme. In spite of the size and importance of this group, the current debate about education and training...

Psychometric tests continue to form an important part of careers guidance for young people of school leaving age throughout the UK. In the existing literature, there is little evidence about the impact of testing on subsequent labour market success. This paper presents a quantitative analysis of...

Diagnosis in contemporary medicine is made using an underlying classification system or nosology, the basis of which was first laid down at the end of the 18th century. The International Classification of Disease (ICD) was constructed to formalise this nosology and successive revisions have...

This paper argues that until about 10 years ago the caring role of the nurse was restricted primarily to the biological functioning of the patient. The more recent concern with communication and patient 'psychology' in the nursing literature suggests that nursing has succeeded, through this...

Evidence-based medicine enables the profession to resist at least some of the challenges to its traditional autonomy: if informed doctors provide what is scientifically proven to be the best care there is less justification for external constraints. Yet, this defensive strategy depends on...

 The role of diagnostic labels in medicine is usually that of labelling an illness as a means of communication. Control over labelling processes in medicine is ordinarily imposed via medical schools, textbooks, education or by diagnostic manuals. Diagnostic labels often change following new...

Using two longitudinal and nationally representative datasets, this study employs a cross-cohort analysis to examine age, cohort and period effects in the prevalence of sleep loss through worry for people over the age of 50 in the UK. The likelihood of reporting sleep loss through worry is...

This paper briefly describes how the genealogical method, as derived from Foucault's work, might be used to explore the problem of chronic illness. The genealogical method is differentiated from other qualitative methods, from epidemiology, and from the history of ideas. Finally, the particular...