Seminar
Advancing Ethnography in Healthcare Environments
with a Special Focus on
Ethnographies of Maternity Care and Practice
Monday, April 22nd, 2013
8:30am -1:00pm
Sponsored by: Stanford University / CMQCC
CCSR 4205
The Center for Clinical Sciences Research (CCSR) building is located at 261
Campus Drive, next to the Beckman Center. map
CCSR 4205 is on the fourth floor of the south CCSR building.
You may use your “C” parking tag in the S-5 lot or Parking Structure 5 at the
intersections of Stock Farm Rd, Oak Rd, Welch Rd & Campus Drive.
http://transportation.stanford.edu/pdf/parking-map.pdf
*For assistance with parking, or to find the seminar location, please call
Valerie Cape at 650-725-6108 or Christine at 650-995-4550!
Based on the book: Advancing Ethnography in Corporate Environments:
Challenges and Emerging Opportunities, Brigitte Jordan (ed); now available from
Left Coast Press and Amazon.
SCHEDULE
8:30-9am
9:00-9:10am
9:10-9:30am
9:30-10:00am
10:00-10:30am
10:30-10:45am
10:45-11:15am
11:15-11:45am
11:45-12:15pm
12:15-12:30pm
12:30-12:50pm
12:50-1:00pm
1:00 -
Arrive, coffee
Christine-welcome, introductions, goals of the
seminar
Gitti- introduction to the book and seminar
Pair 1: Theresa & Audrey (Theory and Practicality)
Pair 2: Sarah & Roxy (Theory and Practicality)
Break
Pair 3: Rona & Jennifer R. (Systems and Products)
Pair 4: Christine & Jenn S. (Systems and Products)
Pair 5: Lydia & Katie (Insider and Outsider)
Further Discussion
Wrap up, next steps
Assessment
Lunch with the group (optional)
Facilitator
Brigitte (Gitti) Jordan, PhD Gitti has done seminal cross cultural
research in obstetric technologies and childbirth practices for
which she received the Margaret Mead Award of the
American Anthropological Association. Working now as a
consulting corporate anthropologist, her interests revolve
around research methodologies focused on the new human “lifescapes”
we see emerging in a global socio-digital world. Many of her publications
can be found at her website www.lifescapes.org.
Participants
PAIR 1
Audrey & Theresa
Theory and Practicality
Audrey Lyndon, RN, PhD, CNS-BC, Assistant Professor, UCSF School of
Nursing Audrey’s research centers on understanding variation in whether
maternity nurses, physicians, and other clinicians will speak up when they
encounter actual or potential threats to patient safety. Problems with
communication and teamwork are widespread, can result in harm to
mothers and babies, and are in fact a central component of most
preventable adverse events in perinatal care. Researchers describe assertive
communication as key to safe maternity care, but clinicians’ use of assertive
communication is poorly understood. She studies the role of communication, assertion,
and teamwork in maintaining patient safety for childbearing women and their families
in inpatient settings.
Theresa Morris, PhD, Sociology Professor, Trinity College, CT
Theresa’s primary areas of specialization are Organizational Theory,
Sociology of Reproduction and Birth, Political Sociology, and Sex and
Gender. Her forthcoming book, Cut It Out: The C-Section Epidemic in
America, will be published by New York University Press in September 2013.
She is currently conducting an ethnographic project examining the role of labor and
delivery nurses in supporting women during labor and delivery. She and her research
assistants have completed nearly 200 hours of observations at a tertiary care hospital in
Connecticut. They have IRB approval at a Connecticut community hospital to
conduct observations of labor and delivery nurses there and plan to begin
observations in the spring.
PAIR 2
Sarah & Roxy
Theory and Practicality
Sarah Garrett, PhDc, UC Berkeley Sociology
Sarah uses quantitative and qualitative methodologies to conduct
research relevant to cultural sociology, medical sociology, sociology of
families and gender. Her dissertation investigates the ways in which new
mothers' social network characteristics and interpretations of key events
in pregnancy, birth and the early postpartum period shape their socioemotional well-being. These outcomes include feelings of confidence and
competence; risk of postpartum depression; and responses to unwanted interventions.
Roxana (Roxy) Bahar, PhDc, UC Davis Sociology
Roxy studies racial disparities in maternal health using qualitative methods,
focusing in particular on decision making surrounding interventions before
and during childbirth. Her dissertation research explores how race and
social class affect women's birth preferences, interactions with providers,
and embodied experience of pregnancy and birth, which in turn influence their health
outcomes.
PAIR 3
Rona & Jennifer R
Systems implementation and Product design
Rona Stein, PhD, Public Policy
Rona’s training includes an undergraduate degree in sociology,
anthropology and English literature (1999); a master’s degree in social
psychology (2001) both from Bar-Ilan University, Israel and a PhD in public
policy (2012) from Tel-Aviv University, Israel. She was also a researcher at The
Institute for Policy and Strategy in The Interdisciplinary Center, Herzliya, Israel.
Rona’s MA research focused on public sector HR managers’ attitudes toward
permanently temporary employment contracts – a highly controversial practice of
non-standard employment, which was, at the time, high on the Israeli parliament’s and
courts’ agendas. In her doctoral research, Rona studied the emerging phenomenon of
the networked delivery of human services by public, nonprofit and for-profit networks
and its consequences for service delivery inequality. Rona’s research interests include
social policy, new governance theory, public/ nonprofit/ for-profit networks, and
qualitative research methodologies.
Jennifer Rienks, PhD, Associate Director of Family Health Outcomes
Program, UCSF. Jennifer received her undergraduate degree in
psychology from the University of Connecticut before heading west to
complete both her Masters of Science degree and PhD in Social
Psychology at the University of California, Santa Cruz. Her research interests include the
application of social science theories and methods to public health to change health
behaviors and health systems, and the role of the physical and social environment in
shaping health behaviors. Currently, she is working on researching the impact of
implementing a new model of labor and delivery on physician satisfaction and patient
outcomes at a local community hospital.
PAIR 4 Jennifer S & Christine Systems implementation and Product design
Jennifer Schindel, PhD, Senior Research Associate, Berkeley Center for
Health Technology Leveraging expertise in qualitative and mixed-methods
study design, ethnographic, case study and in-depth interviewing, Jennifer
conducts and develops research initiatives aligned with the promotion of
efficiency and effectiveness in the use of health care technology. Her
research interests are centered on system-wide factors including appropriateness,
shared decision-making, insurance benefit design, and payment reform across highcost service lines such as orthopedics, maternity care, oncology, and cardiology. Prior
to joining BCHT, Dr. Schindel worked across the private, public, and non-profit sectors
managing research and consulting projects. She holds a PhD in anthropology in
education, with a focus in linguistic anthropology, from Stanford University, and a BA in
Cognitive Science from UC Berkeley.
Christine Morton, PhD, Research sociologist, CMQCC (Co-Organizer)
Christine’s research has focused on advocacy and information roles in
maternity care, including the emerging role of the doula, or labor support
provider, and childbirth educators. Christine is committed to improving
maternity care through both research and policy. She collaborates with
other social scientists on research projects that support the goals and mission of
CMQCC. Ongoing projects include a study of traumatic childbirth experiences and
analysis of online narratives of cardiomyopathy diagnoses.
Pair 5
Lydia & Katie
Insider and Outsider
Lydia Zacher, PhDc, Anthropology, UCI
Lydia received her BA in Gender Studies and Latin American Studies in 2002
from the University of Chicago. She spent four years traveling between
Mexico and the US before graduate school, working with midwives and
women's health organizations. Her research has focused on the institutionalization of
midwifery and midwifery education in Mexico. She is interested in the ways in which
international development frames and impacts women's bodies, and how processes
of standardization force differentiations between local models of health care. Her work
draws from the fields of Medical Anthropology, the Anthropology of Science and
Technology, and Global Health.
Katie Pine, PhD, UCI Informatics, (Co-Organizer)
Katie is a postdoctoral fellow at the University of California, Irvine
Department of Informatics with the Intel Science & Technology Center for
Social Computing. Katie's dissertation, entitled "Childbirth Re-Written as an
Organizational Event: The Impact of Accountability Artifacts on Coordination
of Routines in a Labor & Delivery Unit" explores the tensions between administrative
and regulatory requirements for accountability and situated coordination of work by
medical personnel that arise as work infrastructures in hospitals shift from paper to
digital artifacts, through an ethnographic investigation of EMR implementation in a
hospital obstetrical unit. Broadly, her research focuses on algorithmic and
sociomaterial dimensions of medical work.
Invited Participant
Nick Rubashkin, MD, St Luke’s Hospital, San Francisco
Nick has an MD and MA (Anthropology) from Stanford University and is an
obstetrician who was born at home, and who works at a San Francisco
hospital recognized for its support of alternative birthing models. When the
baby of a home-birth patient died at the hospital due to preventable
complications, he began to think more critically about the extreme nature of this
debate. In collaboration with the Institute of Behavioral Sciences at Semmelweis
University and with Fulbright support, he intends to complete a qualitative analysis of
how, under new government regulation, Hungarian women decide between home
and hospital births.