Applying Institutional Ethnography to Childcare

This research applies institutional ethnography to childcare by employing participant observation, interviews and text examination at two childcare research sites. The initial focus of this work describes the daily happenings in childcare utilizing a grounded theory approach and makes connections between what happens in childcare and the structures and institutions that dictate those experiences. The construction of work was found to be a major contributor to childcare experiences. I conclude with an examination of U.S. childcare policy and suggestions for improving these policies and offerings.

Health Inequity and Institutional Ethnography: Mapping the Problem of Policy Change

Health equity (HE) is a central concern across multiple disciplines and sectors, including nursing. However, the proliferation of the term has not resulted in corresponding policymaking that leads to a clear reduction of health inequities. The goal of this paper is to use institutional ethnographic methods to map the social organization of HE policy discourses in Canada, a process that serves to reproduce existing relations of power that stymie substantive change in policy aimed at reducing health inequity. In nursing, institutional ethnography (IE) is described as a method of inquiry for taking sides in order to expose socially organized practices of power. Starting from the standpoints of HE policy advocates we explain the methods of IE, focusing on a stepwise description of theoretical and practical applications in the area of policymaking. Results are discussed in the context of three thematic areas: 1) bounding HE talk within biomedical imperialism, 2) situating racialization and marginalization as a subaltern space in HE discourses, and 3) activating HE texts as ruling relations. We conclude with key points about our insights into the methodological and theoretical potential of critical policy research using IE to analyze the social organization of power in HE policy narratives. This paper contributes to critical nursing discourse in the area of HE, demonstrating how IE can be applied to disrupt socially organized neoliberal and colonialist narratives that recycle and redeploy oppressive policymaking practices within and beyond nursing.

http://www.smj.org.sg/article/institutional-ethnography-primer

This review introduces a qualitative methodology called institutional ethnography (IE) to healthcare professionals interested in studying complex social healthcare systems. We provide the historical context in which IE was developed, and explain the principles and terminology in IE for the novice researcher. Through the use of worked examples, the reader will be able to appreciate how IE can be used to approach research questions in the healthcare system that other methods would be unable to answer. We show how IE and qualitative research methods maintain quality and rigour in research findings. We hope to demonstrate to healthcare professionals and researchers that healthcare systems can be analysed as social organisations, and IE may be used to identify and understand how higher-level processes and policies affect day-to-day clinical work. This understanding may allow the formulation and implementation of actionable improvements to solve problems on the ground.

Managing categories: The role of social technology in kindergarten teachers’ work to promote early intervention and integration

Early intervention and integration are highly valued ideals in kindergartens in Norway. Building on two research projects informed by institutional ethnography, the authors address how kindergarten teachers ‘do’ early intervention and integration in their everyday work. They argue that this work largely revolves around managing categories, whether making categories fit people or making people fit categories. In this work, the kindergarten teachers rely on social technology that is influenced by a ‘psy-discourse’. Despite good intentions, the social technology and the professionals’ use of it ends up constructing the categories they are intended to help or ‘heal’.

Organizational Culture in Tracked Changes

Tracked changes, usually thought of as preliminaries to the work documents do in organizations, are themselves an important digital residue of work, a site at which workplace culture and politics can be articulated and identified. In this chapter, I address tracked marginalia on a consequential workplace document, a draft academic workload model, as naturally occurring qualitative data. Institutional ethnography and ethnomethodology are brought to bear, respectively: to conceptualize and describe the workplace and the central role documents play in its administration; and to build up a close analysis of the strategies and positions taken by collaborators on the document, as evidenced in tracked comments. I argue that combining these analytical perspectives permits critical insights, into the local organization of work through documents and documentary processes, and the affordances of tracked changes as a communicative backchannel.

Institutional Ethnography and Exploring the Social

There is a new trend taking place in Egypt over the last decades that is attempting to establish a new culture of development arguing for a knowledge-based development of Egyptian society. Consequently, Egyptian society has begun to witness the emergence of different policies, national strategies, and mega development projects that try to translate these policies into reality. But the question that remains is what type of knowledge, and in which context, should be developed? In this vein, this research serves two purposes. First, it contests the notion of knowledge while using a new method of inquiry that creates an opening for an alternative-more-humanized sociology that opposes the dominant sociological perspective that studies people as quantitative objects. The research uses institutional ethnography to provide new-actor-related insights and interpretations while exploring the social momentum within Egyptian society. Second, the research seeks to investigate the relationship between the desire to transform Egypt into a knowledge-based society through the knowledge precincts projects, following the global agenda, and the creation of a political, social, and cultural environment that allows knowledge to thrive, leading to more social justice and equity. In the end, the research asks: What is the definition of ‘knowledge' provided by the Egyptian government through its different developmental policies? How does it function inside the knowledge precincts projects? It also asks: Does Egypt's commitment to large scale programs through knowledge precincts reveal an authoritarian inclination?