Knowledge mobilisation: an ethnographic study of the influence of lay mindlines on eczema self-management in primary care in the UK

BMJ Open
Fiona Cowdell

Abstract

To investigate the way in which mindlines, 'collectively reinforced, internalised tacit guidelines', are constructed among lay people with eczema in primary care. Ethnographic study. Observation in one general practice in the UK and interviews across central England. In observation, patients in the participating general practice regardless of presenting complaint and in interviews, people with eczema or parents of children with eczema (n=16). Observation of over 250 hours and interview data were combined and analysed using an ethnographic approach through the lenses of mindlines and self-management. Four themes were identified: doctor knows best; not worth bothering the doctor; I need to manage this myself; and how I know what to do. Themes were set within the context of four broad typologies of lay people's approach to self-management: content to self-manage; content to accept practitioner management; self-managing by default; and those referred to secondary care. This study is the first to examine how lay eczema mindlines are developed and to recognise typologies of people with different need for, and receptiveness to, information. Lay eczema mindlines are constructed in many ways. The outstanding challenge is to find strateg...Continue Reading

References

Sep 20, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Julie BarnettEmma Daniells
Sep 20, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Jane OgdenJulie Barnett
Oct 24, 2009·The British Journal of Dermatology·M L A SchuttelaarP J Coenraads
Nov 26, 2009·Patient Education and Counseling·Sharon Lawn, Adrian Schoo
Jun 23, 2011·The British Journal of Dermatology·J K SchofieldH Williams
Apr 24, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Miriam SanterPaul Little
Apr 9, 2013·Journal of the European Academy of Dermatology and Venereology : JEADV·A LangenbruchM Augustin
May 15, 2013·BMJ : British Medical Journal·Anne KennedyUNKNOWN Salford National Institute for Health Research Gastrointestinal programme Grant Research Group
Aug 6, 2013·Journal of the European Academy of Dermatology and Venereology : JEADV·K JacksonA More
Jan 9, 2014·The Cochrane Database of Systematic Reviews·Steven J ErsserAlison Drury
May 27, 2014·Patient Education and Counseling·Susan A FlockeDeborah J Cohen
Jun 5, 2014·BMJ Quality & Safety·Martin MarshallAllan Goldmann
Sep 23, 2014·Nursing Outlook·Wendy R MillerJanice M Buelow
Oct 8, 2014·Expert Opinion on Emerging Drugs·Sabine G PlötzJohannes Ring
Oct 15, 2014·Journal of Advanced Nursing·Deryn Lee Thompson, Murray John Thompson
Apr 19, 2015·Implementation Science : IS·Sietse Wieringa, Trisha Greenhalgh
Aug 5, 2015·Journal of Clinical Medicine·Alexandria M BassSteven R Feldman
Sep 15, 2015·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Heather L ShepherdEdith Weisberg
Sep 18, 2015·Lancet·Stephan Weidinger, Natalija Novak
Oct 2, 2015·The Medical Journal of Australia·Claire L Jackson, Trisha Greenhalgh
Aug 3, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·John Gabbay, Andrée le May
Jan 7, 2017·Work : a Journal of Prevention, Assessment, and Rehabilitation·Stephanie LagoskyLynn Shaw
Apr 19, 2017·The British Journal of Dermatology·C-Y Chu
Apr 23, 2017·The British Journal of Dermatology·M J RiddA L Huntley

❮ Previous
Next ❯

Software Mentioned

NHS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.