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This paper discusses video ethnography as part of a multimethod study of the introduction of information technology to streamline pathology test order entry in hospitals and its effect on the work of pathology laboratory scientists. The paper opens with an overview of video research in health care settings. After acknowledging the limitations inherent in video data, the paper offers a description of how video footage served to enhance insight in three ways. First, the footage enhanced the researchers’ own appreciation of the significance of particular facets of the data, which led them to reassess information collected through interviewing, focus groups and research field notes. Second, the footage enhanced the pathology laboratory scientists’ appreciation of the problems they experienced when incorporating the new information technology into their daily work practice, by enabling them to articulate these problems to outside researchers. Third, by being watched (by the video camera) and by watching themselves perform their work they were enabled to redesign their practices. The paper suggests that, as a result of interactively performing their work in front of the camera, the scientists came to apprehend their practices ‘from under a different aspect’. The paper concludes that by allowing video ethnography as a research method to remain underdefined and emergent, the modality of engagement and uptake shown by participants in the video research can be considered as a further enriching aspect of video ethnography as a research process.

This paper examines the historical background of accountingization, colonization and hybridization in the health services by exploring the relationship between hospital accounting and clinical medicine in Britain between the late 1960s and the early 2000s.

The paper draws on an analysis of professional journals, government reports and other documentary sources relating to accounting and medical developments. It is informed by Abbott's sociology of professions and Eyal's sociology of expertise.

The paper shows that not only accountants but also elements within the medical profession sought to make the practice of medicine more visible, calculable and standardized, and that accounting and medical attempts to make medicine calculable interacted in a mutually reinforcing manner. Consequently, it argues that a movement towards clinical forms of quantification within the medical profession made it more open to economic calculation, which underpinned hospital accounting reforms and the accountingization, colonization or hybridization of health services.

The paper demonstrates that a fuller understanding of the relationship between accounting and public sector professions can be developed if we examine their mutual interactions rather than restricting ourselves to analyzing accounting's effects on public sector professions. The paper moreover illustrates instances of intraprofessional conflict and inter-professional cooperation, and draws on the sociology of expertise to suggests that while hospital accounting reforms have curbed the power of medical professionals, they have also enhanced the power of clinical expertise.

Barbara M. Altman, a Sociologist with a Ph.D. from the University of Maryland, is currently a Special Assistant on Disability Statistics at the National Center for Health Statistics and an Adjunct Associate Professor at the University of Maryland, College Park. Her previous position was Senior Research Fellow with the Agency for Healthcare Research and Quality. She is a past president of the Society for Disability Studies and served on the founding Board of Directors of that organization. Her disability research interests focus in three areas: operationalization of disability definitions/measures in survey data; access to, financing and utilization of health care services by persons with disabilities, particularly working age persons and women with disabilities; and disability among minority groups. She is the author of a number of articles and book chapters on disability topics, and has served as editor of special issues of Disability Studies Quarterly and Journal of Disability Policy Studies. She is co-editor of this series Research in Social Science and Disability.Deborah J. Anderson, Ph.D., has conducted policy research in the area of Aging and Developmental Disabilities at the University of Minnesota since 1985. Her studies have included analyses of the health status, health conditions and health-related limitations and needs of older adults with mental retardation living in a variety of residential settings as well as in their own homes. These studies have included a longitudinal study of a 10% sample of older adults living in residential facilities licensed by developmental disabilities agencies, the National Nursing Home Survey of 1985, the National Medical Expenditure Survey of 1987, and the National Health Interview Disability Supplement (NHIS-D) of 1994–1995. She has also studied careproviders of older adults with mental retardation, innovative programs serving aging adults with developmental disabilities/mental retardation, and state agencies’ preparation for serving adults with mental retardation as they aged. Most of this research has been conducted as part of the NIDRR-funded RRTC on Aging and Developmental Disabilities. Dr. Anderson is also an Associate Professor in the Department of Psychology at St. Olaf College in Northfield, MN.Lynda L. Anderson, M.A., M.P.H., is a Resource Manager at No Place like Home in Robbinsdale, Minnesota. Ms. Anderson earned a Master of Arts degree in Human Service Administration and a Master of Public Health degree in Community Health. Ms. Anderson is a doctoral candidate in Work, Community and Family Education at the University of Minnesota. She has more than eighteen years of experience working with people with disabilities as a Direct Support Professional, Program Director, and Researcher. She has participated in NHIS-D analysis activities for the last five years.Sharon N. Barnartt, Ph.D., is Professor of Sociology at Gallaudet University. She has co-authored two books: Deaf President Now: The 1988 Revolution at Gallaudet University (1995) and Contentious Politics in the Disability and Deaf Communities (2001). She has also presented papers and published widely in the areas of socio-economic status and disability/deafness, legal and disability policy issues, and social movements in the deaf and disability communities. She is a former president of the Society for Disability Studies, co-editor of Research in Social Science and Disability and on the editorial board of Journal of Disability Policy Studies.Phillip W. Beatty, M.A., is a Senior Research Associate at the National Rehabilitation Hospital Center for Health & Disability Research in Washington, DC. His recent research focuses on predictors of access to health services among adults with disabilities. Mr. Beatty is also conducting research to determine the ways in which functional outcomes information is being used by stakeholders in the medical rehabilitation industry.Edward Brann, M.D., M.P.H., is Acting Director of the Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention. The division conducts a number of research and program activities for people with disabilities.Hong Chen, M.S., is an Economist in RTI International’s Division of Health Economics Research. His work focuses primarily on the analysis of large claims and survey databases, with an emphasis on diabetes prevention, substance abuse, and competitive bidding for durable medical equipment.Lisa J. Colpe, Ph.D., M.P.H., is a Clinical Epidemiologist Specializing in Survey Design and Research. At the time the work on this chapter was done, she was an Epidemiology Training Program Fellow in the Division of Health Interview Statistics, National Center for Health Statistics.Roger B. Davis, Sc.D., is Associate Professor of Medicine at Harvard Medical School and Associate Professor of Biostatistics at the Harvard School of Public Health. Dr. Davis has overseen the statistical design of numerous clinical trials, especially involving cancer and AIDS therapies. An expert in survival analysis, he also participates in health services research and clinical epidemiology studies with colleagues at Beth Israel Deaconess Medical Center, where he serves as Biostatistician in the Division of General Medicine and Primary Care.John Drabek, is an Economist in Office of Disability, Aging, and Long-Term Care Policy in the U.S. Department of Health and Human Services. He received his B.A. in Economics from Northwestern University, and his Ph.D. in Economics from the University of California, Santa Barbara. Prior to joining the federal government, he performed research at the University of Southern California, and at the University of California, Los Angeles.Laura J. Dunlap, M.A., is a Health Economist in RTI International’s Center for Interdisciplinary Substance Abuse Research. Since joining RTI in 1994, she has worked on studies analyzing the costs and benefits of substance abuse treatment, the effect of treatment services on post-treatment outcomes, and the costs and cost-effectiveness of public health and treatment interventions aimed at special populations such as drug users and low-income women.Holly J. Fedeyko is a former employee of the Disability and Health Branch, CDC in Atlanta, Georgia. While at the CDC she focused her efforts on Research in disability issues as related to questions from the National Health Interview Survey. She received her M.P.H. in Epidemiology and Environmental Health from Emory and her B.S. in Biology from McGill. She is currently employed as an analytical consultant for a private company and now resides in the San Francisco Bay area.Frances K. Goldscheider, University Professor and Professor of Sociology, began her Brown career in 1974. Since obtaining her Ph.D. in Demography from the University of Pennsylvania in 1971, Goldscheider has focused her research on census and survey data to address questions related to family structure and coresidential relationships, examining causes and consequences of change. Goldscheider pioneered research on the single-person household, and on home leaving and return to the nest of young adults, and has examined issues of labor force and family decisions of 20th century American women. She is an expert on family structure and relationships, fertility, parenthood, household economy, and marriage. Her intergenerational focus (on the living arrangements of young adults and the elderly) has expanded to include gender issues, particularly marriage and divorce, with a strong concern with the consequences of family structure for investments in childhood and young adulthood. Recent research interests include men’s roles in parenting and in the family.Scott D. Grosse, Ph.D., is a Health Economist at the National Center for Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention. He conducts applied research on the costs associated with various childhood conditions and economic evaluations of screening programs and interventions intended to improve health and developmental outcomes in children.Gerry E. Hendershot, Ph.D., is a Consultant on Disability and Health Statistics. From 1985 to 2001, he held various positions on the staff of the National Health Interview Survey, including Assistant to the Director for Data Analysis and Dissemination. He had a lead role in promoting, designing, and analyzing the National Health Interview Survey on Disability. He is the author of many published statistical reports on disability and other health-related topics.Dennis P. Hogan, Professor of Sociology, joined the Population Studies and Training Center at Brown University in 1995. He received a Ph.D. in Sociology from the University of Wisconsin-Madison in 1976. He has taught at both the University of Chicago, where he acted as associate director of the Population Research Center, and Pennsylvania State University, where he served as director of the Population Research Institute. In 1997, Hogan was named to an endowed professorship as the Robert E. Turner Distinguished Professor of Population Studies. Some of his research interests include the interrelationships of the family lives of individuals and their social environments, the measurement of disability, family consequences of disability, and the transition to adulthood. Hogan’s current research focuses on child disability. He is the principal investigator on grants supporting this program from the National Institute for Child Health and Human Development, the National Center for Medical Rehabilitation Research, the Assistant Secretary for Planning and Evaluation, the Federal Interagency Forum on Child and Family Statistics Subcommittee on Disability and the Spencer Foundation.Ghada al Homsi, M.S., is an Economist in RTI International’s Center for Interdisciplinary Substance Abuse Research. Her work focuses on the analysis of large surveys and the design and maintenance of databases of program costs.Amanda A. Honeycutt, Ph.D., is an Economist in RTI International’s Division of Health Economics Research. Since joining RTI in 1998, she has led a number of studies on the cost-of-illness, the cost of intervention programs, and the cost-effectiveness of prevention and treatment interventions that focus primarily on diabetes, HIV/AIDS prevention, and children’s health, disability, and development.Peter C. Hunt, M.P.H., was an Association of Schools of Public Health Fellow in the Division of Health Interview Statistics, National Center for Health Statistics, at the time work on this chapter was done. He subsequently served as a Special Assistant to the Director of the National Institute of Disability and Rehabilitation Research. He is currently a Research Associate at the University of Pittsburgh Model Center on Spinal Cord Injury.Lisa I. Iezzoni, M.D., M.Sc., is Professor of Medicine at Harvard Medical School and Co-Director of Research in the Division of General Medicine and Primary Care, Department of Medicine, at Beth Israel Deaconess Medical Center in Boston. Her primary research interest is risk adjustment for assessing health care quality and improving the fairness of payments. A 1996 recipient of The Robert Wood Johnson Foundation Investigator Award in Health Policy Research, she also studies health policy issues relating to mobility impairments. Dr. Iezzoni is a member of the Institute of Medicine.Gwyn C. Jones, Ph.D., M.S.W., M.Ed., is a Senior Research Associate at the National Rehabilitation Hospital Center for Health & Disability Research in Washington, DC. She is a former ATPM/CDC Fellow and current grantee. Her research and publications have focused on health risks, chronic conditions, and use of preventive services among working-age adults with disabilities, prescription drug use among non-elderly adults with disabilities, and rural Medicaid managed care for adults with disabilities.Judith D. Kasper, Ph.D., is a Professor in the Department of Health Policy and Management, and a Senior Research Associate in the Center for Health Services Research, at The Johns Hopkins Bloomberg School of Public Health. Her research interests include health policy in long-term care, aging and disability, access to health care for vulnerable populations, and the development and application of data sources for health policy and health services research. Dr. Kasper holds a Ph.D. in sociology from the University of Chicago.K. Charlie Lakin, Ph.D., is the Director of the Research and Training Center on Community Living at the University of Minnesota. Mr. Lakin has had extensive experience in gathering, analyzing, and using statistics from many primary and secondary data sources with the products of this work included in more than 200 publications in developmental disabilities and related services. Mr. Lakin was a member of the six-person external technical advisory panel on the instrumentation for the Disability Supplement. Mr. Lakin serves as Associate Editor of Mental Retardation, and consulting editor of The Journal of the Association for Persons with Severe Handicaps (JASH), the Journal on Intellectual and Developmental Disability and Social Science and Disability.Sheryl A. Larson, Ph.D., is a Research Associate at the Research and Training Center on Community Living at the University of Minnesota. She earned her Ph.D. in Educational Psychology from the University of Minnesota. She has 20 years of experience in services to persons with DD as a residential counselor, behavior analyst, social worker, and program evaluator and has worked for the RTC for the last 14 years. Ms. Larson was the Co-Principal Investigator for a two-year NIDRR Field Initiated Project which used the National Health Interview Survey Disability Supplement to examine the characteristics and service needs of persons with intellectual or developmental disabilities. She directed a supplement to the Research and Training Center on Community Living’s core grant that funded an international user’s conference in June 2000 for researchers analyzing NHIS-D topics. She has co-authored several papers using NHIS-D data. Dr. Larson has also co-authored several books, book chapters, journal articles and technical reports on workforce development issues, residential services, and community integration for persons with developmental disabilities and is a consulting editor of Mental Retardation.Donald J. Lollar, Ed.D., Senior Research Scientist, Division for Human Development and Disability, National Center on Birth Defects and Developmental Disabilities at the Centers for Disease Control and Prevention in Atlanta. His advanced degrees are from Indiana University, and his most recent writings include co-editing an Archives of Physical Medicine and Rehabilitation supplement on the Science of Disability Outcomes, and articles for the 2003 Annual Review of Public Health and 2002 Public Health Reports outlining public health strategies to improve the health and well-being of people with disabilities. He has spent the past seven years developing public health science and programs to improve the health of people with disabilities, prevent secondary conditions, and increase participation in society. He currently serves as the co-lead of the Healthy People 2010 workgroup on Disability and Secondary Conditions (Chap. 6 of HP 2010). Dr. Lollar began involvement with the WHO classification ICIDH in 1994 while still in private practice, assessing potential utility of ICIDH-2 for clinical records. He is currently a part of the team to adapt the ICF to improve its utility for children and youth.Pamela Loprest is a Labor Economist and Senior Research Associate at the Urban Institute. Her research focuses on low-wage labor markets and how government policies can help to reduce and remove barriers to work among disadvantaged populations. Dr. Loprest has a Ph.D. in Economics from the Massachusetts Institute of Technology and has been at the Urban Institute since 1991.Elaine Maag is a Research Associate in the Urban Institute’s Income and Benefits Policy Center. Her research focuses on policies affecting youth with disabilities and employment opportunities for adults. She also conducts research on how tax policy affects low-income families. Ms. Maag holds an M.S. in Public Policy from the University of Rochester.Jennifer M. Park is a Post-Doctoral Fellow at the Harvard Graduate School of Education. Her current research is funded by a grant she holds from the American Education Research Association to examine cognitive development among first grade youth with and without emotional impairment. Her dissertation explored cognitive growth among kindergarteners with and without perceptual impairment. Dr. Park holds a Ph.D. in Sociology from Brown University, where her research examined the diverse effects of child disability on family outcomes.Elizabeth K. Rasch, M.S., P.T., is an Associate Service Fellow at the National Center for Health Statistics, CDC, working in the area of disability statistics. She is a Ph.D. candidate at the University of Maryland, Department of Physical Therapy and Rehabilitation Science, with a concentration in Epidemiology. Her research interests include the health of persons with disabilities, factors that contribute to disability, as well as the use of and access to healthcare services by persons with disabilities. She has been actively involved in research since 1985 and has published articles and book chapters on topics related to disability and rehabilitation.Anne W. Riley, is an Associate Professor in the Department of Health Policy and Management, in the division of Health Services Research, at the Johns Hopkins Bloomberg School of Public Health. Dr. Riley has expertise in the assessment of mental health and health, especially of children and adolescents, methods development, and evaluation systems for monitoring the outcomes of care for youth.Diana E. Schendel, Ph.D., is a Lead Health Scientist at the National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention. She directs both intramural and extramural epidemiologic studies of reproductive and developmental outcomes, with a primary focus on cerebral palsy, autism, and other neurodevelopmental problems.Hilary Siebens, M.D., is Lecturer in the Department of Physical Medicine and Rehabilitation (PMR) at Harvard Medical School and Associate Director, PMR Service, at the Massachusetts General Hospital. She received clinical training in internal medicine, geriatrics, and PMR. Her publications address exercise among older adults, models of rehabilitation, and quality improvement initiatives.Lois M. Verbrugge, Ph.D., M.P.H., is Distinguished Senior Research Scientist in the Institute of Gerontology at the University of Michigan. She has contributed to disability theory and has conducted analyses of arthritis disability, gender differences in morbidity and mortality, and co-morbidity, using large-scale data sets. Her recent publications have emphasized the relative benefits of equipment and personal assistance for disability, the interleaving of aging and disability, and global indicators of disability. She was awarded the American Psychological Association Distinguished Contribution to Women’s Health Award in 1994.Whitney P. Witt, Ph.D., M.P.H., is an Assistant Professor of Medicine in the Division of General Internal Medicine and Center for Healthcare Studies at the Northwestern University, Feinberg School of Medicine. Dr. Witt’s prior work focuses predominately on people living with HIV/AIDS, including children and their families. Over the last five years, she has applied her experience in advocacy, policy, and research on vulnerable and high-cost, chronically ill populations to the field of maternal and child health services research. Dr. Witt’s research emphasizes the importance of family adaptation in ensuring the mental health of children with disabilities and for helping these children obtain access to mental health services. Most recently, her work has focused on the impact of maternal depression on familial health and mental health, preventive care practices, and use of health and mental healthcare services. She holds a Ph.D. in health services research and a M.P.H. from the Johns Hopkins Bloomberg School of Public Health and a B.A. in women’s studies and law from Hampshire College.Li-shou Yang, Ph.D., is Research Investigator in the Institute for Social Research at the University of Michigan. Trained in social demography, her research focuses on the family, the life course, and social change.

Dennis Beach is a Reader in Education Sciences (Pedagogy) who is currently employed at the Department of Education, Göteborg University. His research interests lie in the field of the sociology of education, the sociology of teachers’ work and the problems of education change. He has authored or co-authored three books and a number of articles and chapters in these subject fields and has also supervised several Ph.D. projects. At present he is head of two major national research projects in the fields mentioned, both of which are financed by the Swedish Research Council, and collaborates in two large European projects.Marie Carlson Ph.D. in sociology 2002, Göteborg University, Sweden. Her earlier studies were in social anthropology, Swedish for immigrants, and ethnicity and migration. Her main research interests are cultural studies and sociology of education. The wider project of which this chapter is a part focuses on Swedish language courses for immigrants as a social and cultural construction in the Swedish knowledge arena. It deals with questions regarding the impact of social and cultural practices on conceptions of knowledge and education. (e.g. Carlson, M., 2001) “Swedish Language Courses for Immigrants – Integration or Discrimination?” in Ethnography and Education Policy (Ed.) Geoffrey Walford, Oxford: Elsevier.) Marie Carlson also lectures on courses in ethnicity and migration, and is tutoring within the fields of “Language & culture,” “Islam” (Muslim women) and “Ethnicity.” Currently she is engaged in a project “Competing Ideas in the Renewal of SFI (Swedish for Immigrants) – An Investigation of Discursive Practices in SFI-education during Re-structuring” (financed by The Swedish Research Council). The project is carried out in corporation with Dennis Beach, Department of Education, Göteborg University.Marianne Dovemark was formerly a teacher at a comprehensive school in Sweden for over 20 years. She is in the process of completing a Ph.D. (in Educational Sciences) supervised by Dennis Beach and is currently employed as a lecturer on the pre-service Teacher Education Programme at the University College of Borås where she also does researches in the field of Sociology of Education. Her research stresses the new aims of comprehensive education in a re-structured school in Sweden with a special focus on the possibility of free choice within the school.Caroline Hudson is a Research Consultant whose company is called Real Educational Research Ltd. Caroline’s research interests encompass adult learning, literacy, family structure, offending and education, and issues related to social exclusion. Caroline is currently evaluating three literacy, language (ESOL) and numeracy developmental projects in the National Health Service (NHS), with the National Research and Development Centre (NRDC) for adult literacy and numeracy. She is also researching the impact of use of a PC tablet on the writing skills of young people who offend, for Ecotec Research and Consultancy on behalf of the Youth Justice Board (YJB). Caroline has worked as Basic Skills Advisor in the Home Office National Probation Directorate, and as an English teacher both in the United Kingdom and abroad.Bob Jeffrey has worked with Professor Peter Woods and Geoff Troman at the Open University since the early 1990s researching the effects of reform on teachers and young people in primary schools using ethnographic methods. In particular he has focused on the how the reforms have affected the creativity of teachers and more recently he has concerned himself with young people’s perspectives of their learning experiences in a project involving ten European countries. He has also contributed to the development of Ethnography in Education by publishing regular articles on methodology, editing books in this area, co-ordinating an international email list as well the Ethnography network for the European Educational Research Association and is currently co-organising the annual Oxford Conference for Ethnography in Education.Janet Donnell Johnson is a clinical lecturer and doctoral student in English Education at Indiana University in Bloomington, Indiana, USA. A former English teacher at an alternative high school, her research interests include the interconnectedness of student identity, agency, and resistance, and literacy as a social practice in and out of classrooms. Janet is currently researching and writing a critical qualitative study based on how non-mainstream students use language to take up certain subject positions and how those positionings create opportunities for literacy learning in and out of school. In her role as clinical lecturer, she teaches writing, methods of teaching English, and coordinates partnerships between Indiana University’s English Department, Language Education Department, and teachers in the schools. She also works closely with secondary and college teachers on incorporating critical literacy and teacher research in their classrooms.Jongi “Mdumane” Klaas is currently completing a Ph.D. in Education at the University of Cambridge. The study examines the perceptions and experiences of learners and teachers vis-à-vis the processes of racial integration in two South African secondary schools. Jongi obtained a Bachelor of Pedagogics degree majoring in English Literature and History at the University of Fort Hare in South Africa. He taught History for two years at Gwaba Combined School in South Africa before taking a Fulbright Scholarship to study a Masters degree in Comparative Education at the University of Oklahoma, USA. Jongi is married to Nocwaka Sinovuyo Klaas.Jerry Lipka is a full professor at the University of Alaska, Fairbanks. He has worked in cross-cultural education for the past 22 years. During this time, he has developed a long-term relationship with a group of Yup’ik Eskimo teachers and elders. This collaborative relationship has resulted in numerous publications. Most recently, this work has developed a culturally-based math curriculum; research on its effectiveness has shown that rural Yup’ik Eskimo students outperform their counterparts in math understanding.Gerry Mitchell is a Research Student at the Centre for Analysis of Social Exclusion and member of the Social Policy Department at the London School of Economics. She is in the final year of an ESRC funded Ph.D. researching the New Deal for Young People’s Voluntary Sector Option in London. The work is divided into three: It focuses on methodology – what is gained from applying ethnographic methods to social policy evaluations? Secondly, it analyses delivery of the New Deal at ground level and lastly explores the construction of identities around work in the narratives of young unemployed people. Recent Publications: “Choice, Volunteering and Employability: Evaluating Delivery of the New Deal for Young People’s Voluntary Sector Option” Benefits (2003), 11(2), 105–111.Farzaneh Moinian was formerly a teacher at different comprehensive schools in Iran and in Sweden. She is a doctoral student in pedagogy at Stockholm Institution of Education. Her research areas are linked to ethnography in education as well as the exploration of childhood in its historical and current manifestations. Her doctoral project includes children’s perception of morality, self-concept, values and goals as well as children’s life world from their own point of view. Her project would draw on a range of theoretical perspectives from inter-disciplinary Childhood studies, and would employ mainly qualitative methodologies, including ethnography. The various research projects carried out by Farzaneh Moinian focus on understanding the ways in which children percept and interpret their lives as well as how they communicate with other children about it.Ruth Soenen is research assistant (Fund for Scientific Research – Flanders) at the Department of Social and Cultural Anthropology of The Catholic University of Leuven, Belgium. Her work concerns ethnographic research into everyday relationships in urban settings. Research was carried out in schools and in collective city spaces (e.g. public transport and shops) within the reflection on intercultural matters, learning, community and public domain. She wrote a book in Dutch on intercultural education, research reports for Flemish Government (Educational and City Policy) and made several contributions in leading Flemish journals and books. In English she made a contribution to “Debates and Developments in Ethnographic Methodology. Studies in Educational Ethnography Vol. 6.” Other English publications are forthcoming.Geoff Troman is a Research Fellow and Associate Lecturer in the Faculty of Education and Language Studies at the Open University. Geoff taught science for twenty years in secondary modern, comprehensive and middle schools before moving into Higher Education in 1989. Throughout his time in schools he carried out research as a teacher researcher. His Ph.D. research was an ethnography of primary school restructuring. He is currently conducting research on teachers’ work and lives and focusing on the educational policy context and primary teacher identity, commitment and career in performative cultures of schooling. Among other publications in the areas of qualitative methods, school ethnography and policy sociology, he co-authored Primary Teachers’ Stress with Peter Woods and Restructuring Schools, Reconstructing Teachers, with Peter Woods, Bob Jeffrey and Mari Boyle. Geoff is a joint co-ordinator of the Ethnography Network for the European Educational Research Association and is currently co-organising the annual Oxford Conference for Ethnography in Education.Geoffrey Walford is Professor of Education Policy and a Fellow of Green College at the University of Oxford. His books include: Life in Public Schools (Methuen, 1986), Restructuring Universities: Politics and power in the management of change (Croom Helm, 1987), Privatization and Privilege in Education (Routledge, 1990), City Technology College (Open University Press, 1991, with Henry Miller), Doing Educational Research (Routledge, editor, 1991), Choice and Equity in Education (Cassell, 1994), Doing Research about Education (Falmer (Ed.), 1998), Policy, Politics and Education – sponsored grant- maintained schools and religious diversity (Ashgate, 2000) and Doing Qualitative Educational Research (Continuum, 2001). Within the Department of Educational Studies at the University of Oxford, he is Director of Graduate Studies (Higher Degrees), has responsibility for the M.Sc. in Educational Research Methodology course, and supervises doctoral research students. He was Joint Editor of the British Journal of Educational Studies from 1999 to 2002, and has been Editor of the Oxford Review of Education from January 2004. His research foci are the relationships between central government policy and local processes of implementation, private schools, choice of schools, religiously-based schools and qualitative research methodology.Joan Parker Webster is an assistant professor at the University of Alaska, Fairbanks, where she teaches courses in multicultural and cross-cultural education, children’s and young adult literature, reading theory and language acquisition, and ethnographic research methodology. She has researched and published in the areas of literacy, language acquisition, indigenous language revitalisation issues and ethnographic methodology. Parker Webster is presently working with Yup’ik Eskimo teachers and elders on a literacy-based curriculum project using traditional Yup’ik stories.Anita Wilson is a Research Associate with Lancaster Literacy Research Centre, Lancaster University, Lancaster, U.K. She has spent almost 14 years undertaking ethnographic and collaborative inquiry with people in prison. Between 2001 and 2003 she held a Spencer Post-Doctoral Fellowship from the National Academy of Education, New York which she used to introduce her theory, method and approach to prisoners in America, making a transatlantic comparison of how policy and practice impacts on prison literacies as they are “lived out” on a day to day basis. Her doctoral thesis Reading a Library – Writing a Book: The Significance of Literacies for the Prison Community proposes that people in prison live in a “third space” community, socialising the institutional in order to retain their sense of personal rather than prison identity. She maintains a strong focus on the ethics of working in constrained and sensitive settings and considers issues around exploitation, equity and advocacy to be central to ethnographic work. She has published widely and shares her work with policy-makers, practitioners and prisoners around the world. At present she is undertaking research funded by the National Research and Development Centre which investigates the importance of education to the lives of young offenders.

Peter Y. Chen heads the Occupational Health Psychology Training program within the Industrial/Organizational Psychology program at Colorado State University. His primary research interests are in occupational health, performance evaluation, training, and methodology. He has published a book, numerous book chapters and various empirical articles appearing in the Journal of Applied Psychology, Journal of Business and Psychology, Journal of Management, Journal of Occupational Health Psychology, Journal of Organizational and Occupational Psychology, Journal of Organizational Behavior, Journal of Personality Assessment, Group and Organization Management: An International Journal.Shoshi Chen is a Ph.D. Candidate at the Faculty of Management, Tel-Aviv University, Israel (M.Sc., Organizational Behavior). Her current research interests are: work and stress, preventive stress management, and IT implementation.Oranit B. Davidson is a Ph.D. Candidate at the Faculty of Management, Tel-Aviv University, Israel (M.Sc., Organizational Behavior). Her current research interests are: job stress and strain, respite relief, expectation effects and self-fulfilling prophecy.Michelle K. Duffy is an Associate Professor and Gatton Endowed Research Professor in the Gatton College of Business and Economics at the University of Kentucky. She received a B.S. in Psychology from Miami University (Ohio), an M.A. in Industrial/Organizational Psychology from Xavier University, and a Ph.D. in Organizational Behavior/Human Resources Management from the University of Arkansas. She previously worked as a Research Psychologist at the National Institute of Occupational Safety and Health (NIOSH). Dr. Duffy teaches courses in the area of Organizational Behavior. Her research interests include employee health and well being, social undermining behaviors and processes, and team composition issues. Her research has appeared or been accepted for publication in journals such as the Academy of Management Journal, Journal of Applied Psychology, Journal of Management, Research in Personnel and Human Resources Management, Group and Organization Management, Small Group Research, and Security Journal, among others.Rudy Fenwick received his Ph.D. in Sociology from Duke University. He is currently Associate Professor of Sociology at the University of Akron. Previously, he taught at the University of South Carolina. His research interests include the effects of markets and organizational structures on jobs characteristics and worker well being, particularly job stress and participation in organizational decision making. His most recent research has appeared in The American Behavioral Scientist, Journal of Health and Social Behavior, and Journal of Family and Economic Issues. In 2003, he served as guest editor of a special edition of Sociological Focus on “Organizations Transforming Work; Work Transforming Organizations.”Glenda M. Fisk is a doctoral student in Industrial/Organizational Psychology at the Pennsylvania State University. She earned her B.A. degree in psychology at the University of Calgary. Her primary research interests include emotions in the workplace and organizational justice.Corina Graif received her Masters in Sociology from the University of Akron. She is a Ph.D. candidate in the Department of Sociology at Harvard University. Her interests include studying social organizations, institutions, networks, social justice, deviance, gender, and class inequality. She is also interested in the socio-legal mechanisms behind the adoption of social policy programs in the context of comparative social, political, and economic development.Alicia A. Grandey earned her Ph.D. at Colorado State University and has been an assistant professor in industrial-organizational psychology at Penn State University since 1999. Her research focuses on the experience and expression of emotions and stress in the workplace, particularly within the service industry and as it relates to work-family issues. Her work in these areas has been published in such journals as Organizational Behavior and Human Decision Processes, Academy of Management Journal, Journal of Vocational Behavior, and Journal of Organizational Behavior, as well as several book chapters. Dr. Grandey is a member of the American Psychological Association, Society for Industrial and Organizational Psychology (APA Div. 14), and Academy of Management.Paula L. Grubb is a Research Psychologist in the Division of Applied Research and Technology, Organizational Science and Human Factors Branch at the National Institute for Occupational Safety and Health. Dr. Grubb received her doctorate in experimental psychology from the University of Cincinnati. Dr. Grubb’s research interests include workplace violence and psychological aggression, racial/ethnic discrimination, traumatic stress, supervisory best practices, organization of work, and job stress. Her current research focuses on developing intervention and evaluation strategies for workplace psychological aggression, as well as examining workplace violence and psychological aggression policies and organizational decision-making.Stevan Hobfoll has authored and edited 11 books, including Stress, Social Support and Women, Traumatic Stress, The Ecology of Stress, and Stress Culture and Community. In addition, he has authored over 150 journal articles, book chapters, and technical reports, and has been a frequent workshop leader on stress, war, and terrorism. He has received over $9 million in research grants on stress and health. Dr. Hobfoll is currently Distinguished Professor of Psychology at Kent State University and Director of the Applied Psychology Center and the Summa-KSU Center for the Treatment and Study of Traumatic Stress. Formerly at Tel Aviv and Ben Gurion Universities, he has also been involved with the problem of stress in Israel. Dr. Hobfoll received special commendation for his research on The Psychology of Women and for his AIDS prevention programs with ethnic minority populations, and was cited by the Encyclopædia Britannica for his contribution to knowledge and understanding for his Ecology of Stress volume. He was co-chair of the American Psychological Association Commission on Stress and War during Operation Desert Storm, helping plan for the prevention of prolonged distress among military personnel and their families, and a member of APA’s Task Force on Resilience in Response to Terrorism. He maintains a private practice as a clinical psychologist and organizational consultant.Michiel A. J. Kompier has a full chair in Work and Organizational Psychology at the University of Nijmegen (The Netherlands). His research area is occupational health psychology. He has published many (inter)national articles, books and book chapters on topics such as work stress, the psychosocial work environment, mental work load, sickness absenteeism, work disability, work and health, productivity, work-home interaction, and working conditions policies. In his studies the emphasis is on prevention and intervention studies in organizations and applied research methodology. Michiel Kompier is chairman of the scientific Committee “Work Organization and Psychosocial Factors” of ICOH (International Commission on Occupational Health), co-editor of the Scandinavian Journal of Work, Environment and Health, and member of the editorial boards of Work and Stress and the International Journal of Stress and Health.Shavit Laski is a Ph.D. Candidate at the Faculty of Management, Tel-Aviv University, Israel (M.Sc., Organizational Behavior). Her current research interests are: work stress, burnout and work-non-work relationship.Lawrence R. Murphy, Ph.D. received from DePaul University, Chicago, Illinois and did postdoctoral training at the Institute for Psychosomatic and Psychiatric Research, Michael Reese Medical Center. He joined the Work Organization and Stress Research Section, National Institute for Occupational Safety and Health (NIOSH), as a Research Psychologist in 1977. He has published articles and book chapters on job stress, stress management, and safety climate, and co-edited several books, including Stress Management in Work Settings (1989), Organizational Risk Factors for Job Stress (1995), and Healthy and Productive Work: An International Perspective (2000). He serves on the editorial board of the Journal of Occupational Health Psychology, Work and Stress, and Journal of Business and Psychology. His current research involves identifying characteristics of healthy and productive work organizations, and assessing the quality of work life using a national sample of U.S. workers.Anne M. O’Leary-Kelly is a Professor in the Department of Management at the University of Arkansas. She received her Ph.D. in Organizational Behavior and Human Resources Management from Michigan State University in 1990 and previously has been on the faculty at Texas A&M University and the University of Dayton. Her research interests include the study of aggressive work behavior (violence, sexual harassment) and individual attachments to work organizations (psychological contracts, identification, cynicism). Her work has appeared in (among others) the Academy of Management Review, the Academy of Management Journal, the Journal of Applied Psychology, the Journal of Management, the Journal of Management Inquiry, the Journal of Organizational Behavior, Research in Personnel and Human Resources Management, Research in Organizational Change and Development, and the American Business Law Journal. She is a member of the Academy of Management and has been co-recipient of the Outstanding Publication in Organizational Behavior Award (given by the Organizational Behavior Division) and co-recipient of the Dorothy Harlow Outstanding Paper Award (given by the Gender and Diversity in Organizations Division). She currently serves on the Executive Committee of the OB Division of the Academy of Management.Rashaun K. Roberts is a Research Psychologist in the Division of Applied Research and Technology, Organizational Science and Human Factors Branch at the National Institute for Occupational Safety and Health. Dr. Roberts received her master’s and doctorate degrees in Clinical Psychology from Case Western Reserve University. Prior to joining the research team at NIOSH in 2002, Dr. Roberts was a fellow at Duke University Medical Center in the Division of Occupational and Environmental Medicine, where she developed an expertise in occupational mental health. Dr. Roberts’ current research at NIOSH focuses on the contributions of structural and psychosocial variables to the emergence of psychological aggression in the workplace and on understanding the implications of psychologically aggressive behaviors for occupational safety and health. As a member of the Federal Interagency Task Force on Workplace Violence Research and Prevention, she is collaborating to develop NIOSH’s research agenda in these areas. Dr. Roberts’ other research interests include issues related racial/ethnic health disparities, occupational mental health, and women’s health.Steven L. Sauter received his Ph.D. in Industrial Psychology from the University of Wisconsin-Madison and held an appointment in the University of Wisconsin, Department of Preventive Medicine until joining the National Institute for Occupational Safety and Health (NIOSH) in Cincinnati, Ohio in 1985. He currently serves as Chief of the Organizational Science and Human Factors Branch at NIOSH, and leads the NIOSH research program on work organization and health. He also holds an appointment as an Adjunct Professor of Human Factors Engineering at the University of Cincinnati, Department of Industrial Engineering. His research interests focus on work organization and occupational stress. He serves on editorial boards of several scholarly journals – including Work and Stress and the Journal of Occupational Health Psychology, he has prepared several books and articles on psychosocial aspects of occupational health, and he is one of the senior editors of the 4th Edition of the International Encyclopedia of Occupational Safety and Health.Kristin L. Scott is a doctoral student in Organizational Behavior/Human Resources Management in the Gatton College of Business and Economics at the University of Kentucky. She received a B.S. in Business Administration from Villanova University and an M.A. in Human Resources from the University of South Carolina. She previously worked as a Human Resources Manager at General Electric Company. Her research interests include employee emotional responses, justice issues, employee antisocial behavior, and compensation and reward systems. Currently, she has manuscripts under review at the Academy of Management Journal, Journal of Applied Psychology, Journal of Management and the Leadership Quarterly.Lori Anderson Snyder received her Ph.D. in Industrial/Organizational Psychology from Colorado State University. She is now an assistant professor in the psychology department at the University of Oklahoma. Her research interests include workplace aggression, safety, performance errors, multisource feedback, and the Assessment Center method.Naomi G. Swanson is head of the Work Organization and Stress Research group at the National Institute for Occupational Safety and Health (NIOSH) in the U.S. She received her Ph.D. from the University of Wisconsin-Madison in 1989. Along with Dr. Steven Sauter, NIOSH, she was involved in some of the initial research in the U.S. examining the relationship of organizational factors to non-fatal workplace violence. She is currently participating in research examining the relationship between workplace stressors and depression, the assessment of work organization interventions designed to improve worker health and well being, and the assessment of workplace violence programs and practices.Toon W. Taris is an associate professor at the Department of Work and Organizational Psychology of the University of Nijmegen, The Netherlands. He holds a MA degree in Administrative Science (1988) and took his Ph.D. in Psychology in 1994, both from the Free University of Amsterdam. Since 1993 he has been affiliated with various psychology departments of several Dutch universities and also served as a research consultant. His research interests include work motivation, psychosocial work stress models, and longitudinal reearch methods. Taris has published on a wide range of topics in journals such as Journal of Vocational Behavior, Personnel Psychology, Journal of Organizational and Occupational Psychology, and Sociological Methods and Resarch. Further, he serves on the boards of several journals, including Work & Stress and the Scandinavian Journal of Work, Environment and Health.Mark Tausig received his Ph.D. in Sociology from the State University of New York at Albany. He is has been at the University of Akron since 1983 and currently holds the title of Professor of Sociology. His research interests include investigating the relationships between macro-economic conditions, work organization and worker well being. His most recent research has appeared in The American Behavioral Scientist, Journal of Family and Economic Issues and, The Journal of Health and Social Behavior. He is also co-author of A Sociology of Mental Illness.Mina Westman an associate professor and Researcher, at Faculty of Management, Tel Aviv University, Israel (Ph.D. in Organizational Behavior, Tel Aviv University). Her primary research interests include determinants and consequences of job and life stress, negative and positive crossover between partners and team members, work-family interchange, effects of vacation on psychological and behavioral strain and the impact of short business trips on the individual, the family and the organization. She has authores empirical and conceptual articles that have appeared in such journals as the Journal of Applied Psychology, Human Relations, Journal of Organizational Behavior, Journal of Occupational Health Psychology, Applied Psychology: An International Journal, and Journal of Vocational Psychology. In addition, she has also contributed to several book chapters and presented numerous scholarly papers at international conferences. She is on the editorial board of Journal of Organizational Behavior and Applied Psychology: An International Journal.Thomas A. Wright is a Professor of Organizational Behavior at the University of Nevada, Reno. He received his Ph.D. in organizational behavior and industrial relations from the University of California, Berkeley. Similar to the Claude Rains character from the classic movie, Casablanca, he has published his work in many of the “usual suspects” including the Academy of Management Review, Journal of Applied Psychology, Psychometrika, Journal of Organizational Behavior, Journal of Occupational Health Psychology, Journal of Management and the Journal of Management Inquiry. He has consulted with a number of organizations over the years on such topics as: optimizing employee performance and organizational productivity, sustaining employee commitment, stimulating employee motivation, developing employee recruitment and retention strategies, and enhancing employee health and well being.Angela Young is an Associate Professor in the Department of Management at California State University, Los Angeles. Current research interests include mentoring relationships, organizational relationships, equity and fairness in the workplace, and the interview process. Her work has been published in Journal of Management, Human Resource Management Review, Sex Roles: A Journal of Research, and other journals. She has presented her research at numerous conferences including National Academy of Management, American Psychological Association, Western Academy of Management, and Society for Industrial/Organizational Psychology.

In 1984 the United Kingdom Central Council for Nurses, Midwifery and Health Visiting (UKCC) convened a project group whose terms of reference were to examine the professional preparation of nurses, to consider possible modifications of the nurse's role in the light of the anticipated health needs of the 1990's and through into the next century and to make recommendations for changes in nurse education to prepare nurses better for their future role. Following consultation the UKCC summarised its proposals in the document Project 2000: A New Preparation for Practice (1986), which analysed future health needs and set out twenty‐five recommendations for the reform of professional practice. Since that time, given the progressive implementation of many of these recommendations, general nurse training has experienced considerable change, a central theme being the way in which existing roles in hospital settings have been modified and new roles introduced. This article is based on a sociological study of nurse socialisation in three Welsh nurse education centres which was undertaken with the aim of addressing issues in role theory while also analysing the problem areas which will need to be tackled if the objectives of Project 2000 are to be fully and successfully achieved.

Autonomy has long been established as a critical component of professional work. Traditionally, autonomy has been examined as the extent to which an individual or a professional group controls the decisions and knowledge used in their work. Yet, this framework does not capture the additional work activities that professionals are increasingly expected to perform. Therefore, this chapter argues for theoretically expanding our understanding of professional autonomy by bringing in the concept of articulation work. Using the case of healthcare organisational change, this study assesses how shifts in work practices impact autonomy. Data come from longitudinal ethnographic fieldwork and in-depth interviews conducted at a Neonatal Intensive Care Unit as it underwent significant structural changes. Findings show that professionals were forced to change articulation work strategies in response to new organisational structures. This included changes in the way professionals monitored, assessed, coordinated and collaborated around patient care. Furthermore, these shifts in articulation work held important implications for both workplace and professional autonomy, as professionals responded to changes in their work conditions.

The purpose of this paper is to provide an explanation and understanding of developments in casemix and related information systems at a large regional hospital, Health Waikato (HW), in the centre of the North Island of New Zealand. The themes will be explicated and theorised, drawing on the sociology of translation (Latour). A central idea will be the use of accounting techniques to influence decision makers both within and outside the health institutions. The power of accounting in the translation and inscription of data (the fabrication of accounting systems per Preston et al.), will be a central theme in understanding the role of accounting systems as technology. Drawing from Latour has helped to provide a frame of reference to allow an assimilation of disparate changes and influences as they have come to affect the health sector at a national level, within New Zealand, and also at an organisational level, within a large regional health provider. This paper provides a detailed description of events at the research site, a large regional hospital (HW). The paper consists primarily of a descriptive case study of aspects of the change process as it has impacted on the research site.

The purpose of this paper is to provide an explanation and understanding of developments in casemix and related information systems at a large regional hospital, Health Waikato (HW), in the centre of the North Island of New Zealand. The themes will be explicated and theorised, drawing on the sociology of translation (Latour, 1987a). A central idea will be the use of accounting techniques to influence decision makers both within and outside the health institutions. The power of accounting in the translation and inscription of data (the fabrication of accounting systems per Preston et al., (1992)), will be a central theme in understanding the role of accounting systems as technology. Drawing from Latour has helped to provide a frame of reference to allow an assimilation of disparate changes and influences as they have come to affect the health sector at a national level, within New Zealand, and also at an organisational level, within a large regional health provider. This paper provides a detailed description of events at the research site, a large regional hospital (HW). The paper consists primarily of a descriptive case study of aspects of the change process as it has impacted on the research site.

As sociologists we all try to make a contribution to our field. Having completed our comprehensives and dissertations we have read in depth in several areas, have focused on an area that interests us, and have learned the research process whether it uses quantitative or qualitative methodology. We all make our contributions available to the field, but occasionally one among us makes a startling discovery, has an unusual idea or a way to approach a problem, starts examining a new problem at just the right moment, or has an insight into a specific conceptual problem with unusual alacrity. A few among us combine all that skill and happenstance and lead the way into new sociological insights, new areas of research and provide a notable foundation or advancement to an area of knowledge. Saad Nagi is one of those contributors with vision, insight, and skill to see ahead of his time. This paper attempts to bring together in one place his major contributions to the disability knowledge base in sociology.

The approach used in this paper is an in depth review of all of Nagi’s published works in the area of disability. The published literature is grouped into the five areas in which Nagi made major contributions, including major research of the Social Security Disability Insurance process; development of a framework for the disability process; epidemiological definitions and research; development of a coherent set of disability measures; and an examination of the social problem, policy, and program process as developed and practiced in this country.

Nagi made a large and significant contribution in all the areas listed above and much of the measurement, and process examination is still relevant and useful in current research. His framework is still the basis for the very newest models of disability which dominate disability research today.

Researchers need to go back to find Nagi books and articles written in the 60s, 70s, and 80s to ground their work in the originals rather than to take the interpretations of others on this material. The ICF and the Social Model did not originate in Europe alone, but much of the work began in the states in the early 60s with the work of Nagi, Haber, and others and should not be overlooked or ignored.