The habitus of hygiene: discourses of cleanliness and infection control in nursing work

This paper reports upon a qualitative interview study of 22 matrons, infection control staff and operating theatre staff who were questioned about their working lives and the role they played in the control of healthcare acquired infections such as MRSA virus in the UK. A theoretical framework drawi...

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Main Authors: Brown, Brian, Crawford, Paul, Nerlich, Brigitte, Koteyko, Nelya
Format: Article
Published: Elsevier 2008
Subjects:
Online Access:https://eprints.nottingham.ac.uk/1309/
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author Brown, Brian
Crawford, Paul
Nerlich, Brigitte
Koteyko, Nelya
author_facet Brown, Brian
Crawford, Paul
Nerlich, Brigitte
Koteyko, Nelya
author_sort Brown, Brian
building Nottingham Research Data Repository
collection Online Access
description This paper reports upon a qualitative interview study of 22 matrons, infection control staff and operating theatre staff who were questioned about their working lives and the role they played in the control of healthcare acquired infections such as MRSA virus in the UK. A theoretical framework drawing upon the work of Bourdieu is deployed as his notion of habitus captures the combination of practical work, physical disposition and ways of looking at the world which are displayed in the interview accounts of labour in the healthcare field. Three themes emerged from the analysis: first, the ‘securitization’ of healthcare work, concerned with control, supervision, ‘making sure’ and the management of risk through inspection, audit and the exercise of responsibility; second, the sense of struggle against doctors who were seen to represent a threat to the carefully organized boundaries, through such alleged violations as not washing their hands, wandering between theatre and canteen areas in soiled clothing and thinking the rules did not apply to them; third, in a ‘back to basics’ theme participants emphasised the fundamentals of what they saw to be nursing work and were concerned with cleanliness and practically based training – the habitus of hygiene itself. This was formulated in nostalgic terms with reminiscences about basic training earlier in the participants' careers. The preoccupation with hygiene and its ‘basic’ processes can be seen as a way of managing uncertainty, accumulating a certain kind of symbolic capital and constructing and maintaining boundaries in the healthcare field. It also makes for self-governing, self-exploiting individuals who accrue responsibility to themselves for implementing the ‘habitus of hygiene’.
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spelling nottingham-13092024-11-06T14:54:53Z https://eprints.nottingham.ac.uk/1309/ The habitus of hygiene: discourses of cleanliness and infection control in nursing work Brown, Brian Crawford, Paul Nerlich, Brigitte Koteyko, Nelya This paper reports upon a qualitative interview study of 22 matrons, infection control staff and operating theatre staff who were questioned about their working lives and the role they played in the control of healthcare acquired infections such as MRSA virus in the UK. A theoretical framework drawing upon the work of Bourdieu is deployed as his notion of habitus captures the combination of practical work, physical disposition and ways of looking at the world which are displayed in the interview accounts of labour in the healthcare field. Three themes emerged from the analysis: first, the ‘securitization’ of healthcare work, concerned with control, supervision, ‘making sure’ and the management of risk through inspection, audit and the exercise of responsibility; second, the sense of struggle against doctors who were seen to represent a threat to the carefully organized boundaries, through such alleged violations as not washing their hands, wandering between theatre and canteen areas in soiled clothing and thinking the rules did not apply to them; third, in a ‘back to basics’ theme participants emphasised the fundamentals of what they saw to be nursing work and were concerned with cleanliness and practically based training – the habitus of hygiene itself. This was formulated in nostalgic terms with reminiscences about basic training earlier in the participants' careers. The preoccupation with hygiene and its ‘basic’ processes can be seen as a way of managing uncertainty, accumulating a certain kind of symbolic capital and constructing and maintaining boundaries in the healthcare field. It also makes for self-governing, self-exploiting individuals who accrue responsibility to themselves for implementing the ‘habitus of hygiene’. Elsevier 2008-10 Article PeerReviewed Brown, Brian, Crawford, Paul, Nerlich, Brigitte and Koteyko, Nelya (2008) The habitus of hygiene: discourses of cleanliness and infection control in nursing work. Social Science & Medicine, 67 (7). pp. 1047-1055. ISSN 0277-9536 Bourdieu; Hygiene; Nurses; Matrons; Cleanliness; UK; Discourse; Infection control http://www.sciencedirect.com/science?_ob=PublicationURL&_tockey=%23TOC%235925%232008%23999329992%23695880%23FLA%23&_cdi=5925&_pubType=J&_auth=y&_acct=C000009959&_version=1&_urlVersion=0&_userid=5939061&md5=d3a7647b46bcd08e9fd1b861c2cde498
spellingShingle Bourdieu; Hygiene; Nurses; Matrons; Cleanliness; UK; Discourse; Infection control
Brown, Brian
Crawford, Paul
Nerlich, Brigitte
Koteyko, Nelya
The habitus of hygiene: discourses of cleanliness and infection control in nursing work
title The habitus of hygiene: discourses of cleanliness and infection control in nursing work
title_full The habitus of hygiene: discourses of cleanliness and infection control in nursing work
title_fullStr The habitus of hygiene: discourses of cleanliness and infection control in nursing work
title_full_unstemmed The habitus of hygiene: discourses of cleanliness and infection control in nursing work
title_short The habitus of hygiene: discourses of cleanliness and infection control in nursing work
title_sort habitus of hygiene: discourses of cleanliness and infection control in nursing work
topic Bourdieu; Hygiene; Nurses; Matrons; Cleanliness; UK; Discourse; Infection control
url https://eprints.nottingham.ac.uk/1309/
https://eprints.nottingham.ac.uk/1309/