Traffic risk work with sleepy patients: from rationality to practice

Co‐production in the epidemiological clinic: A decentred analysis of the tensions in community‐based, client‐facing risk work

“…If co‐production is possible amid the risk governance logics of the epidemiological clinic—in discussions about what risks and what interventions to minimise those risks are acceptable—then clearly the clinical relationship must be at the heart of it. However, being accountable for risk while also providing patient‐centred care is by no means straightforward (Iversen, Broström, & Ulander, ), and the power and status differentials between worker and patient may play a role. For instance, different types of professionals, para‐professionals, or lay health workers may be more or less invested in trusting their patients as decision makers (Hall, Tomkinson, & Klein, ), and the social class and gender of practitioners and those they are working with may affect the relationship via the “differing potential for [deeper] ‘we‐relationships’ to be formed and via the generalizing and stereotyped knowledge applied in their absence” (Veltkamp & Brown, , p. 1297).…”

“…However, the way this plays out in practice varies by context and over time. For instance, in Iversen et al's () study of healthcare professionals who need to assess the risks of people with sleep apnoea driving, the tensions between this and patient care are circumvented through an apparent “misfit” between the policy drive for risk assessment and a framing of the everyday work undertaken as “patient education.” In other examples, tensions are “bracketed off”: for instance, in Chivers' () study of social workers' role in the management of radicalisation risk, she demonstrates how the (unfamiliar and individualised) risk discourses of radicalisation are translated by social workers back into the (more familiar and family‐orientated) language of safety and safeguarding; in practice, potential tensions between professional ethos and requirements to implement risk assessments are suspended in the midst of a busy working environment and several different forms of risk assessment. These examples demonstrate the contextual contingency of risk work and the management of its tensions.…”

Devoted or negotiated routes of adherence: Narratives of patients with obstructive sleep apnoea using a continuous positive airway pressure device

“…As snoring is common with OSA, sleeping partners also can suffer from poor sleep. Additionally, untreated OSA heightens the risk of poorer waking function and is associated with a higher risk of road traffic accidents (Iversen, Broström, & Ulander, 2018).…”

The relevance of risk work theory to practice: the case of statutory social work and the risk of radicalisation in the UK

“…Workers are not immune to reports of tragic events where people have been killed and injured in the name of radical organisations such as Daesh or Islamic State. Managing risk is also about managing worker anxiety (Brown & Calnan, 2013), and risk work is, therefore, also a form of emotion work, and new research helps us to think about how this operates in practice (see Farre, Shaw, Heath, & Cummins, 2017;Iversen, Broström, & Ulander, 2018). Decisions about risk therefore offer legitimacy for action, even before an event takes place.…”