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Alan Cribb
Victoria University of Manchester
  1.  30
    ‘My Fitbit Thinks I Can Do Better!’ Do Health Promoting Wearable Technologies Support Personal Autonomy?John Owens & Alan Cribb - 2019 - Philosophy and Technology 32 (1):23-38.
    This paper critically examines the extent to which health promoting wearable technologies can provide people with greater autonomy over their health. These devices are frequently presented as a means of expanding the possibilities people have for making healthier decisions and living healthier lives. We accept that by collecting, monitoring, analysing and displaying biomedical data, and by helping to underpin motivation, wearable technologies can support autonomy over health. However, we argue that their contribution in this regard is limited and that—even with (...)
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  2.  25
    Why Health and Social Care Support for People with Long-Term Conditions Should Be Oriented Towards Enabling Them to Live Well.Vikki A. Entwistle, Alan Cribb & John Owens - 2018 - Health Care Analysis 26 (1):48-65.
    There are various reasons why efforts to promote “support for self-management” have rarely delivered the kinds of sustainable improvements in healthcare experiences, health and wellbeing that policy leaders internationally have hoped for. This paper explains how the basis of failure is in some respects built into the ideas that underpin many of these efforts. When support for self-management is narrowly oriented towards educating and motivating patients to adopt the behaviours recommended for disease control, it implicitly reflects and perpetuates limited and (...)
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  3.  10
    What Does ‘Quality’ Add? Towards an Ethics of Healthcare Improvement.Alan Cribb, Vikki Entwistle & Polly Mitchell - 2020 - Journal of Medical Ethics 46 (2):118-122.
    In this paper, we argue that there are important ethical questions about healthcare improvement which are underexplored. We start by drawing on two existing literatures: first, the prevailing, primarily governance-oriented, application of ethics to healthcare ‘quality improvement’, and second, the application of QI to healthcare ethics. We show that these are insufficient for ethical analysis of healthcare improvement. In pursuit of a broader agenda for an ethics of healthcare improvement, we note that QI and ethics can, in some respects, be (...)
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  4.  85
    Health and the Good Society: Setting Healthcare Ethics in Social Context.Alan Cribb - 2005 - Oxford University Press.
    What is health policy for? In Health and the Good Society, Alan Cribb addresses this question in a way that cuts across disciplinary boundaries. His core argument is that biomedical ethics should draw upon public health values and ethics; specifically, he argues that everybody has some share of responsibility for health, including a responsibility for promoting greater health equality. In the process, Cribb argues for a major rethink of the whole project of health education.
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  5.  42
    Integrity at Work: Managing Routine Moral Stress in Professional Roles.Alan Cribb - 2011 - Nursing Philosophy 12 (2):119-127.
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  6.  11
    Defining What is Good: Pluralism and Healthcare Quality.Polly Mitchell, Alan Cribb & Vikki A. Entwistle - 2020 - Kennedy Institute of Ethics Journal 29 (4):367-388.
    'Quality' is a widely invoked concept in healthcare, and 'quality improvement' is now a central part of healthcare service delivery. However, these concepts and their associated practices represent relatively uncharted territory for applied philosophy and bioethics. In this paper, we explore some of the conceptual complexity of quality in healthcare and argue that quality is best understood to be conceptually plural. Quality is widely agreed to be multidimensional and as such constitutively plural. However, we argue that quality is plural in (...)
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  7.  17
    Improvement Science Meets Improvement Scholarship: Reframing Research for Better Healthcare.Alan Cribb - 2018 - Health Care Analysis 26 (2):109-123.
    In this editorial essay I explore the possibilities of ‘improvement scholarship’ in order to set the scene for the theme of, and the other papers in, this issue. I contrast a narrow conception of quality improvement research with a much broader and more inclusive conception, arguing that we should greatly extend the existing dialogue between ‘problem-solving’ and ‘critical’ currents in improvement research. I have in mind the potential for building a much larger conversation between those people in ‘improvement science’ who (...)
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  8.  19
    Whatever Suits You: Unpicking Personalization for the NHS.Alan Cribb & John Owens - 2010 - Journal of Evaluation in Clinical Practice 16 (2):310-314.
  9.  23
    What Justice, What Autonomy? The Ethical Constraints Upon Personalisation.John Owens, Teodor Mladenov & Alan Cribb - 2017 - Ethics and Social Welfare 11 (1):3-18.
  10.  80
    Researching Involvement in Health Care Practices: Interrupting or Reproducing Medicalization?Sara Donetto & Alan Cribb - 2011 - Journal of Evaluation in Clinical Practice 17 (5):907-912.
  11.  57
    IEEN Workshop Report: Aims and Methods in Interdisciplinary and Empirical Bioethics.John Owens, Jonathan Ives & Alan Cribb - 2012 - Clinical Ethics 7 (4):157-160.
    Bioethics is a diverse field that accommodates a broad range of perspectives and disciplines. The recent explosion of literature on methods in interdisciplinary and empirical ethics might appear, however, to overshadow the fact that ‘bioethics’ has long been an interdisciplinary field. The Interdisciplinary and Empirical Ethics Network (IEEN) was established, with funding from the Wellcome Trust, to facilitate critical and constructive discussion around the nature of this disciplinary diversity and shift focus away from the ‘empirical turn’, towards the ongoing development (...)
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  12.  19
    Beyond the Classroom Wall: Theorist-Practitioner Relationships and Extra-Mural Ethics. [REVIEW]Alan Cribb - 2011 - Ethical Theory and Moral Practice 14 (4):383-396.
    In this paper I investigate the theory-practice relationship in ethics by using the lens of theorist-practitioner relationships. In particular I discuss the contrasts between theorist-practitioner relationship inside and outside the classroom, the ‘extra-mural’ expertise of theorists, and the ethical issues which arise when theorists act as co-practitioners. I argue that understanding these social and ethical issues is essential to understanding the relationship between theory and practice in ethics, and shows the need for more emphasis on practice-oriented forms of ethical theorising.
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  13.  16
    Towards the Applied: The Construction of Ethical Positions in Stem Cell Translational Research. [REVIEW]Alan Cribb, Steven Wainwright, Clare Williams, Bobbie Farsides & Mike Michael - 2007 - Medicine, Health Care and Philosophy 11 (3):351-361.
    This paper aims to make an empirically informed analytical contribution to the development of a more socially embedded bioethics. Drawing upon 10 interviews with cutting edge stem cell researchers (5 scientists and 5 clinicians) it explores and illustrates the ways in which the role positions of translational researchers are shaped by the ‘normative structures’ of science and medicine respectively and in combination. The empirical data is used to illuminate three overlapping themes of ethical relevance: what matters in stem cell research, (...)
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  14.  19
    Let’s Talk About Standards: A Commentary on Standards of Practice in Empirical Bioethics.Alan Cribb - 2018 - BMC Medical Ethics 19 (1):69.
    This commentary welcomes the work of Ives et al. on Standards of practice in Empirical Bioethics, and especially the dialogical spirit in which the standards have been constructed and offered. It also raises some questions about the consistent interpretation and use of such standards.
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  15.  62
    Relative Values: Perspectives on a Neuroimaging Technology From Above and Within the Ethical Landscape.Gabrielle Samuel, Alan Cribb, John Owens & Clare Williams - 2016 - Journal of Bioethical Inquiry 13 (3):407-418.
    In this paper we contribute to “sociology in bioethics” and help clarify the range of ways sociological work can contribute to ethics scholarship. We do this using a case study of an innovative neurotechnology, functional magnetic resonance imaging, and its use to attempt to diagnose and communicate with severely brain-injured patients. We compare empirical data from interviews with relatives of patients who have a severe brain injury with perspectives from mainstream bioethics scholars. We use the notion of an “ethical landscape” (...)
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  16.  30
    Towards An Ethical Audit of the Privatisation of Education.Alan Cribb & Stephen Ball - 2005 - British Journal of Educational Studies 53 (2):115-128.
    We argue that the privatisation of education needs to be understood through an ethical lens, and suggest a broad framework through which privatisation policies and practices might be ethically audited. These policies and practices -- it is suggested -- are creating new ethical spaces and new clusters of goals, obligations and dispositions. Whatever the merits of our particular reading of these changes, we would call for an urgent public debate on these questions -- one that looks beyond broad ideological questions (...)
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  17.  39
    Understanding the Role of “the Hidden Curriculum” in Resource Allocation—The Case of the UK NHS.Veronika Wirtz, Alan Cribb & Nick Barber - 2003 - Health Care Analysis 11 (4):295-300.
    In this paper we want to briefly illustrate the ways in which technical, ethical and political judgements of various kinds are interwoven in the processes of healthcare decision-making in the UK. Drawing upon the research for the “Choices in Health Care” project we will borrow the notion of the hidden curriculum from education to illuminate the nature of resource allocation decision processes. In particular we will indicate some of the fundamental but largely hidden political factors in play in these processes (...)
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  18.  14
    Conflict in Medical Co-Production: Can a Stratified Conception of Health Help? [REVIEW]John Owens & Alan Cribb - 2012 - Health Care Analysis 20 (3):268-280.
    This paper considers proposals for developing ‘co-productive’ medical partnerships, within the UK National Health Service (NHS), concentrating in particular on the potential problem involved in combining professional and lay conceptions of health. Much of the literature that advocates the introduction of co-productive healthcare partnerships assumes that medical professionals and patients share, or can easily come to share, a common set of beliefs about what is valuable with regard to health interventions and outcomes. However, a substantial literature documents the contestability of (...)
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  19.  24
    Reconfiguring Professional Ethics: The Rise of Managerialism and Public Health in the UK National Health Service. [REVIEW]Alan Cribb - 2001 - HEC Forum 13 (2):111-124.
  20.  17
    Made to Measure: The Ethics of Routine Measurement for Healthcare Improvement.Polly Mitchell, Alan Cribb & Vikki Entwistle - 2021 - Health Care Analysis 29 (1):39-58.
    This paper analyses the ethics of routine measurement for healthcare improvement. Routine measurement is an increasingly central part of healthcare system design and is taken to be necessary for successful healthcare improvement efforts. It is widely recognised that the effectiveness of routine measurement in bringing about improvement is limited—it often produces only modest effects or fails to generate anticipated improvements at all. We seek to show that these concerns do not exhaust the ethics of routine measurement. Even if routine measurement (...)
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  21.  9
    Talking It Better: Conversations and Normative Complexity in Healthcare Improvement.Alan Cribb, Vikki Entwistle & Polly Mitchell - 2022 - Medical Humanities 48 (1):85-93.
    In this paper, we consider the role of conversations in contributing to healthcare quality improvement. More specifically, we suggest that conversations can be important in responding to what we call ‘normative complexity’. As well as reflecting on the value of conversations, the aim is to introduce the dimension of normative complexity as something that requires theoretical and practical attention alongside the more recognised challenges of complex systems, which we label, for short, as ‘explanatory complexity’. In brief, normative complexity relates to (...)
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  22.  55
    IEEN Workshop Report: Teaching and Learning in Interdisciplinary and Empirical Ethics.Jonathan Ives, John Owens & Alan Cribb - 2013 - Clinical Ethics 8 (2-3):70-74.
    Bioethics is an interdisciplinary field that accommodates a broad range of perspectives and disciplines. This inherent diversity sets a number of challenges for both teachers and students of bioethics, notably in respect to the appropriate aims and methods of bioethics education, standards and criteria for evaluating performance and disciplinary identity. The Interdisciplinary and Empirical Ethics Network (IEEN) was established, with funding from the Wellcome Trust, to facilitate critical and constructive discussion about the ongoing development of bioethics as an evolving field (...)
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  23.  5
    Pushing Poverty Off Limits: Quality Improvement and the Architecture of Healthcare Values.Guddi Singh, Vikki Entwistle, Alan Cribb & Polly Mitchell - 2021 - BMC Medical Ethics 22 (1):1-13.
    Background: Poverty and social deprivation have adverse effects on health outcomes and place a significant burden on healthcare systems. There are some actions that can be taken to tackle them from within healthcare institutions, but clinicians who seek to make frontline services more responsive to the social determinants of health and the social context of people’s lives can face a range of ethical challenges. We summarise and consider a case in which clinicians introduced a poverty screening initiative into paediatric practice (...)
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  24.  3
    Between the Bench, the Bedside and the Office: The Need to Build Bridges Between Working Neuroscientists and Ethicists.Caragh Brosnan & Alan Cribb - 2014 - Clinical Ethics 9 (4):113-119.
    This paper presents findings from an empirical study that explored the meaning of ethics in the everyday work of neuroscientists. Observation and interviews were carried out in one neuroscience research group that was involved in bench-to-bedside translational research. We focus here specifically on the scientists’ perceptions of bioethics. Interviewees were often unfamiliar with bioethics as a discipline, particularly the more junior members of the group. Those who were aware of its existence largely viewed it as something distant from them, and (...)
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  25. Aesthetics for Everyday Quality: One Way to Enrich Healthcare Improvement Debates.Alan Cribb & Graham Pullin - forthcoming - Medical Humanities:medhum-2021-012330.
    In this paper we seek to illuminate the importance of aesthetics for healthcare quality and encourage more explicit discussion of aesthetics in healthcare improvement scholarship and practice. We hope to contribute to and help develop the hinterland between arts-based initiatives in healthcare and the ‘normal business’ of healthcare quality improvement. Our broad contention is: That aesthetic considerations should be seen as of universal relevance across quality debates That they never be assumed to have a marginal or even secondary status; and (...)
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  26. Values and Comparative Politics.Alan Cribb - 1988 - Dissertation, The University of Manchester (United Kingdom)
    Available from UMI in association with The British Library. Requires signed TDF. ;This thesis considers the place of values in comparative political inquiry. After a review of the debate in the philosophy of social science between the positivist and hermeneutic approaches , the argument is divided into two parts. The first part looks at the origins, and consequences, of the attempt to establish a positivistic value-free comparative political science. The second part considers the basis, and the potential nature, of a (...)
     
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  27.  13
    Austerity and Professionalism: Being a Good Healthcare Professional in Bad Conditions.John Owens, Guddi Singh & Alan Cribb - 2019 - Health Care Analysis 27 (3):157-170.
    In this paper we argue that austerity creates working conditions that can undermine professionalism in healthcare. We characterise austerity in terms of overlapping economic, social and ethical dimensions and explain how these can pose significant challenges for healthcare professionals. Amongst other things, austerity is detrimental to healthcare practice because it creates shortages of material and staff resources, negatively affects relationships and institutional cultures, and creates increased burdens and pressures for staff, not least as a result of deteriorating public health conditions. (...)
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  28.  7
    Austerity, Health and Ethics.Angeliki Kerasidou & Alan Cribb - 2019 - Health Care Analysis 27 (3):153-156.
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  29.  14
    The Borders of Health Promotion—A Response to Nordenfelt.Alan Cribb - 1993 - Health Care Analysis 1 (2):131-137.
    Nordenfelt has presented a very useful philosophical analysis of the nature and ethics of health promotion. The first section of this paper is a response to the starting point of that analysis—the equation of health promotion with health promotion action. It is argued that this starting point leads to a serious ambiguity, and that this ambiguity is characteristic of other writing about health promotion, including that of the WHO. The second section of this paper explores the implications of this ambiguity, (...)
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  30.  28
    Fair and Effective Resource Allocation in Cancer Care: Uncharted Territory? Paper Three: Resource Allocation and Social Meaning.Alan Cribb - 1996 - Health Care Analysis 4 (1):34-37.
  31.  9
    The Commentaries.Mike Bury, Ged Moran, Alan Cribb & Rod Sheaff - 1994 - Health Care Analysis 2 (1):8-12.
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  32.  9
    IEEN Workshop Report: Professionalism in Interdisciplinary and Empirical Bioethics.John Owens, Jonathan Ives & Alan Cribb - 2014 - Clinical Ethics 9 (4):109-112.
    The Interdisciplinary and Empirical Ethics Network was established in 2012 with funding from the Wellcome Trust in order to facilitate critical and constructive discussion around the nature of the disciplinary diversity within bioethics and to consider the ongoing development of bioethics as an evolving field of interdisciplinary study. In April 2013, the Interdisciplinary and Empirical Ethics Network organized a workshop at the Centre for Public Policy Research, King’s College London, which discussed the nature and possibility of professionalism within interdisciplinary and (...)
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  33. Values and Comparative Politics an Introduction to the Philosophy of Political Science.Alan Cribb - 1991
    This text attempts to show why the academic split between ethics and social sciences has been disastrous and argues that advances in vigour and sensitivity are made possible by closing this artificial divide.
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  34. Nursing Law and Ethics.John Tingle & Alan Cribb - 1995 - John Wiley & Sons.
    Nursing Law and Ethics explores a variety of key legal and ethical issues in nursing practice using a thought-provoking and holistic approach. It addresses both what the law requires and what is right, and explores whether these two are always the same. The book provides an overview of the legal, ethical and professional dimensions of nursing, followed by exploration of key issues in greater depth. This edition features updated legislation and new material on patient safety. Key topics are accompanied by (...)
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  35.  8
    Prescribers, Patients and Policy: The Limits of Technique.Alan Cribb & Nick Barber - 1997 - Health Care Analysis 5 (4):292-298.
    What is good prescribing? In this paper we will look at the kinds of criteria which are relevant to evaluating prescribing. In particular we wish to challenge, or at least re-frame, the picture of prescribing as an essentially technical process. In so doing we hope to indicate something more general about the power, and limitations, of technical rationality in health care, and to contribute something to work in health care technology assessment. Finally we hope this discussion will act as a (...)
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