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Alan Cribb [29]A. Cribb [12]
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Alan Cribb
Victoria University of Manchester
Alex Cribb
Deakin University
  1.  11
    ‘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.  14
    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.  27
    Beyond Choice and Individualism: Understanding Autonomy for Public Health Ethics.J. Owens & A. Cribb - 2013 - Public Health Ethics 6 (3):262-271.
    Attention to individual choice is a valuable dimension of public health policy; however, the creation of effective public health programmes requires policy makers to address the material and social structures that determine a person’s chance of actually achieving a good state of health. This statement summarizes a well understood and widely held view within public health practice. In this article, we (i) argue that advocates for public health can and should defend this emphasis on ‘structures’ by reference to citizen autonomy (...)
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  4.  32
    Integrity at Work: Managing Routine Moral Stress in Professional Roles.Alan Cribb - 2011 - Nursing Philosophy 12 (2):119-127.
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  5.  82
    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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  6.  14
    What Justice, What Autonomy? The Ethical Constraints Upon Personalisation.John Owens, Teodor Mladenov & Alan Cribb - 2017 - Ethics and Social Welfare 11 (1):3-18.
  7.  6
    Translational Ethics? The Theory-Practice Gap in Medical Ethics.A. Cribb - 2010 - Journal of Medical Ethics 36 (4):207-210.
    Translational research is now a critically important current in academic medicine. Researchers in all health-related fields are being encouraged not only to demonstrate the potential benefits of their research but also to help identify the steps through which their research might be ‘made practical’. This paper considers the prospects of a corresponding movement of ‘translational ethics’. Some of the advantages and disadvantages of focusing upon the translation of ethical scholarship are reviewed. While emphasising the difficulties of crossing the gap between (...)
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  8.  12
    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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  9.  17
    Whatever Suits You: Unpicking Personalization for the NHS.Alan Cribb & John Owens - 2010 - Journal of Evaluation in Clinical Practice 16 (2):310-314.
  10.  5
    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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  11.  74
    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.
  12.  57
    IEEN Workshop Report: Aims and Methods in Interdisciplinary and Empirical Bioethics.J. Owens, J. Ives & A. 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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  13.  58
    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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  14.  17
    Beyond the Classroom Wall: Theorist-Practitioner Relationships and Extra-Mural Ethics. [REVIEW]Alan Cribb - 2011 - Ethical Theory and Moral Practice 14 (4):383-396.
  15.  10
    Towards the Applied: The Construction of Ethical Positions in Stem Cell Translational Research. [REVIEW]Alan Cribb, Steven Wainwright, Clare Williams, Bobbie Farsides & Mike Michael - 2008 - 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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  16.  10
    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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  17.  23
    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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  18.  4
    Organizational Reform and Health-Care Goods: Concerns About Marketization in the UK NHS.A. Cribb - 2008 - Journal of Medicine and Philosophy 33 (3):221-240.
    This paper uses the recent history of marketization and privatization in the UK National Health Service as a case study through which to explore the relationship between health-care organization and health-care goods. Phases and processes of marketization are briefly reviewed in order to show that, although the scope of both marketization and privatization reforms have, until recently, been very heavily circumscribed (and can only be understood in the context of the rise of managerialism), they have nonetheless had a major impact (...)
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  19.  6
    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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  20. League Tables, Institutional Success and Professional Ethics.A. Cribb - 1999 - Journal of Medical Ethics 25 (5):413-417.
    League tables are just one example of the growing importance of "institutional success" in the health service. What are the implications of attaching importance to institutional success, and what impact might this have on professional ethics? This paper considers these issues and argues that public policy processes which centre on institutional performance, and which co-opt professional loyalties to this end, shift the balance between person-centred and impersonal standpoints in health care (from the former and towards the latter). There is no (...)
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  21.  32
    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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  22.  2
    Between the Bench, the Bedside and the Office: The Need to Build Bridges Between Working Neuroscientists and Ethicists.C. Brosnan & A. Cribb - 2014 - Clinical Ethics 9 (4):113-119.
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  23.  18
    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.
  24. Quality of Life--A Response to K C Calman.A. Cribb - 1985 - Journal of Medical Ethics 11 (3):142-145.
    There is no technical language with which to speak of patients' quality of life, there are no standard measures and no authority to validate criteria of measurement. It is well known that 'professionals' tend, often for institutional reasons, to play down or undervalue factors which are not defined by their particular expertise. It is fortunate that, despite this tendency, there is a growing interest in broadening the evaluation of medical care, but there is still a need to clarify what is (...)
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  25.  2
    Austerity, Health and Ethics.Angeliki Kerasidou & Alan Cribb - 2019 - Health Care Analysis 27 (3):153-156.
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  26.  8
    Changing Values for Nursing and Health Promotion: Exploring the Policy Context of Professional Ethics.J. Molloy & A. Cribb - 1999 - Nursing Ethics 6 (5):411-422.
    In this article we illustrate, and argue for, the importance of researching the social context of health professionals’ ethical agendas and concerns. We draw upon qualitative interview data from 20 nurses working in two occupational health sites, and our discussion focuses mainly upon aspects of the shifting ‘ethical context’ for those nurses with a health promotion remit who are working in the British National Health Service. Within this discussion we also raise a number of potentially substantive issues, including the risks (...)
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  27.  20
    The Use of Informed Consent for Medication Treatment in Hospital: A Qualitative Study of the Views of Doctors and Nurses.V. Wirtz, A. Cribb & N. Barber - 2007 - Clinical Ethics 2 (1):36-41.
    The use of informed consent for surgery or research has been widely studied; however, its use in other areas of clinical practice has received less attention. This study investigates how doctors and nurses understand informed consent in relation to the prescription and administration of medicines in secondary care. It uses a qualitative analysis of semi-structured in-depth interviews with 19 doctors and 6 nurses recruited from various specialties in a teaching hospital. The results indicate a striking gap between official and actual (...)
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  28.  51
    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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  29.  22
    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.
  30. Approaching Qualitative Research.A. Cribb & S. Eckstein - 2003 - In Sue Eckstein (ed.), Manual for Research Ethics Committees. Cambridge University Press.
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  31.  12
    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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  32.  9
    The Commentaries.Mike Bury, Ged Moran, Alan Cribb & Rod Sheaff - 1994 - Health Care Analysis 2 (1):8-12.
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  33.  6
    IEEN Workshop Report: Professionalism in Interdisciplinary and Empirical Bioethics.J. Owens, J. Ives & A. Cribb - 2014 - Clinical Ethics 9 (4):109-112.
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  34.  5
    Prescribers, Patients and Policy: The Limits of Technique.Alan Cribb & Nick Barber - 1997 - Health Care Analysis 5 (4):292-298.
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  35.  4
    Altruism, Society, Health Care.A. Cribb - 1999 - Journal of Medical Ethics 25 (3):283-284.
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  36. 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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  37. Values and Comparative Politics an Introduction to the Philosophy of Political Science.Alan Cribb - 1991
     
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  38. Nursing Law and Ethics.John Tingle & Alan Cribb - 1995
     
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  39. What Does ‘Quality’ Add? Towards an Ethics of Healthcare Improvement.Alan Cribb, Vikki Entwistle & Polly Mitchell - forthcoming - Journal of Medical Ethics:medethics-2019-105635.
    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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