Refused gifts: understanding the over and above work of Medical School Anatomy Unit staff when donor bodies cannot be accepted
Murphy, Z. N., Cooper, J. 
ORCID: 0000-0002-3295-8593, Bazira, P. J. , Green, T. & Seymour, J. (2023).
Refused gifts: understanding the over and above work of Medical School Anatomy Unit staff when donor bodies cannot be accepted.
Mortality, 29(4),
pp. 849-866.
doi: 10.1080/13576275.2023.2248024
Abstract
In England, Wales, and Northern Ireland, people can choose to donate their bodies post-mortem to Medical School Anatomy Units. The body donation (BD) process is facilitated by anatomy unit staff (AUS). However, little is known about the extent and nature of AUS work with families, including when a body cannot be accepted. To address this gap, this paper draws on data from an ethnographic study, including a survey of 15 anatomy units (AUs) in England and Northern Ireland, a case study of one AU, 20 semi-structured interviews with 31 AUS and document analysis. We reveal the number of bodies (878) that are refused across AUs and examine how AUS deal with refusals. We argue that activities around refusals constitutes ‘over and above’ work for AUS, as it goes beyond their expected role. We suggest that this is done out of a duty of care, and is related to the discomfort of refusing the BD gift. Attention is given to the ‘over and above’ work of the AUS which allows for an exploration of gift relationships and emotion management in a new arena. We conclude with recommendations to address the lack of recognition and training around AUS refusal work.
| Publication Type: | Article |
|---|---|
| Additional Information: | © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent. |
| Publisher Keywords: | Body donation, body donor, emotional labour, emotion management, hidden work, gift relationships |
| Subjects: | R Medicine > R Medicine (General) |
| Departments: | School of Health & Psychological Sciences > Healthcare Services Research & Management |
| SWORD Depositor: |
Available under License Creative Commons Attribution Non-commercial No Derivatives.
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