Quality Improvement QUALITY IMPROVEMENT

Total Page:16

File Type:pdf, Size:1020Kb

Quality Improvement QUALITY IMPROVEMENT May 2020 A special supplement in partnership with The Health Foundation Quality improvement QUALITY IMPROVEMENT EDITOR’S CHOICE 1 A road map towards better quality improvement Raffaella Bosurgi EDITORIALS BMJ 2020 2 Prioritising quality improvement EDITORIAL OFFICES The Editor, The BMJ Joanna Bircher BMA House, Tavistock Square London, UK, WC1H 9JR Email: [email protected] Tel: + 44 (0) 20 7387 4410 3 Creating space for quality improvement Fax: + 44 (0) 20 7383 6418 Dominique Allwood, Rebecca Fisher, Will Warburton, Jennifer Dixon BMJ - Beijing A1203 Tian Yuan Gang Center East 3rd Ring North Road 5 Better healthcare must mean better for patients and carers Chaoyang District Beijing 100027 Anya de Iongh, Sibylle Erdmann China Telephone: +86 (10) 5722 7209 BMJ - Hoboken BMJ Publishing Inc ANALYSIS Two Hudson Place Hoboken, NJ 07030 Tel: 1- 855-458-0579 7 Improving together: collaboration needs to start with regulators email [email protected] BMJ - Mumbai Nicola Burgess, Graeme Currie, Bernard Crump, John Richmond, Mark Johnson 102, Navkar Chamber, A Wing Marol, Andheri - Kurla Road Andheri (East) Mumbai 400059 Tel: +91 22-40260312/13/14 10 Spreading and scaling up innovation and improvement Email: [email protected] Trisha Greenhalgh, Chrysanthi Papoutsi BMJ - Noida Mindmill Corporate Tower 6th Floor, 24 A, Film City Sector 16 A 16 Changing how we think about healthcare improvement Noida 201301 Telephone: + 91 120 4345733 - 38 Jeffrey Braithwaite Email: [email protected] BMJ - Singapore Suntec Tower Two 21 Understanding organisational culture for healthcare quality improvement 9 Temasek Boulevard, #29-01 Singapore 038989 Russell Mannion, Huw Davies Tel: +65 3157 1399 Email: [email protected] BMJ - Sydney 25 Can we import improvements from industry to healthcare? Australia Telephone: +61 (0)2 8041 7646 Carl Macrae, Kevin Stewart Email: [email protected] Twitter: Follow the editor, Fiona Godlee @fgodlee and The BMJ at twitter.com/bmj_latest 29 How organisations contribute to improving the quality of healthcare BMA Members’ Enquiries Email: [email protected],uk Naomi J Fulop, Angus I G Ramsay Tel: + 44 (0) 20 7383 6955 Advertising Email: [email protected] Tel: + 44 (0) 20 3655 5611 34 Adapting Lean methods to facilitate stakeholder engagement and Reprints co-design in healthcare Email: [email protected] Tel: + 44 (0) 7866 262 344 Iain Smith, Chris Hicks, Tom McGovern Subscriptions Email: [email protected] Tel: + 44 (0) 20 7111 1105 38 Revitalising audit and feedback to improve patient care Other resources Other contacts: http://www.bmj.com/about-bmj Robbie Foy, Mirek Skrypak, Sarah Alderson, Noah Michael Ivers, Bren McInerney, Jill Stoddart, Advice to authors: http://www.bmj.com/about-bmj/resources-authors Jane Ingham, Danny Keenan To submit an article: submit.bmj.com The BMJ is published by BMJ Publishing Group Ltd, a wholly owned subsidiary of the British Medical Association. The BMA grants editorial freedom to the Editor of The BMJ. The views ESSAYS expressed in the journal are those of the authors and may not necessarily comply with BMJ policy. The BMJ follows guidelines on editorial independence produced by the World Association of Medical Editors (www.wame. org/wamestmt.htm#independence) and the code on good 42 How to improve healthcare improvement publication practice produced by the Committee on Publication Ethics (www.publicationethics.org.uk/guidelines/). Mary Dixon-Woods The BMJ is intended for medical professionals and is provided without warranty, express or implied. Statements in the journal are the responsibility of their authors and advertisers and not authors’ 46 Getting more health from healthcare: quality improvement must acknowledge institutions, the BMJ Publishing Group, or The BMJ unless otherwise specifi ed or determined by law. Acceptance of advertising does not imply patient coproduction endorsement. To the fullest extent permitted by law, the BMJ Publishing Group shall not Paul Batalden be liable for any loss, injury, or damage resulting from the use of The BMJ or any information in it whether based on contract, tort, or otherwise. Readers are advised to verify any information they choose to rely on. 49 Why healthcare leadership should embrace quality improvement @BMJ Publishing Group Ltd 2020 All Rights Reserved. No part of this publication may be reproduced, stored John R Drew, Meghana Pandit in a retrieval system, or transmitted in any form or by any other means, electronic, mechanical, photocopying, recoding, or otherwise, without prior permission, in writing, of The BMJ. QUALITY IMPROVEMENT EDUCATION 52 How to get started in quality improvement Bryan Jones, Emma Vaux, Anna Olsson-Brown 56 Using data for improvement Amar Shah 60 Evaluating the impact of healthcare interventions using routine data Geraldine M Clarke, Stefano Conti, Arne T Wolters, Adam Steventon 65 Quality improvement into practice Adam Backhouse, Fatai Ogunlayi 71 How to improve care across boundaries Charles Coughlan, Nishma Manek, Yasmin Razak, Robert E Klaber Article provenance These articles are part of a series commissioned by The BMJ based on ideas generated by a joint editorial group with members from the Health Foundation and The BMJ, including a patient/carer. The BMJ retained full editorial control over external peer review, editing, and publication. Open access fees and The BMJ’s quality improvement editor post are funded by the Health Foundation. Indexing The BMJ Please do not use the page numbers given in this edition when citing or linking to content in The BMJ. Please be aware that The BMJ is an online journal, and the online version of the journal and each article at thebmj.com is the complete version. Please note that only the on- line article locator is required when indexing or citing content from The BMJ. We recommend that you use the Digital Object Identifier (doi) available online at the top of every article and printed in each article in this edition for indexing. The citation format is given on each article. EDITOR'S CHOICE A road map towards better quality improvement he BMJ and the Health Foundation’s Promoting curiosity within organisations But can the implementation of series on quality improvement is might be key. Creation of cycles around improvement approaches such as audit and T exploring the adaptive system of the projects where every single team member feedback lead to a culture of continuous NHS and what is needed to deliver a better has a sense of purpose and can ask, “Why improvement? Robbie Foy and colleagues quality of care. This booklet contains some are we doing this?” could lead to a more discuss how embedding rigorous yet of the content published since June 2019. transformative approach. A culture shift in pragmatic evaluations of improvement We hope it will help healthcare professionals attitude in order to have a better dialogue is methods within national programmes to unlock some of the challenges healthcare only possible by changing the hierarchical can deliver cumulative gains while systems face today. relationships within an organisation. simultaneously producing generalisable Quality improvement is often defined as Nicola Burgess and colleagues (p 7) point knowledge (p 38). And as Adam Backhouse a group of systematic approaches that uses out how network governance is important and Ogunlayi Fatai argue (p 65), quality specific techniques to improve delivery of care in increasing collaboration. Developing improvement should represent a valuable and bring change. But is quality improvement relational authority is a key element. opportunity for individuals to deliver change different from quality management? In their We also need to be sure quality improvement and implement leadership. essay, John Drew and Meghana Pandit (p 49) actually improves the quality of health Quality improvement remains a practice seek to understand the differences between services. Mary Dixon-Woods (p 42) calls for delivered by expert people rather than a way management and quality improvement, more evidence based research and highlights of thinking within the healthcare system. The looking at where the two can coalesce for how by using research and bringing together series will help to understand how quality organisational success. They discuss how the practice and the study of improvement, improvement can be useful and powerful if leadership, quality management, and quality we can help to improve quality improvement. applied by all within the healthcare system improvement overlap. Charles Coughlan Quality improvement has its origins in in order to deliver better care, improve and colleagues (p 71) argue that dedicated process manufacturing such as the Lean system outcomes for patients, and transform complex leadership among patients, managers, and developed for Japan’s automotive industry, but healthcare systems. clinicians seems vital to improve quality these can be a poor fit with a patient centred Raffaella Bosurgi, quality improvement editor across organisational boundaries. But where health system. Iain Smith and colleagues (p The BMJ to start? As Joanna Bircher highlights in her 34) illustrate how Lean improvement strategies Correspondence to: [email protected] editorial (p 2), deciding what to prioritise and that take customers’ values into consideration Cite this as: BMJ 2020;368:m1102 where to begin can be challenging. could be applied in healthcare. http://dx.doi.org/10.1136/bmj.m1102 the bmj | BMJ 2020;368:m1102 | doi: 10.1136/bmj.m1102 1 EDITORIAL Prioritising quality improvement QI is a team sport, best
Recommended publications
  • Crystal Methamphetamine and Latinos in New York City: One Organization's Perspective
    Crystal Methamphetamine and Latinos in New York City: One Organization’s Perspective A Publication of the Latino Commission on AIDS 24 West 25th Street, 9th Floor New York, NY 10010-2704 Telephone: 212-675-3288 www.latinoaids.org CRYSTAL METHAMPHETAMINE AND LATINOS IN NEW YORK CITY: ONE ORGANIZATION’S PERSPECTIVE page 1 Acknowledgements The Latino Commission on AIDS Latino Crystal Meth Initiative would not have been possible without the support of New York City Council Member Margarita Lopez and the New York City Department of Health. The Latino Commission on AIDS would like to also gratefully acknowledge the cooperation of the individuals listed below. These individuals assisted in the writing and during the information gather- ing process that became the basis of this report. Wesley Tahsir-Rodriquez MPH Director, Health Policy Latino Commission on AIDS Juan Carlos Sandoval Crystal Meth Project Coordinator Latino Commission on AIDS New York City Don McVinney, MSSW, M.Phil., Ph.D. Candidate Director of Education and Training Harm Reduction Coalition New York City Perry N. Halkitis, PhD Co-Director, Center for HIV/AIDS Educational Studies & Training New York University Dennis deLeon, Esq. President Latino Commission on AIDS New York City Miriam Vega PhD Director of Behavioral Science Manos Unidas Latino Commission on AiDS Andres Duque Director, Mano a Mano Latino Commission on AIDS We are ultimately indebted to the Latino gay and bisexual community for participating in focus groups, key informant interviews and for just being willing to converse with us about this important topic. CRYSTAL METHAMPHETAMINE AND LATINOS IN NEW YORK CITY: ONE ORGANIZATION’S PERSPECTIVE page 1 Alberto was very successful back in South America.
    [Show full text]
  • Affirmative Action for Lesbians and Gay Men: a Proposal for True Equality of Opportunity and Workforce Diversity
    Affirmative Action for Lesbians and Gay Men: A Proposal for True Equality of Opportunity and Workforce Diversity Jeffrey S. Byrnet The status quo that privileges certain groups over others cannot be changed, except self-consciously.... We cannot ensure that our institu- tions reflect the ideals of equality, fairness, and equal opportunity which are part of our culture without affirmative action.' [Gay and lesbian people] don't need affirmative2 action-we're already here. We need the freedom to be visible. Despite the prominence of both "affirmative action" and "gay and lesbian rights"' at the center of the civil rights debate in the United States, remarkably little thought has been given to affirmative action for lesbians and gay men.4 When the issue of affirmative action for gay and lesbian people is raised at all, it is almost always mentioned as a feared result of enacting antidiscrimination laws ,5 is occasionally cited briefly in a footnote, 6 or is simply presented t Law Clerk to Chief Justice Joseph P. Warner, Massachusetts Appeals Court. J.D., Harvard Law School, 1992; A.B., Boston College, 1989. The views expressed in this article are my own. My thanks to Bill Rubenstein for his guidance on this article and to David Chamy for helpful comments on an earlier draft. I also thank Peter M. Cicchino, Elizabeth F. Mason, Brian N. Eisen, and Trenton H. Norris for their challenging questions and insightful suggestions. Bryan Tramont has been a remarkably talented and sensitive editor. Most of all, I am grateful to Bruce Deming for his encouragement, sagacity, and spirit.
    [Show full text]
  • CVD-COVID-UK Consortium Members (21 August 2020)
    CVD-COVID-UK Consortium Members (21 August 2020) Institution Member Name Institution Member Name Institution Member Name Addenbrooke's Hospital Jon Boyle NICE Adrian Jonas University of Bristol Tom Palmer British Cardiovascular Society Simon Ray NICE Jennifer Beveridge University of Bristol Venexia Walker British Heart Foundation Nilesh Samani NICE Thomas Lawrence University of Cambridge Angela Wood British Heart Foundation Sonya Babu-Narayan NICOR John Deanfield University of Cambridge Jessica Barrett European Bioinformatics Institute Ewan Birney NICOR Mark de Belder University of Cambridge John Danesh European Bioinformatics Institute Moritz Gerstung Office for National Statistics Ben Humberstone University of Cambridge Samantha Ip Great Ormond Street Hospital Katherine Brown Office for National Statistics Myer Glickman University of Cambridge Seamus Harrison Health Data Research UK / BHF Data Science Centre Cathie Sudlow Office for National Statistics Vahé Nafilyan University of Dundee Ewan Pearson Health Data Research UK / BHF Data Science Centre Lynn Morrice Queen's University Belfast Abdul Qadr Akinoso- University of Dundee Huan Wang Health Data Research UK / BHF Data Science Centre Rouven Priedon Imran University of Dundee Ify Mordi Queen's University Belfast Frank Kee Health Data Research UK Francesca Lord University of Edinburgh William Whiteley Royal College of Surgeons of England Amundeep Johal Health Data Research UK Sinduja Manohar University of Glasgow Colin Berry Royal College of Surgeons of England David Cromwell Healthcare
    [Show full text]
  • Selling Sex, Negotiating Identity
    Selling Sex, Negotiating Identity(ies): Gendered Dimensions of The Whore Stigma and Strategies of Stigma-Resistance Jane Elizabeth Nolan BSc (Hons) Criminology and Criminal Justice A thesis submitted for the degree of Doctor of Philosophy at The University of Queensland in August 2015 School of Political Science and International Studies Abstract The importance of stigma in the lives of sex workers has been increasingly recognised by academic research over the last two decades. However, the existing literature has not satisfactorily addressed a number of vital questions about gender and the whore stigma. There has been almost no research which has explored the gendered nature of the stigma associated with sex work, and very little research which has recognised and compared the experiences of differently gendered sex workers. Almost all of the published research in this area, has focused upon the experiences of cisgender female sex workers, and/or has not compared these with the experiences of male and transgender sex workers. Thus, existing research has failed to examine the whore stigma as a gendered experience. This thesis explores and interrogates the gendered dimensions of the ‘whore stigma’, and whether transgender and cisgender male and female sex workers experience and negotiate this stigma differently. Key to the research is the extent to which differently gendered sex workers internalise and/or develop strategies to manage and resist stigma, and whether this is mediated by the experience of stigma(s) other than and/or in addition to the ‘whore stigma’ including, for example, stigma relating to racism, homophobia and transphobia. In-depth face-to-face interviews were conducted with 30 sex workers in Queensland and New South Wales, Australia.
    [Show full text]
  • Executive Summary of the Results for the National Clinical Audit of Adult Inflammatory Bowel Disease Inpatient Care in the UK
    Executive summary of the results for the national clinical audit of adult inflammatory bowel disease inpatient care in the UK Round 3 March 2012 Executive summary report Prepared by the UK IBD Audit Steering Group on behalf of: UK IBD audit 3rd Round (2010) - National Results for the Processes of Paediatric IBD Care in the UK 1 Table of contents Page Report authors and acknowledgements 3 Section 1: Executive summary 5 Background 5 Overall summary 5 Key results tables 6 ‐ Table 1 Ulcerative colitis results across the 2006, 2008 and 2010 rounds 6 ‐ Table 2 Crohn’s disease results across the 2006, 2008 and 2010 rounds 7 ‐ Table 3 Key 2010 ulcerative colitis results with ‘Your Site’ comparison 8 ‐ Table 4 Key 2010 Crohn’s disease results with ‘Your Site’ comparison 9 Key findings 10 Key recommendations 11 Section 2: Individual site 2010 key indicator data tables 12 Executive summary of the results for the national clinical audit of adult inflammatory bowel disease inpatient care in the UK 2 © Royal College of Physicians 2011 Report authors and acknowledgements Dedication We wish to dedicate this report to the memory of Dr Keith Leiper MD, FRCP who sadly passed away on 21 October 2011. Dr Leiper worked to develop and deliver the inaugural 2006 round of the UK IBD audit and subsequently saw his vision turned into reality with the successful development and pilot of the IBD Quality Improvement Project (IBDQIP). On behalf of the UK IBD Audit Steering Group, we wish to acknowledge the hard work, commitment, enthusiasm and humour that Keith brought to the UK IBD audit.
    [Show full text]
  • Food Diet for Transgender Before Hormone Replacement Therapy
    ====================================================================== Language in India www.languageinindia.com ISSN 1930-2940 Vol. 19:1 January 2019 India’s Higher Education Authority UGC Approved List of Journals Serial Number 49042 ===================================================================== Food Diet for Transgender before Hormone Replacement Therapy Dr. K. Sindhu, Asst. Professor and M. Aravindh, Ph.D. Scholar ======================================================================= This paper describes some of the healthcare needs of transgender people before hormone replacement therapy. Gender identity is one of the most important concerns of human psychology. Sexual identity causes big humiliation for transgenders. They need steady help and support from the health care centers. The situation still gets worst when they do not get sufficient support from their own kin, as well as society. “In a survey, 28 percent of participants (transgender people) reported postponing medical care due to discrimination from their health care providers, while 19 percent reported being refused medical care completely” (Breeding Zachari). Lack of knowledge about the gender identity disorder and absence of defined conventions in the society may be the major attributes for this problem. Transgender people are already in a constant inner conflict between soul and body. This conflict with the society leads to hampered communications and miscellaneous relationships within family, friends and colleagues. Transgender people are often rejected by their parents, peers, and marginalised in the society. They are frequently not engaged in necessary mental and physical health care due to barriers arising from both their gender minority status and the barriers associated with homelessness. In order to improve transgender individuals’ health, a rightly dosage of food is must. It is important to understand the conditions for which this population is most at risk, the role of food during the hormone therapy.
    [Show full text]
  • The Emerald Ash Borer Femme Fatale When Are Melons Ready to Harvest?
    Spiced Apple Cider The Emerald Ash Borer Femme Fatale Note: Always read the label and A research team from Pennsylvania State University has make sure you are created a battery-powered, faux purchasing pasteurized female emerald ash borer that is apple cider. Raw, designed to give a lethal shock to unpasteurized cider may any amorous males. As he contain harmful bacteria. approaches and initiates Ingredients: physical contact he is zapped by 1 gallon naturally 4,000 volts. Initial tests look sweet apple cider promising. Source: National Geographic 1 cup brown sugar When are melons ready to harvest? 4 cinnamon sticks, broken in half 1 Tablespoon whole cloves A good method for determining the proper har- 1 Tablespoon whole allspice vest time for watermelon is when the underside 1/2 teaspoon mace (optional) or “ground spot” turns yellowish or cream in color. Ripe watermelons also tend to lose their glossy Tie cinnamon, cloves, allspice and mace together look and have a dull appearance. in cheesecloth or use a coffee filter tied with string. Muskmelon is ready to eat when the stem slips easily away Combine cider and brown sugar in a large pot. Add from the fruit. It should pull off with little or no effort. Also look at spices. Bring mixture to a slow boil. Then turn heat the muskmelon’s appearance. The netlike skin becomes rough- down and simmer for 5 to 10 minutes. Remove textured and turns tan to yellow in color. You should also be spice bag from pot. Serve hot cider in mugs. able to smell that muskmelon aroma from the fruit.
    [Show full text]
  • Queer Tastes: an Exploration of Food and Sexuality in Southern Lesbian Literature Jacqueline Kristine Lawrence University of Arkansas, Fayetteville
    University of Arkansas, Fayetteville ScholarWorks@UARK Theses and Dissertations 5-2014 Queer Tastes: An Exploration of Food and Sexuality in Southern Lesbian Literature Jacqueline Kristine Lawrence University of Arkansas, Fayetteville Follow this and additional works at: http://scholarworks.uark.edu/etd Part of the American Literature Commons, Lesbian, Gay, Bisexual, and Transgender Studies Commons, and the Literature in English, North America Commons Recommended Citation Lawrence, Jacqueline Kristine, "Queer Tastes: An Exploration of Food and Sexuality in Southern Lesbian Literature" (2014). Theses and Dissertations. 1021. http://scholarworks.uark.edu/etd/1021 This Thesis is brought to you for free and open access by ScholarWorks@UARK. It has been accepted for inclusion in Theses and Dissertations by an authorized administrator of ScholarWorks@UARK. For more information, please contact [email protected], [email protected]. Queer Tastes: An Exploration of Food and Sexuality in Southern Lesbian Literature Queer Tastes: An Exploration of Food and Sexuality in Southern Lesbian Literature A thesis submitted in partial fulfillment of the requirement for the degree of Master of Arts in English By Jacqueline Kristine Lawrence University of Arkansas Bachelor of Arts in English, 2010 May 2014 University of Arkansas This thesis is approved for recommendation to the Graduate Council. _________________________ Dr. Lisa Hinrichsen Thesis Director _________________________ _________________________ Dr. Susan Marren Dr. Robert Cochran Committee Member Committee Member ABSTRACT Southern identities are undoubtedly influenced by the region’s foodways. However, the South tends to neglect and even to negate certain peoples and their identities. Women, especially lesbians, are often silenced within southern literature. Where Tennessee Williams and James Baldwin used literature to bridge gaps between gay men and the South, southern lesbian literature severely lacks a traceable history of such connections.
    [Show full text]
  • Correspondence Between T. Melden, George C. Stokes, and John Shary
    University of Texas Rio Grande Valley ScholarWorks @ UTRGV John H. Shary Collection Special Collections and Archives 1942 Correspondence between T. Melden, George C. Stokes, and John Shary John Harry Shary George C. Stokes Pearl Perry Stokes Tim Melden Leon H. Brown See next page for additional authors Follow this and additional works at: https://scholarworks.utrgv.edu/johnshary Recommended Citation John H. Shary Collection, UTRGV Digital Library, The University of Texas – Rio Grande Valley This Book is brought to you for free and open access by the Special Collections and Archives at ScholarWorks @ UTRGV. It has been accepted for inclusion in John H. Shary Collection by an authorized administrator of ScholarWorks @ UTRGV. For more information, please contact [email protected], [email protected]. Creator John Harry Shary, George C. Stokes, Pearl Perry Stokes, Tim Melden, Leon H. Brown, J. F. Ewers, and Hollis Rankin This book is available at ScholarWorks @ UTRGV: https://scholarworks.utrgv.edu/johnshary/25 Strea tor, Ills. Nov l 1930 Mr T ,E ,Melden, Uission , Te xas . Dear Mr Uelden ,- Hl! eewith my ck for One Hundred Forty seven & 88/ 100 hard earned Dollar s for flat rate water r ent • As I pay this bill I would impart the information that these close fitting Hooveri c days of prosperity are not so muoh appreciated as was promised: in the gala days of the campaign which gave Herb the Fat his present non~ too pleasant position . If you have been following the narrat ive of Mr Kelley of the Department of the Interior and
    [Show full text]
  • DIVA Versionmaster Thesis Makz Bjuggfält 20170703
    ! Beyond Morality Alternative Gay Narratives in Mark Ravenhill’s Shopping and Fucking and Dennis Cooper’s The Sluts Makz Bjuggfält Field of study: Literature Level: Master Credits: 45 Thesis Defence: June, 2017 Supervisor: Björn Sundberg Department of Literature Master’s Thesis in Literature Because – look – this bit. It doesn’t end like this. He’s always got something. He gets me in the room, blindfolds me. But he doesn’t fuck me. Well not him, not his dick. It’s the knife. He fucks me – yeah – but with a knife. So… – Shopping and Fucking, 1996 When I shoot dope, I don’t think if I do too much I’m going to overdose. I do as much as I feel like it to get as high as I can. When I let some fucking asshole have me for money, I don’t tell him what he can’t do, I just go with whatever he wants, because it’s bullshit otherwise. I got married because I wanted to be with Elaine, and she wanted that, and I went for it. If you’re still into that weird shit, that’s the way it is. If I’m going to let you have sex with me, then you have sex with me the way you want. if I don’t wake up the next morning, that’s the way it is. – The Sluts, 2004 Because it flickers disturbing light onto the darkest nights of human souls, illuminating the visceral cravings and obsessions that erupt when the psychosexual desire police goes on break, this fiction has been deemed at various moment, the most controversial of any being written today.
    [Show full text]
  • Gay Faulkner: Uncovering a Homosexual Presence in Yoknapatawpha and Beyond
    University of Mississippi eGrove Electronic Theses and Dissertations Graduate School 1-1-2013 Gay Faulkner: Uncovering a Homosexual Presence in Yoknapatawpha and Beyond Phillip Andrew Gordon University of Mississippi Follow this and additional works at: https://egrove.olemiss.edu/etd Part of the American Literature Commons Recommended Citation Gordon, Phillip Andrew, "Gay Faulkner: Uncovering a Homosexual Presence in Yoknapatawpha and Beyond" (2013). Electronic Theses and Dissertations. 1391. https://egrove.olemiss.edu/etd/1391 This Dissertation is brought to you for free and open access by the Graduate School at eGrove. It has been accepted for inclusion in Electronic Theses and Dissertations by an authorized administrator of eGrove. For more information, please contact [email protected]. GAY FAULKNER: UNCOVERING A HOMOSEXUAL PRESENCE IN YOKNAPATAWPHA AND BEYOND A dissertation presented in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of English The University of Mississippi by PHILLIP ANDREW GORDON June 2013 Copyright Phillip Andrew Gordon 2013 ALL RIGHTS RESERVED ABSTRACT This dissertation is a biographical study of William Faulkner (1897-1962) as his life coincided with a particular moment in LGBT history when the words homosexual and queer were undergoing profound changes and when our contemporary understanding of gay identity was becoming a widespread and recognizable epistemology. The connections forged in this study--based on archival research from Joseph Blotner’s extensive biographical notes--reveal a version of Faulkner distinctly not anxious about homosexuality and, in fact, often quite comfortable with gay men and living in gay environments (New Orleans, New York). From these connections, I reassess Faulkner’s pre-marriage writings (1918-1929) for their prolific reference to homosexual themes.
    [Show full text]
  • Medicago Truncatula</Em> Genomics
    University of Kentucky UKnowledge Plant and Soil Sciences Faculty Publications Plant and Soil Sciences 2008 Recent Advances in Medicago truncatula Genomics Jean-Michel Ané University of Wisconsin, Madison Hongyan Zhu University of Kentucky, [email protected] Julia Frugoli Clemson University Right click to open a feedback form in a new tab to let us know how this document benefits oy u. Follow this and additional works at: https://uknowledge.uky.edu/pss_facpub Part of the Plant Sciences Commons Repository Citation Ané, Jean-Michel; Zhu, Hongyan; and Frugoli, Julia, "Recent Advances in Medicago truncatula Genomics" (2008). Plant and Soil Sciences Faculty Publications. 46. https://uknowledge.uky.edu/pss_facpub/46 This Review is brought to you for free and open access by the Plant and Soil Sciences at UKnowledge. It has been accepted for inclusion in Plant and Soil Sciences Faculty Publications by an authorized administrator of UKnowledge. For more information, please contact [email protected]. Recent Advances in Medicago truncatula Genomics Notes/Citation Information Published in International Journal of Plant Genomics, v. 2008, article ID 256597, p. 1-11. Copyright © 2008 Jean-Michel Ané et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Digital Object Identifier (DOI) http://dx.doi.org/10.1155/2008/256597 This review is available at UKnowledge: https://uknowledge.uky.edu/pss_facpub/46
    [Show full text]