This book makes a bold but crucial claim: storytelling is not an embellishment to medical knowledge-it is the engine that drives it. Evidence becomes meaningful only when it is framed and interpreted within existing stories. Focusing on reproductive health, Beyond the Bedside explores diverse understandings of medical evidence in relation to some of today's most contested topics, including embryo selection in IVF, puberty blockers for transgender youth and abortion care. Across these cases, the authors reveal how identical evidence can lead to starkly different syntheses, guidelines, and public positions, depending on the narratives into which it is woven. Introducing the concept of deep knowledge translation, the book offers a new way of analysing how evidence moves across research, clinical practice, policy, law, and public debate. It shows why medical controversies persist and how understanding narrative dynamics can transform the way we produce and use knowledge. Available as Open Access on Cambridge Core.
‘Engebretsen and Baker have long been at the forefront of expanding narrativity beyond the remit of traditional narrative medicine. In Beyond the Bedside, they clearly and comprehensively demonstrate how a reflexive and narrative model of knowledge translation can ethically address the plurality of value-laden and conflicting stories that circulate within and beyond medicine, shaping, guiding, and clashing with personal and corporeal experiences. As the authors argue, knowledge, once inscribed, is always bound to be re-narrated. And once you see the narrative workings of medicine and science, you cannot unsee them.’
Şebnem Susam-Saraeva - Personal Chair of Translation Studies, University of Edinburgh
‘Engebretsen and Baker have written a book that every clinician who has ever puzzled over why good evidence fails to change practice should read. Their central insight – that knowledge translation is not a technical pipeline but a narrative process, shot through with values, power, and competing storylines – illuminates why medical controversies so rarely resolve themselves, even when more data accumulate. The reproductive health case studies (puberty blockers, IVF embryo selection, abortion care) are compellingly analysed and painfully timely: these are precisely the areas where clinicians feel the ground shifting beneath them, where the same evidence base seems to authorise diametrically opposed guidelines and public positions. The concept of ‘deep knowledge translation’ offers a genuinely new and clinically useful lens – asking not just ‘what does the evidence say?’ but ‘within whose story does it say it?’. This is a landmark contribution to medical humanities that deserves a wide readership among clinicians, policy-makers, and anyone who wants to understand why evidence so often fuels conflict rather than consensus.’
Trisha Greenhalgh - Professor, University of Oxford
‘Engebretsen and Baker's book critically traces how knowledge is transferred in three notable reproductive health cases. It challenges the traditional separation between the humanities and science by proposing a narrative model of knowledge translation. This model considers not only what is recognised as knowledge in each case but also explores the complex relationship between narrative, power, and evidence. It raises questions about the nature of knowing and who shapes the stories that matter in medicine. What is unique is that the authors extend narrative medicine's ethic of attention beyond the bedside to encompass the entire translational process. At the same time, they resist the tendency, highlighted by their seven principles of deep knowledge translation, to let operationalization reduce diverse perspectives to premature consensus.’
Mette Terp Høybye - Professor of Medical Anthropology, Interacting Minds Centre, Department of Clinical Medicine, Aarhus University, Denmark
Loading metrics...
* Views captured on Cambridge Core between #date#. This data will be updated every 24 hours.
Usage data cannot currently be displayed.
This section outlines the accessibility features of this content - including support for screen readers, full keyboard navigation and high-contrast display options. This may not be relevant for you.
The HTML of this book complies with version 2.1 of the Web Content Accessibility Guidelines (WCAG), covering newer accessibility requirements and improved user experiences and achieves the intermediate (AA) level of WCAG compliance, covering a wider range of accessibility requirements.
Allows you to navigate directly to chapters, sections, or non‐text items through a linked table of contents, reducing the need for extensive scrolling.
Provides an interactive index, letting you go straight to where a term or subject appears in the text without manual searching.
You will encounter all content (including footnotes, captions, etc.) in a clear, sequential flow, making it easier to follow with assistive tools like screen readers.
You get concise descriptions (for images, charts, or media clips), ensuring you do not miss crucial information when visual or audio elements are not accessible.
You get more than just short alt text: you have comprehensive text equivalents, transcripts, captions, or audio descriptions for substantial non‐text content, which is especially helpful for complex visuals or multimedia.
You will still understand key ideas or prompts without relying solely on colour, which is especially helpful if you have colour vision deficiencies.
You gain clarity from ARIA (Accessible Rich Internet Applications) roles and attributes, as they help assistive technologies interpret how each part of the content functions.