Davina Allen1. 1. School of Healthcare Sciences, Cardiff University, Cardiff, UK.
Abstract
AIM: To offer a new conceptual framework for formalizing nurses' work in managing emergent organisation in health and social care. BACKGROUND: Much health and social care requires continuous oversight and adjustments in response to contingencies. Nurses have an important role in managing these relationships. EVALUATION: A longstanding programme of research on the social organisation of health and social care work provided the foundations for the article. KEY ISSUE: Nurses' work in managing emergent organisation may be conceptualized as care trajectory management and factors contributing to trajectory complexity are explored. CONCLUSIONS: Care trajectory management is essential for the quality and safety of health and social care but poorly served by existing management frameworks. IMPLICATIONS FOR NURSING MANAGEMENT: Care trajectory management offers a conceptual framework for the development of new management structures to support an important but poorly supported element of nursing practice.
AIM: To offer a new conceptual framework for formalizing nurses' work in managing emergent organisation in health and social care. BACKGROUND: Much health and social care requires continuous oversight and adjustments in response to contingencies. Nurses have an important role in managing these relationships. EVALUATION: A longstanding programme of research on the social organisation of health and social care work provided the foundations for the article. KEY ISSUE: Nurses' work in managing emergent organisation may be conceptualized as care trajectory management and factors contributing to trajectory complexity are explored. CONCLUSIONS: Care trajectory management is essential for the quality and safety of health and social care but poorly served by existing management frameworks. IMPLICATIONS FOR NURSING MANAGEMENT: Care trajectory management offers a conceptual framework for the development of new management structures to support an important but poorly supported element of nursing practice.
Authors: Carl R May; Amanda Cummings; Michelle Myall; Jonathan Harvey; Catherine Pope; Peter Griffiths; Paul Roderick; Mick Arber; Kasey Boehmer; Frances S Mair; Alison Richardson Journal: BMJ Open Date: 2016-10-05 Impact factor: 2.692
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