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Rounding, work intensification and new public management.
Willis, Eileen; Toffoli, Luisa; Henderson, Julie; Couzner, Leah; Hamilton, Patricia; Verrall, Claire; Blackman, Ian.
Afiliação
  • Willis E; School of Health Sciences, Flinders University, Adelaide, SA, Australia.
  • Toffoli L; School of Nursing & Midwifery, University of South Australia, Adelaide, SA, Australia.
  • Henderson J; School of Health Sciences, Flinders University, Adelaide, SA, Australia.
  • Couzner L; School of Health Sciences, Flinders University, Adelaide, SA, Australia.
  • Hamilton P; College of Nursing, Texas Women's University, Denton, Dallas, TX, USA.
  • Verrall C; School of Nursing & Midwifery, Flinders University, Adelaide, SA, Australia.
  • Blackman I; School of Nursing & Midwifery, Flinders University, Adelaide, SA, Australia.
Nurs Inq ; 23(2): 158-68, 2016 06.
Article em En | MEDLINE | ID: mdl-26314694
ABSTRACT
In this study, we argue that contemporary nursing care has been overtaken by new public management strategies aimed at curtailing budgets in the public hospital sector in Australia. Drawing on qualitative interviews with 15 nurses from one public acute hospital with supporting documentary evidence, we demonstrate what happens to nursing work when management imposes rounding as a risk reduction strategy. In the case study outlined rounding was introduced across all wards in response to missed care, which in turn arose as a result of work intensification produced by efficiency, productivity, effectiveness and accountability demands. Rounding is a commercially sponsored practice consistent with new public management. Our study illustrates the impact that new public management strategies such as rounding have on how nurses work, both in terms of work intensity and in who controls their labour.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Carga de Trabalho / Gestão da Segurança / Comportamento de Redução do Risco / Visitas de Preceptoria Tipo de estudo: Etiology_studies / Qualitative_research Limite: Humans País/Região como assunto: Oceania Idioma: En Revista: Nurs Inq Assunto da revista: ENFERMAGEM Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Austrália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Carga de Trabalho / Gestão da Segurança / Comportamento de Redução do Risco / Visitas de Preceptoria Tipo de estudo: Etiology_studies / Qualitative_research Limite: Humans País/Região como assunto: Oceania Idioma: En Revista: Nurs Inq Assunto da revista: ENFERMAGEM Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Austrália