the invisible work of nurses hospitals organisation and healthcare routledge advances in health and social policy

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The Invisible Work Of Nurses

Author : Davina Allen
ISBN : 9781317934790
Genre : Medical
File Size : 78. 15 MB
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Nursing is typically understood, and understands itself, as a care-giving occupation. It is through its relationships with patients – whether these are absent, present, good, bad or indifferent – that modern day nursing is defined. Yet nursing work extends far beyond direct patient care activities. Across the spectrum of locales in which they are employed, nurses, in numerous ways, support and sustain the delivery and organisation of health services. In recent history, however, this wider work has generally been regarded as at best an adjunct to the core nursing function, and at worse responsible for taking nurses away from their ‘real work’ with patients. Beyond its identity as the ‘other’ to care-giving, little is known about this element of nursing practice. Drawing on extensive observational research of the everyday work in a UK hospital, and insights from practice-based approaches and actor network theory, the aim of this book is to lay the empirical and theoretical foundations for a reappraisal of the nursing contribution to society by shining a light on this invisible aspect of nurses’ work. Nurses, it is argued, can be understood as focal actors in health systems and through myriad processes of ‘translational mobilisation’ sustain the networks through which care is organised. Not only is this work an essential driver of action, it also operates as a powerful countervailing force to the centrifugal tendencies inherent in healthcare organisations which, for all their gloss of order and rationality, are in reality very loose arrangements. The Invisible Work of Nurses will be interest to academics and students across a number of fields, including nursing, medical sociology, organisational studies, health management, science and technology studies, and improvement science.

Planning Later Life

Author : Mark Schweda
ISBN : 9781317080022
Genre : Social Science
File Size : 60. 89 MB
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This book examines the relevance of modern medicine and healthcare in shaping the lives of elderly persons and the practices and institutions of ageing societies. Combining individual and social dimensions, Planning Later Life discusses the ethical, social, and political consequences of increasing life expectancies and demographic change in the context of biomedicine and public health. By focusing on the field of biomedicine and healthcare, the authors engage readers in a dialogue on the ethical and social implications of recent trends in dementia research and care, advance healthcare planning, or the rise of anti-ageing medicine and prevention. Bringing together the largely separated debates of individualist bioethics on the one hand, and public health ethics on the other, the volume deliberately considers the entanglements of envisioning, evaluating, and controlling individual and societal futures. So far, the process of devising and exploring the various positive and negative visions and strategies related to later life has rarely been reflected systematically from a philosophical, sociological, and ethical point of view. As such, this book will be crucial to those working and studying in the life sciences, the humanities, and the social sciences, particularly in the areas of bioethics, social work, gerontology and aging studies, healthcare and social service, sociology, social policy, and geography and population studies.

Social Development And Social Work Perspectives On Social Protection

Author : Julie L. Drolet
ISBN : 9781317673453
Genre : Social Science
File Size : 23. 22 MB
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Social protection is now considered a development milestone and an important tool in combating poverty. Interventions can include, for example, health insurance, public works programs, guaranteed employment schemes, or cash transfers targeting vulnerable populations groups. This innovative volume is designed to develop understanding about the role and contribution of social protection globally and to share innovative practice and policies from around the world. It explores how to cover an entire population effectively, especially those who are at risk or who are already in a situation of deprivation, and in a sustainable manner. Divided into two parts, the book begins by exploring the theoretical underpinnings of social protection, discussing the social work and social development perspectives and concepts that currently shape it. The second part is comprised of case studies from countries implementing successful social protection initiatives, including Brazil, India, South Africa, Ghana, Nigeria and Indonesia, and reveals how the impact of a successful social protection intervention on poverty, vulnerability and inequality can be dramatic. This volume is an important reference for advanced students and researchers from a range of disciplines including social policy, social work, development studies, geography, planning, economics, sociology, population health and political science.

Managing Modern Healthcare

Author : Mike Bresnen
ISBN : 9781317331247
Genre : Business & Economics
File Size : 90. 37 MB
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Until now, research has given us only a limited understanding of how managers actually make sense of and apply management knowledge; how networks of interaction amongst managers help or hinder processes of knowledge diffusion and the sharing of best practice; and how these processes are all influenced both by the organisations in which managers act and by the professional communities of practice they belong to. Managing Modern Healthcare fills these important gaps in our understanding by drawing upon an in-depth study of management networks and practice in three healthcare organisations in the UK. It draws from the primary research a number of important and grounded lessons about how management networks develop and influence the spread of management knowledge and practice; how management training and development relates to the needs of managers facing challenging conditions; and how those conditions are themselves shaping the nature of management in healthcare. This book reveals how managers in practice are responding to the many contemporary challenges facing healthcare (and the NHS in particular) and how they are able or not to effectively exploit sources of knowledge, learning and best practice through the networks of practice they engage in to improve healthcare delivery and healthcare organisational performance. Managing Modern Healthcare makes a number of important theoretical contributions as well as practical recommendations. The theoretical and empirical contributions the book makes relate to wider work on networks and networking, management knowledge, situated learning/communities of practice, professionalization/professional identity and healthcare management more generally. The practical contribution comes in the form of recommendations for healthcare management practitioners and policy makers that are intended to impact upon and help enhance healthcare management delivery and performance.

Information Infrastructures Within European Health Care

Author : Margunn Aanestad
ISBN : 3319510185
Genre : Medical
File Size : 46. 72 MB
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This book is open access under a CC BY-NC 2.5 license. The book aims to be a resource for those interested in planning and implementing large-scale information infrastructures for novel electronic services in health care. The focus of this book is on the pivotal role of the installed base (i.e. the already existing elements of an infrastructure) for ensuing infrastructural development. The book presents rich empirical cases on the design, development and implementation of core infrastructural components (e-prescription and public patient-oriented web platforms) in different national settings across Europe. Therefore, this is a book in which theoretical insights and practical experiences are tightly connected. Contributions have been sourced from a network of academics that have been working on the topic for years, and who have previously collaborated and shared a common understanding of the challenges entailed in expanding information infrastructures within healthcare. The book aims to become a reference for those seeking theoretical and empirical insights for conceptualizing and steering the evolution of information infrastructures in healthcare. The two types of systems (e-prescription and public patient-oriented web platforms) have been selected because they are widespread across Europe, because they invite comparisons, and because they are exemplary of two different types of aims. E-prescription initiatives are usually seen as opportunities to improve healthcare delivery by systematic and not dramatic change. Public patient-oriented web platforms are seen as opportunities to pursue wider and more radical innovation. This book targets researchers, practitioners and students who would benefit from a book providing a comprehensive view to contemporary approaches for the design and deployment of large-scale, inter-organizational systems within healthcare. This book is open access under a CC BY 4.0 license.

The Reality Of Nursing Research

Author : Davina Allen
ISBN : 9781134280384
Genre : Medical
File Size : 50. 43 MB
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Focusing on the nurse researcher's dual role as practitioner and researcher, as well as research ethics and the relationship between practitioner and academic agendas, The Reality of Nursing Research helps to: locate the practical dilemmas of nursing research in historical and policy context prepare those about to embark on research for some of the issues they will face reassure researchers that they are not the only ones to encounter the complexity of real life research support the research teacher or supervisor in preparing and mentoring their students share experiences of others who have encountered similar issues and provide some practical advice on their solution. With illustrative case studies and practical advice, this book looks at the real life dilemmas faced by nurse researchers at key stages of the research process from developing a research question through to disseminating the findings. It is an essential text for nurse researchers, teachers of research, research supervisors and nurses undertaking research at diploma through to doctoral level.

Key Policy Issues In Long Term Care

Author : Jenny Brodsky
ISBN : 9241562250
Genre : Medical
File Size : 88. 1 MB
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Key policy issues in long term care are diverse and complex and the numbers of persons needing such care continue to incease. Demographic and epidemiological transitions will result in dramatic changes in the health needs of the world's populations. Everywhere, there is a steep increase in the need for long-term care (LTC). These trends reflect two interrelated processes. One is the growth in factors that increase the prevalence of long-term disability in the population. The second is the change in the capacity of the informal support system to address these needs. Both of these processes enhance the urgency for public policies to address the consequences of these changes. The growing need for LTC policies is generally associated with industrialized countries. What is less widely acknowledged is that long-term care needs are increasing in the developing world at a rate that far exceeds that experienced by industrialized countries. Moreover, the developing world is experiencing increases in LTC needs at levels of income that are far lower than that which existed in the industrialized world when these needs emerged.

The Ethics Of Educational Healthcare Placements In Low And Middle Income Countries

Author : Anya Ahmed
ISBN : 9783319483634
Genre : Political Science
File Size : 47. 29 MB
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This book is open access under a CC BY 4.0 license. This book examines the current state of elective placements of medical undergraduate students in developing countries and their impact on health care education at home. Drawing from a recent case study of volunteer deployment in Uganda, the authors provide an in-depth evaluation of the impacts on the students themselves and the learning outcomes associated with placements in low resource settings, as well as the impacts that these forms of student mobility have on the host settings. In addition to reviewing the existing literature on elective placements, the authors outline a potential model for the future development of ethical elective placements. As the book concurs with an increasing international demand for elective placements, it will be of immediate interest to universities, intermediary organizations, students as consumers, and hosting organisations in low-resource settings.

Interprofessional Collaboration

Author : Audrey Leathard
ISBN : 9781135480080
Genre : Medical
File Size : 44. 8 MB
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In Interprofessional Collaboration the benefits of collaboration for patients and carers are confirmed through theoretical models illustrated with case studies of existing examples.

Transitions Theory

Author : Afaf I. Meleis, PhD, DrPS (hon), FAAN
ISBN : 0826105351
Genre : Medical
File Size : 78. 19 MB
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"It is very exciting to see all of these studies compiled in one book. It can be read sequentially or just for certain transitions. It also can be used as a template for compilation of other concepts central to nursing and can serve as a resource for further studies in transitions. It is an excellent addition to the nursing literature." Score: 95, 4 Stars. --Doody's "Understanding and recognizing transitions are at the heart of health care reform and this current edition, with its numerous clinical examples and descriptions of nursing interventions, provides important lessons that can and should be incorporated into health policy. It is a brilliant book and an important contribution to nursing theory." Kathleen Dracup, RN, DNSc Dean and Professor, School of Nursing University of California San Francisco Afaf Meleis, the dean of the University of Pennsylvania School of Nursing, presents for the first time in a single volume her original "transitions theory" that integrates middle-range theory to assist nurses in facilitating positive transitions for patients, families, and communities. Nurses are consistently relied on to coach and support patients going through major life transitions, such as illness, recovery, pregnancy, old age, and many more. A collection of over 50 articles published from 1975 through 2007 and five newly commissioned articles, Transitions Theory covers developmental, situational, health and illness, organizational, and therapeutic transitions. Each section includes an introduction written by Dr. Meleis in which she offers her historical and practical perspective on transitions. Many of the articles consider the transitional experiences of ethnically diverse patients, women, the elderly, and other minority populations. Key Topics Discussed: Situational transitions, including discharge and relocation transitions (hospital to home, stroke recovery) and immigration transitions (psychological adaptation and impact of migration on family health) Educational transitions, including professional transitions (from RN to BSN and student to professional) Health and illness transitions, including self-care post heart failure, living with chronic illness, living with early dementia, and accepting palliative care Organization transitions, including role transitions from acute care to collaborative practice, and hospital to community practice Nursing therapeutics models of transition, including role supplementation models and debriefing models

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