1. ZHAW digitalcollection
  2. Gesundheit
  3. Publikationen
  4. Publikationen Gesundheit
Full metadata record
DC FieldValueLanguage
dc.contributor.authorHarvey, Clare Lynette-
dc.contributor.authorBaret, Christophe-
dc.contributor.authorRochefort, Christian M.-
dc.contributor.authorMeyer, Alannah-
dc.contributor.authorAusserhofer, Dietmar-
dc.contributor.authorCiutene, Ruta-
dc.contributor.authorSchubert, Maria-
dc.date.accessioned2018-11-05T14:43:45Z-
dc.date.available2018-11-05T14:43:45Z-
dc.date.issued2018-
dc.identifier.issn1477-7266de_CH
dc.identifier.issn1758-7247de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/12544-
dc.description.abstractPurpose: The purpose of this paper is to explore the literature regarding work intensification that is being experienced by nurses, to examine the effects this is having on their capacity to complete care. The authors contend that nurses’ inability to provide all the care patients require, has negative implications on their professional responsibility. Design/methodology/approach: The authors used institutional ethnography to review the discourse in the literature. This approach supports inquiry through the review of text in order to uncover activities that remain institutionally accepted but unquestioned and hidden. Findings: What the authors found was that the quality and risk management forms an important part of lean thinking, with the organisational culture influencing outcomes; however, the professional cost to nurses has not been fully explored. Research limitations/implications: The text uncovered inconsistency between what organisations accepted as successful cost savings, and what nurses were experiencing in their attempts to achieve the care in the face of reduced time and human resources. Nurses’ attempts at completing care were done at the risk of their own professional accountability. Practical implications: Nurses are working in lean and stressful environments and are struggling to complete care within reduced resource allocations. This leads to care rationing, which negatively impacts on nurses’ professional practice, and quality of care provision. Originality/value: This approach is a departure from the standard qualitative review because the focus is on the textual relationships between what is being advocated by organisations directing cost reduction and what is actioned by the nurses working at the coalface. The discordant standpoints between these two juxtapositions are identified.de_CH
dc.language.isoende_CH
dc.publisherEmeraldde_CH
dc.relation.ispartofJournal of Health Organization and Managementde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectLean managementde_CH
dc.subjectMissed nursing carede_CH
dc.subjectNursing practicede_CH
dc.subjectWork intensificationde_CH
dc.subject.ddc610.73: Pflegede_CH
dc.titleDiscursive practice - lean thinking, nurses’ responsibilities and the cost to carede_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Pflege (IPF)de_CH
dc.identifier.doi10.1108/JHOM-12-2017-0316de_CH
dc.identifier.pmid30299224de_CH
zhaw.funding.euNode_CH
zhaw.issue6de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end778de_CH
zhaw.pages.start762de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume32de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
Appears in collections:Publikationen Gesundheit

Files in This Item:
There are no files associated with this item.
Show simple item record
Harvey, C. L., Baret, C., Rochefort, C. M., Meyer, A., Ausserhofer, D., Ciutene, R., & Schubert, M. (2018). Discursive practice - lean thinking, nurses’ responsibilities and the cost to care. Journal of Health Organization and Management, 32(6), 762–778. https://doi.org/10.1108/JHOM-12-2017-0316
Harvey, C.L. et al. (2018) ‘Discursive practice - lean thinking, nurses’ responsibilities and the cost to care’, Journal of Health Organization and Management, 32(6), pp. 762–778. Available at: https://doi.org/10.1108/JHOM-12-2017-0316.
C. L. Harvey et al., “Discursive practice - lean thinking, nurses’ responsibilities and the cost to care,” Journal of Health Organization and Management, vol. 32, no. 6, pp. 762–778, 2018, doi: 10.1108/JHOM-12-2017-0316.
HARVEY, Clare Lynette, Christophe BARET, Christian M. ROCHEFORT, Alannah MEYER, Dietmar AUSSERHOFER, Ruta CIUTENE und Maria SCHUBERT, 2018. Discursive practice - lean thinking, nurses’ responsibilities and the cost to care. Journal of Health Organization and Management. 2018. Bd. 32, Nr. 6, S. 762–778. DOI 10.1108/JHOM-12-2017-0316
Harvey, Clare Lynette, Christophe Baret, Christian M. Rochefort, Alannah Meyer, Dietmar Ausserhofer, Ruta Ciutene, and Maria Schubert. 2018. “Discursive Practice - Lean Thinking, Nurses’ Responsibilities and the Cost to Care.” Journal of Health Organization and Management 32 (6): 762–78. https://doi.org/10.1108/JHOM-12-2017-0316.
Harvey, Clare Lynette, et al. “Discursive Practice - Lean Thinking, Nurses’ Responsibilities and the Cost to Care.” Journal of Health Organization and Management, vol. 32, no. 6, 2018, pp. 762–78, https://doi.org/10.1108/JHOM-12-2017-0316.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.