The place of standardisation in home care practice: an ethnographic study
Aims and objectives To explore the benefits and shortcomings of using standardised work methods in home care nursing. Background Health care is increasingly shaped by the use of standardised work methods. This trend is reflected in the use of management tools aimed at monitoring service quality and...
Published in: | Journal of Clinical Nursing |
---|---|
Main Author: | |
Other Authors: | |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Wiley
2013
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1111/jocn.12412 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fjocn.12412 https://onlinelibrary.wiley.com/doi/pdf/10.1111/jocn.12412 |
id |
crwiley:10.1111/jocn.12412 |
---|---|
record_format |
openpolar |
spelling |
crwiley:10.1111/jocn.12412 2023-12-03T10:24:48+01:00 The place of standardisation in home care practice: an ethnographic study Björnsdóttir, Kristín University of Iceland Science Foundation 2013 http://dx.doi.org/10.1111/jocn.12412 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fjocn.12412 https://onlinelibrary.wiley.com/doi/pdf/10.1111/jocn.12412 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Journal of Clinical Nursing volume 23, issue 9-10, page 1411-1420 ISSN 0962-1067 1365-2702 General Medicine General Nursing journal-article 2013 crwiley https://doi.org/10.1111/jocn.12412 2023-11-09T14:04:15Z Aims and objectives To explore the benefits and shortcomings of using standardised work methods in home care nursing. Background Health care is increasingly shaped by the use of standardised work methods. This trend is reflected in the use of management tools aimed at monitoring service quality and efficiency, as well as in the evidence‐based movement that has led to a shift in focus from the practitioner to the knowledge found in guidelines and clinical protocols. This study addressed the impact of this development on home care services. Design This is an ethnographic study involving fieldwork in home care nursing in Iceland. Methods The study took place in one neighbourhood in an urban area in Iceland in 2010. Members of five of six home care nursing teams agreed to participate. Team leaders were observed during visits to older person's homes and at team and interdisciplinary meetings. Semi‐structured interviews were conducted with the team leaders and 15 older persons. Results The results were presented as three themes: For it all to hang together, which referred to attempts on behalf of the team leaders to coordinate complex services and assistance for the benefit of each patient; Working with more advanced cases, which reflected the uptake of standardised methods to address health matters locally; and Being heard, which reflects the politics of using standardised methods. Conclusions Standardised work methods can be helpful and are welcomed by home care nurses as long as they can also use their own discretion and draw on other forms of knowledge when needed. Relevance to clinical practice This study brought out the importance of flexibility in home care practice. Standardised work methods are welcomed and seen as helpful as long as they can be used based on the discretion of the practitioner. Article in Journal/Newspaper Iceland Wiley Online Library (via Crossref) Journal of Clinical Nursing 23 9-10 1411 1420 |
institution |
Open Polar |
collection |
Wiley Online Library (via Crossref) |
op_collection_id |
crwiley |
language |
English |
topic |
General Medicine General Nursing |
spellingShingle |
General Medicine General Nursing Björnsdóttir, Kristín The place of standardisation in home care practice: an ethnographic study |
topic_facet |
General Medicine General Nursing |
description |
Aims and objectives To explore the benefits and shortcomings of using standardised work methods in home care nursing. Background Health care is increasingly shaped by the use of standardised work methods. This trend is reflected in the use of management tools aimed at monitoring service quality and efficiency, as well as in the evidence‐based movement that has led to a shift in focus from the practitioner to the knowledge found in guidelines and clinical protocols. This study addressed the impact of this development on home care services. Design This is an ethnographic study involving fieldwork in home care nursing in Iceland. Methods The study took place in one neighbourhood in an urban area in Iceland in 2010. Members of five of six home care nursing teams agreed to participate. Team leaders were observed during visits to older person's homes and at team and interdisciplinary meetings. Semi‐structured interviews were conducted with the team leaders and 15 older persons. Results The results were presented as three themes: For it all to hang together, which referred to attempts on behalf of the team leaders to coordinate complex services and assistance for the benefit of each patient; Working with more advanced cases, which reflected the uptake of standardised methods to address health matters locally; and Being heard, which reflects the politics of using standardised methods. Conclusions Standardised work methods can be helpful and are welcomed by home care nurses as long as they can also use their own discretion and draw on other forms of knowledge when needed. Relevance to clinical practice This study brought out the importance of flexibility in home care practice. Standardised work methods are welcomed and seen as helpful as long as they can be used based on the discretion of the practitioner. |
author2 |
University of Iceland Science Foundation |
format |
Article in Journal/Newspaper |
author |
Björnsdóttir, Kristín |
author_facet |
Björnsdóttir, Kristín |
author_sort |
Björnsdóttir, Kristín |
title |
The place of standardisation in home care practice: an ethnographic study |
title_short |
The place of standardisation in home care practice: an ethnographic study |
title_full |
The place of standardisation in home care practice: an ethnographic study |
title_fullStr |
The place of standardisation in home care practice: an ethnographic study |
title_full_unstemmed |
The place of standardisation in home care practice: an ethnographic study |
title_sort |
place of standardisation in home care practice: an ethnographic study |
publisher |
Wiley |
publishDate |
2013 |
url |
http://dx.doi.org/10.1111/jocn.12412 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fjocn.12412 https://onlinelibrary.wiley.com/doi/pdf/10.1111/jocn.12412 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Journal of Clinical Nursing volume 23, issue 9-10, page 1411-1420 ISSN 0962-1067 1365-2702 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/jocn.12412 |
container_title |
Journal of Clinical Nursing |
container_volume |
23 |
container_issue |
9-10 |
container_start_page |
1411 |
op_container_end_page |
1420 |
_version_ |
1784273362019680256 |