Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward
Purpose: The paper contributes to the conceptualisation of “integrated care? in heterogeneous work practices. A dynamic perspective is developed, emphasising how integrated care is malleable, open, and achieved in practice. Furthermore, we explore the role of nursing plans in integrated care practic...
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Ubiquity Press
2007
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ftdoajarticles:oai:doaj.org/article:47e14bcd279b4202977d97b59b5e782b 2023-05-15T17:39:22+02:00 Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward Gunnar Ellingsen Glenn Munkvold 2007-05-01T00:00:00Z https://doaj.org/article/47e14bcd279b4202977d97b59b5e782b EN eng Ubiquity Press http://www.ijic.org/index.php/ijic/article/view/190 https://doaj.org/toc/1568-4156 1568-4156 https://doaj.org/article/47e14bcd279b4202977d97b59b5e782b International Journal of Integrated Care, Vol 7, Iss 2 (2007) integrated care infrastructural systems nursing plan interdisciplinary work Medicine (General) R5-920 article 2007 ftdoajarticles 2022-12-31T11:40:34Z Purpose: The paper contributes to the conceptualisation of “integrated care? in heterogeneous work practices. A dynamic perspective is developed, emphasising how integrated care is malleable, open, and achieved in practice. Furthermore, we explore the role of nursing plans in integrated care practices, underscoring the inherent difficulties of building one common infrastructural system for integrated care. Methods: Empirically, we studied the implementation of an electronic nursing plan in a psychiatric ward at the University Hospital of North Norway. We conducted 80 hours of participant observation and 15 interviews. Results: While the nursing plan was successful as a formal tool among the nurses, it was of limited use in practice where integrated care was carried out. In some instances, the use of the nursing plan even undermined integrated care. Conclusion: Integrated care is not a constant entity, but is much more situated and temporal in character. A new infrastructural system for integrated care should not be envisioned as replacing most of the existing information sources, but rather seen as an extension to the heterogeneous ensemble of existing ones. Article in Journal/Newspaper North Norway Directory of Open Access Journals: DOAJ Articles Norway |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
integrated care infrastructural systems nursing plan interdisciplinary work Medicine (General) R5-920 |
spellingShingle |
integrated care infrastructural systems nursing plan interdisciplinary work Medicine (General) R5-920 Gunnar Ellingsen Glenn Munkvold Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward |
topic_facet |
integrated care infrastructural systems nursing plan interdisciplinary work Medicine (General) R5-920 |
description |
Purpose: The paper contributes to the conceptualisation of “integrated care? in heterogeneous work practices. A dynamic perspective is developed, emphasising how integrated care is malleable, open, and achieved in practice. Furthermore, we explore the role of nursing plans in integrated care practices, underscoring the inherent difficulties of building one common infrastructural system for integrated care. Methods: Empirically, we studied the implementation of an electronic nursing plan in a psychiatric ward at the University Hospital of North Norway. We conducted 80 hours of participant observation and 15 interviews. Results: While the nursing plan was successful as a formal tool among the nurses, it was of limited use in practice where integrated care was carried out. In some instances, the use of the nursing plan even undermined integrated care. Conclusion: Integrated care is not a constant entity, but is much more situated and temporal in character. A new infrastructural system for integrated care should not be envisioned as replacing most of the existing information sources, but rather seen as an extension to the heterogeneous ensemble of existing ones. |
format |
Article in Journal/Newspaper |
author |
Gunnar Ellingsen Glenn Munkvold |
author_facet |
Gunnar Ellingsen Glenn Munkvold |
author_sort |
Gunnar Ellingsen |
title |
Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward |
title_short |
Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward |
title_full |
Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward |
title_fullStr |
Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward |
title_full_unstemmed |
Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward |
title_sort |
infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward |
publisher |
Ubiquity Press |
publishDate |
2007 |
url |
https://doaj.org/article/47e14bcd279b4202977d97b59b5e782b |
geographic |
Norway |
geographic_facet |
Norway |
genre |
North Norway |
genre_facet |
North Norway |
op_source |
International Journal of Integrated Care, Vol 7, Iss 2 (2007) |
op_relation |
http://www.ijic.org/index.php/ijic/article/view/190 https://doaj.org/toc/1568-4156 1568-4156 https://doaj.org/article/47e14bcd279b4202977d97b59b5e782b |
_version_ |
1766140128564084736 |