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...
Published in: | International Journal of Integrated Care |
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Main Authors: | , |
Format: | Article in Journal/Newspaper |
Language: | English |
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Ubiquity Press
2007
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Online Access: | https://www.ijic.org/jms/article/view/URN%3ANBN%3ANL%3AUI%3A10-1-100432 https://doi.org/10.5334/ijic.190 |
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ftjijic:oai:ojs.www.ijic.org:article/190 |
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International Journal of Integrated Care (IJIC) |
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English |
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integrated care infrastructural systems nursing plan interdisciplinary work |
spellingShingle |
integrated care infrastructural systems nursing plan interdisciplinary work Ellingsen, Gunnar Munkvold, Glenn Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward |
topic_facet |
integrated care infrastructural systems nursing plan interdisciplinary work |
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 |
Ellingsen, Gunnar Munkvold, Glenn |
author_facet |
Ellingsen, Gunnar Munkvold, Glenn |
author_sort |
Ellingsen, Gunnar |
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://www.ijic.org/jms/article/view/URN%3ANBN%3ANL%3AUI%3A10-1-100432 https://doi.org/10.5334/ijic.190 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
North Norway |
genre_facet |
North Norway |
op_source |
International Journal of Integrated Care; Vol 7: April-June 2007 1568-4156 |
op_relation |
https://www.ijic.org/jms/article/view/URN%3ANBN%3ANL%3AUI%3A10-1-100432/378 https://www.ijic.org/jms/article/view/URN%3ANBN%3ANL%3AUI%3A10-1-100432/379 10.5334/ijic.190 https://www.ijic.org/jms/article/view/URN%3ANBN%3ANL%3AUI%3A10-1-100432 doi:10.5334/ijic.190 |
op_rights |
AuthorsStarting in 2009 the International Journal of Integrated Care applies the Creative Commons Attribution 4.0 Internaltional License (CC-by, http://creativecommons.org/licenses/by/4.0/) to all articles, submitted in or after January 2009, that are published in IJIC. Authors retain ownership of the copyright for their articles, but they permit anyone unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. After it has appeared in IJIC authors may republish their text in any way they wish (electronic or print) as long as they clearly acknowledge IJIC as its original publisher with the correct citation details and copyright notice, independent of whether the article is used in whole or in part.Authors of accepted manuscripts assign IJIC the right to publish and distribute their text electronically and to archive it permanently retrievable electronically.Authors retain the copyright of the article. After it has appeared in IJIC authors may republish their text in any way they wish (electronic or print) as long as they clearly acknowledge IJIC as its original publisher with the correct citation details and copyright notice (see below), independent whether the article is used in whole or in part.IJIC may change the appearance of the article, both layout and technical format, to ensure consistency and readability. Under no circumstance will the content of the article be altered.The author warrants to IJIC that the article is original, does not infringe any existing copyright, and does not infringe the rights of any third party. This warrant concerns the entire manuscript, text as well as pictures, sound, video, data sets etc. The author also warrants to us that he has full authority to enter into this agreement and that the rights he is granting to IJIC are done so without breaching any obligations he may have.Acceptation:ReadersStarting 2009 Utrecht the International Journal of Integrated Care applies the Creative |
op_rightsnorm |
CC-BY CC-BY-NC |
op_doi |
https://doi.org/10.5334/ijic.190 |
container_title |
International Journal of Integrated Care |
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7 |
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2 |
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ftjijic:oai:ojs.www.ijic.org:article/190 2023-05-15T17:39:22+02:00 Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward Ellingsen, Gunnar Munkvold, Glenn 2007-05-16 text/html application/pdf https://www.ijic.org/jms/article/view/URN%3ANBN%3ANL%3AUI%3A10-1-100432 https://doi.org/10.5334/ijic.190 eng eng Ubiquity Press https://www.ijic.org/jms/article/view/URN%3ANBN%3ANL%3AUI%3A10-1-100432/378 https://www.ijic.org/jms/article/view/URN%3ANBN%3ANL%3AUI%3A10-1-100432/379 10.5334/ijic.190 https://www.ijic.org/jms/article/view/URN%3ANBN%3ANL%3AUI%3A10-1-100432 doi:10.5334/ijic.190 AuthorsStarting in 2009 the International Journal of Integrated Care applies the Creative Commons Attribution 4.0 Internaltional License (CC-by, http://creativecommons.org/licenses/by/4.0/) to all articles, submitted in or after January 2009, that are published in IJIC. Authors retain ownership of the copyright for their articles, but they permit anyone unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. After it has appeared in IJIC authors may republish their text in any way they wish (electronic or print) as long as they clearly acknowledge IJIC as its original publisher with the correct citation details and copyright notice, independent of whether the article is used in whole or in part.Authors of accepted manuscripts assign IJIC the right to publish and distribute their text electronically and to archive it permanently retrievable electronically.Authors retain the copyright of the article. After it has appeared in IJIC authors may republish their text in any way they wish (electronic or print) as long as they clearly acknowledge IJIC as its original publisher with the correct citation details and copyright notice (see below), independent whether the article is used in whole or in part.IJIC may change the appearance of the article, both layout and technical format, to ensure consistency and readability. Under no circumstance will the content of the article be altered.The author warrants to IJIC that the article is original, does not infringe any existing copyright, and does not infringe the rights of any third party. This warrant concerns the entire manuscript, text as well as pictures, sound, video, data sets etc. The author also warrants to us that he has full authority to enter into this agreement and that the rights he is granting to IJIC are done so without breaching any obligations he may have.Acceptation:ReadersStarting 2009 Utrecht the International Journal of Integrated Care applies the Creative CC-BY CC-BY-NC International Journal of Integrated Care; Vol 7: April-June 2007 1568-4156 integrated care infrastructural systems nursing plan interdisciplinary work info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2007 ftjijic https://doi.org/10.5334/ijic.190 2022-03-22T09:17:43Z 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 International Journal of Integrated Care (IJIC) Norway International Journal of Integrated Care 7 2 |