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Journal articles on the topic 'Organisation of care'

Author: Grafiati

Published: 4 June 2021

Last updated: 15 February 2022

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1

Laing, Rachael, Sandra C. Thompson, Shandell Elmer, and Rohan L. Rasiah. "Fostering Health Literacy Responsiveness in a Remote Primary Health Care Setting: A Pilot Study." International Journal of Environmental Research and Public Health 17, no. 8 (2020): 2730. http://dx.doi.org/10.3390/ijerph17082730.

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Primary healthcare organisations have an important role in addressing health literacy as this is a barrier to accessing and utilising health care. Until recently, no organisational development tool operationalising health literacy in an Australian context existed. This research evaluated the efficacy of the Organisational Health Literacy Responsiveness (Org-HLR) tool and associated assessment process in a primary healthcare organisation in the Pilbara region of Western Australia. This study utilised a sequential explanatory mixed methods research design incorporating the collection and analysi

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Akhtar, Sohail, Mohd Anuar Arshad, Arshad Mahmood, and Adeel Ahmed. "Spiritual quotient towards organizational sustainability: the Islamic perspective." World Journal of Entrepreneurship, Management and Sustainable Development 13, no. 2 (2017): 163–70. http://dx.doi.org/10.1108/wjemsd-01-2017-0002.

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Purpose The purpose of this paper is to explore the impact of spiritual quotient (SQ) on the organisational sustainability from the Islamic perspective. Till date, many organisations around the world are facing environmental, social and economic issues affecting their organisational sustainability. Design/methodology/approach The present paper is conceptual paper based on literature review on employee’s behavioural issues and role of SQ for organisational sustainability. Findings This present paper argues that SQ must be considered as the important factor for employee development in the organi

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Colbran, Richard, Robyn Ramsden, Karen Stagnitti, and Samantha Adams. "Measures to assess the performance of an Australian non-government charitable non-acute health service: A Delphi Survey of Organisational Stakeholders." Health Services Management Research 31, no. 1 (2017): 11–20. http://dx.doi.org/10.1177/0951484817725681.

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Organisation performance measurement is relevant for non-profit charitable organisations as they strive for security in an increasingly competitive funding environment. This study aimed to identify the priority measures and indicators of organisational performance of an Australian non-government charitable organisation that delivers non-acute health services. Seventy-seven and 59 participants across nine stakeholder groups responded to a two-staged Delphi technique study of a case study organisation. The stage one questionnaire was developed using information garnered through a detailed review

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Shand, Jenny, and Simon Turner. "System wide collaboration? Health and social care leaders’ perspectives on working across boundaries." Journal of Integrated Care 27, no. 1 (2019): 83–94. http://dx.doi.org/10.1108/jica-06-2018-0042.

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Purpose Structural integration is increasingly explored as a means of achieving efficiency gains alongside improved health outcomes. In 2015, three boroughs in London, England began working together to develop an Accountable Care Organisation for the 750,000 population they serve. The purpose of this paper is to understand the experiences of working across organisational and sectoral boundaries for the benefit of the population, including enablers and barriers encountered, the role of financial incentives and perspectives on Accountable Care Organisations. Design/methodology/approach A single

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Prætorius, Thim. "Improving care coordination using organisational routines." Journal of Health Organization and Management 30, no. 1 (2016): 85–108. http://dx.doi.org/10.1108/jhom-07-2013-0141.

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Purpose – The purpose of this paper is to systematically apply theory of organisational routines to standardised care pathways. The explanatory power of routines is used to address open questions in the care pathway literature about their coordinating and organising role, the way they change and can be replicated, the way they are influenced by the organisation and the way they influence health care professionals. Design/methodology/approach – Theory of routines is systematically applied to care pathways in order to develop theoretically derived propositions. Findings – Care pathways mirror ro

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Elmer, Shandell, and Sue Kilpatrick. "Another look at the culture-quality-performance link." Australian Journal of Primary Health 14, no. 2 (2008): 35. http://dx.doi.org/10.1071/py08020.

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Quality improvement is usually driven by quality, safety and risk agendas leading to a focus on measurements of the outputs of care; outputs such as fewer complaints, fewer accidents and adverse events. An oft-neglected theme is the impact of the quality improvement initiative within the organisation itself. This paper presents the findings of the first stage of an evaluation that has examined the changes which have occurred within organisations since participating in a quality improvement initiative. These findings indicate that engaging with a quality improvement program can change the natur

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Savage, W., R. Cochrane, and S. Pathasundaram. "Organisation of antenatal care." BMJ 302, no. 6781 (1991): 910–11. http://dx.doi.org/10.1136/bmj.302.6781.910-d.

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8

England, Ian, Don Stewart, and Sue Walker. "Information technology adoption in health care: when organisations and technology collide." Australian Health Review 23, no. 3 (2000): 176. http://dx.doi.org/10.1071/ah000176.

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The implementation of advanced information systems is enabling great social and organisational changes. However,health care has been one of the slowest sectors to adopt and implement information technology (IT). This paperinvestigates why this is so, reviewing innovation diffusion theory and its application to both health organisations andinformation technology. Innovation diffusion theory identifies variables that influence the 'innovativeness' oforganisations and the rate at which a technology diffuses. When analysed, these variables show why ITimplementation has progressed at a slower rate

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Not Available, Not Available. "Organisation." Intensivmedizin und Notfallmedizin 39 (October 1, 2002): iv. http://dx.doi.org/10.1007/s003900200056.

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10

Viitala, Riitta. "Leadership in transformation: a longitudinal study in a nursing organization." Journal of Health Organization and Management 28, no. 5 (2014): 602–18. http://dx.doi.org/10.1108/jhom-02-2014-0032.

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Purpose – Not only does leadership produce changes, but those changes produce leadership in organisations. The purpose of this paper is to present a theoretical and empirical analysis of the transformation of leadership at two different historical points in a health care organisation. It leans on the perspective of social constructionism, drawing especially from the ideas of Berger and Luckmann (1966). The paper seeks to improve understanding of how leaders themselves construct leadership in relation to organisational change. Design/methodology/approach – The empirical material was gathered in

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Sheaff, Rod, Joyce Halliday, John Øvretveit, et al. "Integration and continuity of primary care: polyclinics and alternatives – a patient-centred analysis of how organisation constrains care co-ordination." Health Services and Delivery Research 3, no. 35 (2015): 1–148. http://dx.doi.org/10.3310/hsdr03350.

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BackgroundAn ageing population, the increasing specialisation of clinical services and diverse health-care provider ownership make the co-ordination and continuity of complex care increasingly problematic. The way in which the provision of complex health care is co-ordinated produces – or fails to produce – six forms of continuity of care (cross-sectional, longitudinal, flexible, access, informational and relational). Care co-ordination is accomplished by a combination of activities by patients themselves; provider organisations; care networks co-ordinating the separate provider organisations;

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de Loor, Sanne, and Tiny Jaarsma. "Nurse-Managed Heart Failure Programmes in the Netherlands." European Journal of Cardiovascular Nursing 1, no. 2 (2002): 123–29. http://dx.doi.org/10.1016/s1474-51510200007-5.

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Heart failure (HF) care in Europe is going through a lot of changes. Nurses have increasingly important roles in providing optimal care for these chronically ill patients in the Netherlands. The first steps to organise HF nurses have been taken and an overview of HF management programmes in Netherlands has been recently made available. A descriptive study was performed consisting of: (1) a screening phase in which all hospitals ( n=109) and 105 home care organisations were approached by telephone to assess availability of HF management programmes and (2) a questionnaires in which content and o

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Smith, Andrew, and Linda McKie. "Researching ‘Care’ in and around the Workplace." Sociological Research Online 14, no. 4 (2009): 1–7. http://dx.doi.org/10.5153/sro.1978.

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In this research note we critically consider the concept of ‘care’ both inside and around the workplace. Care, we assert, is ever-present in the workplace and evident in friendships and wider social relations. Moreover, many organisational policies and practices provide a framework within which caring may take place or be denied. ‘Organisation carescapes’ is introduced as a conceptual framework, which we argue can aid the identification and analysis of ‘care’ in employing organisations. Drawing on exploratory interviews, we discuss the implications these had on future stages of the research pr

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Adams, Ted, Danny Ryan, and Richard Taunt. "Making sense of place-based clinical leadership: is England catching up?" BMJ Leader 2, no. 2 (2018): 76–79. http://dx.doi.org/10.1136/leader-2017-000030.

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IntroductionSuccessful health care organisations have understood the need to engage with clinicians, with a resulting desire for clinical leaders to emerge and be trained.Sustainability and transformation plans (STPs)The development of sustainability and transformation plans has highlighted the need for clinical leaders to be engaged at every level of each regional plan. The plans are based around a geographical area rather than being focussed on pre-existing organisations, so-called place-based plans. Health care place-based plans need place-based clincal leaders.Examples of clincial place-ba

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Young, B. "The organisation of diabetes care." Journal of the Royal College of Physicians of Edinburgh 40, Suppl 17 (2010): 33–39. http://dx.doi.org/10.4997/jrcpe.2010.s05.

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Leone, Marc, Jean-Michel Constantin, Claire Dahyot-Fizelier, et al. "French intensive care unit organisation." Anaesthesia Critical Care & Pain Medicine 37, no. 6 (2018): 625–27. http://dx.doi.org/10.1016/j.accpm.2018.10.011.

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Langhorne, P. "Organisation of acute stroke care." British Medical Bulletin 56, no. 2 (2000): 436–43. http://dx.doi.org/10.1258/0007142001903076.

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Wilmink, Teun, Sarah Powers, and Jyoti Baharani. "UK Organisation of access Care." Journal of Vascular Access 16, no. 9_suppl (2015): S5—S10. http://dx.doi.org/10.5301/jva.5000354.

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19

Henderson, Fiona, Christine Reilly, David Moyes, and Geoffrey Whittam. "From charity to social enterprise: the marketization of social care." International Journal of Entrepreneurial Behavior & Research 24, no. 3 (2018): 651–66. http://dx.doi.org/10.1108/ijebr-10-2016-0344.

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Purpose In Scotland, the self-directed support (SDS) legislation is a catch-all payment system which brings challenges to local authorities, service delivery organisations and the service users it is intended to empower. Set against a backdrop of cuts to local authorities and third-sector funding, this policy presents third-sector organisations with both the opportunities and challenges of commercialising their activities to become more sustainable. The purpose of this paper is to provide evidence of the challenges faced by one charity as it engages in a process of hybridity to accommodate cha

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Pearson, G. A., P. Barry, F. Shann, et al. "Organisation/Outcome/Scoring." Intensive Care Medicine 22, S2 (1996): S157—S159. http://dx.doi.org/10.1007/bf03216372.

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Xun-mei, Fan, Lu Zhong-yi, Deniz Anadol, et al. "Organisation/Outcome/Scoring." Intensive Care Medicine 22, S2 (1996): S197—S201. http://dx.doi.org/10.1007/bf03216391.

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Allen, D. "Institutionalising emergent organisation in health and social care." Journal of Health Organization and Management 33, no. 7/8 (2019): 764–75. http://dx.doi.org/10.1108/jhom-10-2018-0275.

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Purpose The purpose of this paper is to argue for the institutionalisation of emergent forms of organisation in health and social care and offer a conceptual framework for this purpose. Design/methodology/approach Drawing on ethnographic research on the organising work of nurses and Translational Mobilisation Theory, this paper extends two classic Straussian sociological concepts – illness trajectory and articulation work – to conceptualise emergent organisation as Care Trajectory Management. Findings Failures of coordination are well-recognised threats to quality and safety and recent decades

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Clarke, Marilyn. "To what extent a “bad” job? Employee perceptions of job quality in community aged care." Employee Relations 37, no. 2 (2015): 192–208. http://dx.doi.org/10.1108/er-11-2013-0169.

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Purpose – The purpose of this paper is to explore how community aged care workers evaluate job quality using a job quality framework. Design/methodology/approach – The study uses a qualitative approach. Data were collected using semi-structured interviews and focus groups from a large aged care organisation. Findings – Perceptions of job quality are influenced by individual motivations, match between life-stage and work flexibility, as well as broader community views of the value of this type of work. Intrinsic factors (e.g. autonomy, job content) moderate the impact of extrinsic factors such

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Bennett, D., and J. Bion. "ABC of intensive care: Organisation of intensive care." BMJ 318, no. 7196 (1999): 1468–70. http://dx.doi.org/10.1136/bmj.318.7196.1468.

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Chamberlain, G. "ABC of antenatal care. Organisation of antenatal care." BMJ 302, no. 6777 (1991): 647–50. http://dx.doi.org/10.1136/bmj.302.6777.647.

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26

Wallace, Simon. "Community care reaches out for the mobile moment." Clinical Governance: An International Journal 20, no. 3 (2015): 123–33. http://dx.doi.org/10.1108/cgij-07-2015-0023.

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Purpose – The purpose of this paper is to explore the quite extraordinary way the phenomena of mobile communication has gripped our society and the opportunities this provides for healthcare. Design/methodology/approach – It describes the ticking public health time bomb surrounding long term conditions and dementia and the need to radically overhaul how community services are delivered. It dissects the opportunities and challenges of providing a mobile health and social care service in the community and explores what a mobile moment means for these professionals. Findings – It stresses that th

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Koeberle, Séverine, Thomas Tannou, Kévin Bouiller, et al. "COVID-19 outbreak: organisation of a geriatric assessment and coordination unit. A French example." Age and Ageing 49, no. 4 (2020): 516–22. http://dx.doi.org/10.1093/ageing/afaa092.

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Abstract Older people are particularly affected by the COVID-19 outbreak because of their vulnerability as well as the complexity of health organisations, particularly in the often-compartmentalised interactions between community, hospital and nursing home actors. In this endemic situation, with massive flows of patients requiring holistic management including specific and intensive care, the appropriate assessment of each patient’s level of care and the organisation of specific networks is essential. To that end, we propose here a territorial organisation of health care, favouring communicati

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Yeates, Nicola. "A Global Political Economy of Care." Social Policy and Society 4, no. 2 (2005): 227–34. http://dx.doi.org/10.1017/s1474746404002350.

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Care is an important analytical concept in social policy because of what its social organisation reveals about social formations and the nature of welfare states. To date, social policy analyses of care have focused on the social (re)organisation of care within nation states, which are largely treated as ‘sealed’ entities. Consequently these analyses neglect to examine the impact of transnational processes on the socio-organisational shifts observed. This article outlines the contours of a global political economy (GPE) of care with a view to elucidating the transnational dimensions to care re

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Hodgkin, Suzanne, Pauline Savy, Samantha Clune, and Anne-Marie Mahoney. "Navigating the marketisation of community aged care services in rural Australia." International Journal of Care and Caring 4, no. 3 (2020): 377–93. http://dx.doi.org/10.1332/239788220x15875789936065.

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The aged care policies of many Organisation for Economic Co-operation and Development countries reflect free-market principles. In Australia, the recently introduced Consumer Directed Care programme centres on markets in which a range of organisations compete to provide services to community-living elders. As consumers, older people are allocated government funding with which they select and purchase items from their chosen service organisation. This article presents findings from a case study that explored the impacts of this programme on a group of rurally based, not-for-profit providers and

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Ritchie, David. "Managing the gap: Balancing advances in technology with advances in management practice." Australian Health Review 20, no. 1 (1997): 53. http://dx.doi.org/10.1071/ah970053.

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Expenditure on information systems is widely anticipated to lead to improvedmanagement of health care resources. Despite large investments in hardware andsoftware, these expectations are difficult to realise. Part of the difficulty lies in themanner in which information systems are applied to, rather than integrated within,organisations. This paper considers some of the personal and organisational issues thatneed to be addressed to ?manage the gap? in balancing advances in informationtechnology with advances in management practice. The issues identified are consistentwith the concept of a lear

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Greiver, Michelle, Kimberly Wintemute, Babak Aliarzadeh, et al. "Implementation of data management and effect on chronic disease coding in a primary care organisation: A parallel cohort observational study." Journal of Innovation in Health Informatics 23, no. 3 (2016): 580. http://dx.doi.org/10.14236/jhi.v23i3.843.

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Background Consistent and standardized coding for chronic conditions is associated with better care; however, coding may currently be limited in electronic medical records (EMRs) used in Canadian primary care.Objectives To implement data management activities in a community-based primary care organisation and to evaluate the effects on coding for chronic conditions.Methods Fifty-nine family physicians in Toronto, Ontario, belonging to a single primary care organisation, participated in the study. The organisation implemented a central analytical data repository containing their EMR data extrac

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Weerheim, Wilke, Lisa Van Rossum, and Wouter Dirk Ten Have. "Successful implementation of self-managing teams." Leadership in Health Services 32, no. 1 (2019): 113–28. http://dx.doi.org/10.1108/lhs-11-2017-0066.

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Purpose Following health-care organisations, many mental health-care organisations nowadays consider starting to work with self-managing teams as their organisation structure. Although the concept could be effective, the way of implementing self-managing teams in an organisation is crucial to achieve sustainable results. Therefore, this paper aims to examine how working with self-managing teams can be implemented successfully in the mental health-care sector where various factors for the successful implementation are distinguished. Design/methodology/approach This qualitative case study is exe

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Eljiz, Kathy, David Greenfield, John Molineux, and Terry Sloan. "How to improve healthcare? Identify, nurture and embed individuals and teams with “deep smarts”." Journal of Health Organization and Management 32, no. 1 (2018): 135–43. http://dx.doi.org/10.1108/jhom-09-2017-0244.

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Purpose Unlocking and transferring skills and capabilities in individuals to the teams they work within, and across, is the key to positive organisational development and improved patient care. Using the “deep smarts” model, the purpose of this paper is to examine these issues. Design/methodology/approach The “deep smarts” model is described, reviewed and proposed as a way of transferring knowledge and capabilities within healthcare organisations. Findings Effective healthcare delivery is achieved through, and continues to require, integrative care involving numerous, dispersed service provide

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Hunjet, Anica, Valentina Jurinić, and Dijana Vuković. "Environmental impact of corporate social responsibility." SHS Web of Conferences 92 (2021): 06013. http://dx.doi.org/10.1051/shsconf/20219206013.

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Research background: Corporate social responsibility (CSR) involves doing business in an ethical manner, being responsible to employees, customers and stakeholders in the business, and contributing to society and social causes. Organisations that implement CSR in their business have the potential to become more competitive in the market, and to create a better image of themselves in public. An organisation should behave in a socially acceptable manner towards interest groups affected by its business, since the behaviour of those interest groups also has an impact on the organisation’s operatio

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Sheaff, Rod, Joyce Halliday, Mark Exworthy, et al. "Repositioning the boundaries between public and private healthcare providers in the English NHS." Journal of Health Organization and Management 33, no. 7/8 (2019): 776–90. http://dx.doi.org/10.1108/jhom-12-2018-0355.

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Purpose Neo-liberal “reform” has in many countries shifted services across the boundary between the public and private sector. This policy re-opens the question of what structural and managerial differences, if any, differences of ownership make to healthcare providers. The purpose of this paper is to examine the connections between ownership, organisational structure and managerial regime within an elaboration of Donabedian’s reasoning about organisational structures. Using new data from England, it considers: how do the internal managerial regimes of differently owned healthcare providers di

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Rosen, M. "Future organisation of anaesthetic health care." Anaesthesia 42, no. 10 (1987): 1043–44. http://dx.doi.org/10.1111/j.1365-2044.1987.tb05165.x.

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Hauschildt, Eberhard. "Spiritual Care als Organisation gemeinsamer Sorge." Pastoraltheologie 106, no. 10 (2017): 449–66. http://dx.doi.org/10.13109/path.2017.106.10.449.

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MacKinnon, Mary. "Managing diabetes care: Education and organisation." Practical Diabetes International 10, no. 5 (1993): 198. http://dx.doi.org/10.1002/pdi.1960100513.

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James, Nicky. "Care = organisation + physical labour + emotional labour." Sociology of Health and Illness 14, no. 4 (1992): 488–509. http://dx.doi.org/10.1111/1467-9566.ep10493127.

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Wanigarathna, Nadeeshani, Keith Jones, Adrian Bell, and Georgios Kapogiannis. "Building information modelling to support maintenance management of healthcare built assets." Facilities 37, no. 7/8 (2019): 415–34. http://dx.doi.org/10.1108/f-01-2018-0012.

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Purpose This paper aims to investigate how digital capabilities associated with building information modelling (BIM) can integrate a wide range of information to improve built asset management (BAM) decision-making during the in-use phase of hospital buildings. Design/methodology/approach A comprehensive document analysis and a participatory case study was undertaken with a regional NHS hospital to review the type of information that can be used to better inform BAM decision-making to develop a conceptual framework to improve information use during the health-care BAM process, test how the con

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Kozlowska, Olga, Gemma Seda Gombau, and Rustam Rea. "Leadership for integrated care: a case study." Leadership in Health Services 33, no. 2 (2020): 125–46. http://dx.doi.org/10.1108/lhs-09-2019-0066.

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Purpose Integration of health services involves multiple interdependent leaders acting at several levels of their organisation and across organisations. This paper aims to explore the complexities of leadership in an integrated care project and aims to understand what leadership arrangements are needed to enable service transformation. Design/methodology/approach This case study analysed system and organisational leadership in a project aiming to integrate primary and specialist care. To explore the former, the national policy documents and guidelines were reviewed. To explore the latter, the

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Bussu, Sonia. "Integrated care: learning from East London." British Journal of General Practice 68, suppl 1 (2018): bjgp18X697265. http://dx.doi.org/10.3399/bjgp18x697265.

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BackgroundDespite a growing body of literature on integrated, there remains a relatively small evidence base to suggest which elements of integrated care are most effective and how to implement them successfully. This might also be due to the fact that policy thinking around integrated care is struggling to translate into organisation change at the point of delivery. Better understanding of patterns of collaborations and integrated pathways is crucial to understand frontline staff’s OD needs and provide adequate support.AimThis paper focuses on the frontline level to assess progress towards in

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Burton, Christopher, Luke O'Neill, Phillip Oliver, and Peter Murchie. "Contribution of primary care organisation and specialist care provider to variation in GP referrals for suspected cancer: ecological analysis of national data." BMJ Quality & Safety 29, no. 4 (2019): 296–303. http://dx.doi.org/10.1136/bmjqs-2019-009469.

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ObjectivesTo examine how much of the variation between general practices in referral rates and cancer detection rates is attributable to local health services rather than the practices or their populations.DesignEcological analysis of national data on fast-track referrals for suspected cancer from general practices. Data were analysed at the levels of general practice, primary care organisation (Clinical Commissioning Group) and secondary care provider (Acute Hospital Trust) level. Analysis of variation in detection rate was by multilevel linear and Poisson regression.Setting6379 group practic

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Varkevisser, M. "The organisation and financing of curative care." Nederlands Tijdschrift voor Tandheelkunde 126, no. 06 (2019): 307–13. http://dx.doi.org/10.5177/ntvt.2019.06.19010.

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Stoffers, Jol, Petra Neessen, and Annelie Gorissen. "Employees’ Support for Cultural Change: A Case Study in a Care and Social Welfare Organisation." International Journal of Human Resource Studies 5, no. 2 (2015): 151. http://dx.doi.org/10.5296/ijhrs.v5i2.7674.

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The care and social welfare sector in the Netherlands is changing. The care recipients, and their family and social network, are now primarily responsible for their own care. Only those who depend on professional care are financially supported by the government. Any professional help must be employed as effectively and efficiently as possible. This requires care and social welfare organisations to change their strategies and for these strategies to be successful, these organisations need a cultural change. In this case study, it was examined whether there is adequate support for the necessary

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Swerissen, Hal. "How Should We Organise Community Health Services?" Australian Journal of Primary Health 3, no. 1 (1997): 6. http://dx.doi.org/10.1071/py97002.

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This paper reviews the organisation of Victorian community health services in the context of the general direction of reform for the Australian and Victorian health systems. It notes that the emphasis has shifted to a greater focus on improving the efficiency of the relationship between needs, resources, services and outcomes. Within this context, in addition to public health measures, national reforms have advocated the creation of funding and organisational arrangements around three service functions: general care, acute care and co-ordinated care. It is argued that the organisation of commu

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Hovlid, Einar, Geir Sverre Braut, Einar Hannisdal, et al. "Mediators of change in healthcare organisations subject to external assessment: a systematic review with narrative synthesis." BMJ Open 10, no. 8 (2020): e038850. http://dx.doi.org/10.1136/bmjopen-2020-038850.

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ObjectivesExternal inspections are widely used to improve the quality of care. The effects of inspections remain unclear and little is known about how they may work. We conducted a narrative synthesis of research literature to identify mediators of change in healthcare organisations subject to external inspections.MethodsWe performed a literature search (1980–January 2020) to identify empirical studies addressing change in healthcare organisations subject to external inspection. Guided by the Consolidated Framework for Implementation Research, we performed a narrative synthesis to identify med

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May, T., and M. Buck. "Power, Professionalism and Organisational Transformation." Sociological Research Online 3, no. 2 (1998): 89–102. http://dx.doi.org/10.5153/sro.159.

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Utilising data drawn from a study of a social service organisation, this article aims to understand the relationship between the rationale of organisational transformations and the professional status of social workers. It contains an examination of the original aims of Community Care legislation, its translation by management into processes of re-structuring and alterations in job specification, as well as the perspectives of those at the front-line of the organisation. This enables a theoretical consideration of organisational transformation and power and their relationship to the identity o

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Sandheimer, Christine, Cecilia Björkelund, Gunnel Hensing, Kirsten Mehlig, and Tove Hedenrud. "Implementation of a care manager organisation and its association with antidepressant medication patterns: a register-based study of primary care centres in Sweden." BMJ Open 11, no. 3 (2021): e044959. http://dx.doi.org/10.1136/bmjopen-2020-044959.

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ObjectiveTo evaluate the implementation of a care manager organisation for common mental disorders and its association with antidepressant medication patterns on primary care centre (PCC) level, compared with PCCs without this organisation. Moreover, to determine whether a care manager organisation is associated with antidepressant medication patterns that is more in accordance with treatment guidelines.DesignRegister-based study on PCC level.SettingPrimary care in Region Västra Götaland, Sweden.ParticipantsAll PCCs in the region. PCCs were analysed in three subgroups: PCCs with a care manager

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Dunning, Alice, Gemma Louch, Angela Grange, Karen Spilsbury, and Judith Johnson. "Exploring nurses’ experiences of value congruence and the perceived relationship with wellbeing and patient care and safety: a qualitative study." Journal of Research in Nursing 26, no. 1-2 (2021): 135–46. http://dx.doi.org/10.1177/1744987120976172.

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Background Values are of high importance to the nursing profession. Value congruence is the extent to which an individual’s values align with the values of their organisation. Value congruence has important implications for job satisfaction. Aim This study explored nurse values, value congruence and potential implications for individual nurses and organisations in terms of wellbeing and patient care and safety. Method Fifteen nurses who worked in acute hospital settings within the UK participated in semi-structured telephone interviews. Thematic analysis was utilised to analyse the data. Resul

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