Challenges in achieving positive outcomes for children with complex congenital conditions: safety and continuity of care.
Our aim is to examine a series of systems-level challenges to the continuity of care of a newborn (i.e. a particular case) in the rural-urban context. These challenges include the state-wide system whereby inadequate bed numbers relative to demand are monitored on a daily basis (bed management), spe...
| Publicado en: | Health Sociology Review Vol. 19; no. 1; pp. 86 - 100 |
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| Autores principales: | , |
| Formato: | pictorial research Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105025947&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105025947 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14461242 1H4V jtl: Health Sociology Review issn: 14461242 maglogo: N pubinfo: dt: Apr2010 vid: 19 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 105025947 2010682265 10.5172/hesr.2010.19.1.086 105025947 ppf: 86 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Challenges in achieving positive outcomes for children with complex congenital conditions: safety and continuity of care. aug: au: Hunter CL West C affil: Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia sug: subj: Abnormalities Continuity of Patient Care Outcomes (Health Care) Patient Safety Australia Ethnographic Research Funding Source Human Infant, Newborn Physician-Patient Relations Quality of Health Care Social Networks Infant, Newborn: birth-1 month ab: Our aim is to examine a series of systems-level challenges to the continuity of care of a newborn (i.e. a particular case) in the rural-urban context. These challenges include the state-wide system whereby inadequate bed numbers relative to demand are monitored on a daily basis (bed management), specialist medical expertise as a resource, and the fl ow of information between hospitals in a rural-urban divide. Whether quality of care is maintained in light of these challenges is dependent on the relationships and 'invisible' work of a number of clinicians. Of critical importance are issues involving affective or invisible work and the solidary networks and relationships of clinicians. Ethnographic participant-observations were made of clinical teams and their networks in an Australian rural-urban health care service involving the multiple hospital admissions of a seriously-ill infant. The fi ndings demonstrate that the system works because of clinicians' willingness to enact their practice knowledge, the networking they undertake, their resilience and the affective labour they perform to attend to patients' and families' needs. Ultimately the continuity of care is embedded in the quality of relationships as much as in specialist knowledge or professional expertise. pubtype: Academic Journal doctype: pictorial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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