'Implementation deficit' and 'street-level bureaucracy': policy, practice and change in the development of community nursing issues.
The present paper examines the mechanisms by which health and social care policies put forward by the Government may be translated into community nursing practice. Data from a research project on community nurse case managers were re-examined in the light of two classic theories often cited by polic...
| Publicado en: | Health & Social Care in the Community Vol. 13; no. 1; pp. 1 - 11 |
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| Autores principales: | , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2005
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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=106637539&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106637539 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: Jan2005 vid: 13 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106637539 106637539 2005084944 10.1111/j.1365-2524.2005.00522.x NLM15717901 106637539 ppf: 1 ppct: 10 formats: fmt: @attributes: type: P tig: atl: 'Implementation deficit' and 'street-level bureaucracy': policy, practice and change in the development of community nursing issues. aug: au: Bergen A While A affil: Senior Lecturer, Department of Health and Social Welfare, Canterbury Christ Church University College, North Holmes road, Canterbury, Kent CT1 1QU, UK; chrisann@fish.co.uk sug: subj: Case Management Community Health Nursing Health Policy Nursing Practice United Kingdom ab: The present paper examines the mechanisms by which health and social care policies put forward by the Government may be translated into community nursing practice. Data from a research project on community nurse case managers were re-examined in the light of two classic theories often cited by policy analysts (i.e. implementation theory and 'street-level bureaucracy'). It was found that the extent to which nurses adopted the case management role, and the model of choice, depended on four major interrelated variables, namely: (1) the clarity of policy guidance; (2) the extent to which it coincided with professional (nursing) values; (3) local practices and policies; and (4) the personal vision of the community nurse. It is argued that this framework may have wider relevance, and this was tested out in two ways. First, major change in one of these variables (Government policy) over time was analysed for its effect on case management practice via the remaining variables. Secondly, an unrelated, but policy-initiated, nursing issue (nurse prescribing) was briefly examined in the light of the framework. It is suggested that this framework may be of some use when considering the likely practice response to policy-related changes in community nursing. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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