Care trajectory management: A conceptual framework for formalizing emergent organisation in nursing practice. (17th July 2018)

• Record Type: Journal Article
• Authors: Allen, Davina
• Is Part Of: Journal of nursing management. Volume 27:Number 1(2019)
• Page Start: 4
• Page End: 9
• Publication Date: 2018-07-17
• Subjects: care trajectory management -- emergent organisation -- quality and safety; Nursing services -- Administration -- Periodicals; Nursing services -- Business management -- Periodicals; 610.73068
• DOI: 10.1111/jonm.12645
• Languages: English
• ISSNs: 0966-0429

Abstract

Abstract : Aim: To offer a new conceptual framework for formalizing nurses' work in managing emergent organisation in health and social care. Background: Much health and social care requires continuous oversight and adjustments in response to contingencies. Nurses have an important role in managing these relationships. Evaluation: A longstanding programme of research on the social organisation of health and social care work provided the foundations for the article. Key issue: Nurses' work in managing emergent organisation may be conceptualized as care trajectory management and factors contributing to trajectory complexity are explored. Conclusions: Care trajectory management is essential for the quality and safety of health and social care but poorly served by existing management frameworks. Implications for Nursing Management: Care trajectory management offers a conceptual framework for the development of new management structures to support an important but poorly supported element of nursing practice.