Negotiating jurisdiction in the workplace: A multiple-case study of nurse prescribing in hospital settings
Social Science & MedicinePublished 18 July 2014
Marieke Kroezen, Patriek Mistiaen, Liset van Dijk, Peter Groenewegen, Anneke L. Francke
Citations33
SJR quartileQ1
SJR score2.10
SNIP2.01
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TL;DR
There is considerable discrepancy between the division of jurisdictional control over prescribing at the macro (legal) level and the division at the micro (workplace) level, according to a multiple-case study of prescribing by nurse specialists in Dutch hospital settings.
Abstract
This paper reports on a multiple-case study of prescribing by nurse specialists in Dutch hospital settings. Most analyses of interprofessional negotiations over professional boundaries take a macro sociological approach and ignore workplace jurisdictions. Yet boundary blurring takes place and healthcare professionals renegotiate formal policies in the workplace. This paper studies the division of jurisdictional control over prescribing between nurse specialists and medical specialists in the workplace, and examines the relationship between workplace jurisdiction and legal jurisdiction over prescribing. Data collection took place in the Netherlands during the first half of 2013. The study used in-depth interviews with fifteen nurse specialists and fourteen medical specialists, non-participant observation of nurse specialists' prescribing consultations and document analysis. Great variety was found in the extent to which and way in which nurse specialists' legal prescriptive authority had been implemented. These findings suggest that there is considerable discrepancy between the division of jurisdictional control over prescribing at the macro (legal) level and the division at the micro (workplace) level.
Keywords
Health Professions
AJN American Journal of NursingNursing Research: Principles and Methods
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Part I:The Scientific Research Process Introduction to Nursing Research Overview of the Research Process Research Problems, Research Questions, and Hypotheses Part II:Contexts for Nursing Research The Knowledge Contexts Conceptual and Theoretical Contexts The Ethical Context of Nursing Research.
Administrative Science QuarterlyThe System of Professions: An Essay on the Division of Expert Labor.
5,664 Citations1990Pamela S. Tolbert, Andrew Abbott
Choice Reviews OnlineQualitative methods for health research
4,693 Citations2009John Green, Nicki Thorogood
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The main aim of this book is to introduce the main qualitative methods available for the study of health and health care, and to show how qualitative research can be employed appropriately and fruitfully to answer some of the increasingly complex questions confronting researchers.
BMJSystematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors
1,248 Citations2002Sue Horrocks, Elizabeth Anderson +1 more
Patients are more satisfied with care from a nurse practitioner than from a doctor, with no difference in health outcomes Nurse practitioners provide longer consultations and carry out more investigations than doctors.
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PubMedSkill mix in the health care workforce: reviewing the evidence.
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The evidence suggests that increased use of less qualified staff will not be effective in all situations, although in some casesIncreased use of care assistants has led to greater organizational effectiveness and there is unrealized scope in many systems for extending the use of nursing staff.
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266 Citations1997Davina Allen
alysing interview data with nursing staff from surgical and medical wards in five Swedish hospitals, Svensson identifies key changes in the health care context which he suggests have created ‘negotiation space’ for nurses, leading to the evolution of new working relationships with doctors.
BMC Health Services ResearchNurse prescribing of medicines in Western European and Anglo-Saxon countries: a systematic review of the literature
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174 Citations2007Tom Sanders, Stephen Harrison
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164 Citations2003Sue Latter, Molly Courtenay
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157 Citations2010Graeme Currie, Rachael Finn +1 more
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Journal of Public Administration Research and TheoryLeadership, Service Reform, and Public-Service Networks: The Case of Cancer-Genetics Pilots in the English NHS
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Though medics were more successful here, they had to accommodate to new demands within the organization, and the professional identity and organizational space of the MLSOs were also redefined but, in contrast, by being narrowed.
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