Rules and resources: a structuration approach to understanding the coordination of childrens`s inpatient health care

Beringer, Antonia J., Fletcher, Margaret E. and Taket, Ann 2006, Rules and resources: a structuration approach to understanding the coordination of childrens`s inpatient health care, Journal of advanced nursing, vol. 56, no. 3, pp. 325-335, doi: 10.1111/j.1365-2648.2006.04023.x.

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Title Rules and resources: a structuration approach to understanding the coordination of childrens`s inpatient health care
Author(s) Beringer, Antonia J.
Fletcher, Margaret E.
Taket, AnnORCID iD for Taket, Ann
Journal name Journal of advanced nursing
Volume number 56
Issue number 3
Start page 325
End page 335
Publisher Blackwell Publishing Ltd.
Place of publication Oxford, England
Publication date 2006
ISSN 0309-2402
Keyword(s) acute care
care coordination
child nursing
empirical research report
multiprofessional practice
structuration theory
Summary Aim. This paper presents findings from a multi-method study exploring the process of care coordination in children's inpatient health care.

Background. Existing work on care coordination is typified by 'black-box' type studies that measure inputs to and outcomes of care coordination roles and practices, without addressing the process of coordination.

Method. Using questionnaires, interviews and observation to collect data in multiple sites in the United Kingdom and Denmark between 1999 and 2005, the study gathered the perceptions of staff and compared these with observed practice. Giddens' structuration theory was used to provide an analytical and explanatory framework.

Findings. Current care coordination practice is diverse and inconsistent. It involves a wide range of clinical and non-clinical staff, many of whom perceive a lack of clarity about who should perform specific coordination activities. Staff draw upon a wide range of different material and non-material resources in coordinating care, the use of which is governed by largely tacit and informal rules.

Conclusions. Care coordination can be usefully conceptualized as a 'structurated' process – one that is continually produced and reproduced by staff using rules and resources to 'instantiate' or bring about care coordination through action. Potentially negative implications of this are manifested in diversity and inconsistency in care coordination practice. However, positive aspects such as the opportunity this provides to tailor care to the needs of the individual patient can be realized.
Notes Published Online: 16 Oct 2006
Language eng
DOI 10.1111/j.1365-2648.2006.04023.x
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2006, Blackwell Publishing
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Document type: Journal Article
Collection: Faculty of Health
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