Houston A M, Clifton J
Florence Nightingale School of Nursing and Midwifery, Kings College London, London, UK.
J Adv Nurs. 2001 May;34(3):356-66. doi: 10.1046/j.1365-2648.2001.01765.x.
The aim of this paper is to examine individualized health visiting care and compare it to corporate working within a consensual management style. Corporate working has been discussed and used in many different ways since the idea first came to light at the end of the 1980s. Resource management makes it an appealing model, however, analysing how corporate working functions in the practice setting reveals the complexity of this method of service provision.
This paper is based on a method of practice developed by health visitors in Haywards Heath, West Sussex, who implemented the process. The article examines individualized health visiting care and compares it to corporate working within a consensual management style. Important in this analysis are the elements of reflexivity, active listening, reflection and the application of 'praxis' within the corporate caseload approach.
Rogers' evolutionary concept model was used to illuminate and explain the different ways of delivering the health visiting service.
There are benefits in working corporately: shared workload, increased professional support and improved accountability. Alongside the integrated supervision of this model is the opportunity offered to practitioners to innovate. This offsets any initial difficulty experienced in setting up this method and makes it a worthwhile change of style in health visiting practice. Improved service delivery, enhanced professional growth and increased opportunity for public health work can be demonstrated as outcomes of this model. For professionals this method may prevent 'burn-out', enhance practice and increase innovation in health visiting practice. Using this method as a blueprint, practitioners can develop their own style of corporate working that offers a service that is equitable, proactive, efficient and accessible to clients.
本文旨在研究个性化健康访视护理，并将其与采用协商式管理风格的团队协作模式进行比较。自20世纪80年代末团队协作理念首次出现以来，人们对其进行了诸多讨论，并以多种不同方式加以运用。资源管理使其成为一种颇具吸引力的模式，然而，分析团队协作在实际工作环境中的运作方式会发现这种服务提供方式的复杂性。
本文基于西苏塞克斯郡海沃兹希思的健康访视员所开发并实施的一种实践方法。本文探讨了个性化健康访视护理，并将其与采用协商式管理风格的团队协作模式进行比较。在这一分析中，反思性、积极倾听、思考以及在团队工作量处理方法中应用“实践智慧”等要素至关重要。
运用罗杰斯的进化概念模型来阐释和说明提供健康访视服务的不同方式。
团队协作有诸多益处：分担工作量、增加专业支持并提高问责性。除了这种模式的综合监督之外，还为从业者提供了创新机会。这抵消了在建立这种方法时最初遇到的困难，并使其成为健康访视实践中一种值得的风格转变。可以证明，改善服务提供、促进专业成长以及增加公共卫生工作机会是这种模式的成果。对专业人员而言，这种方法可能防止“职业倦怠”，提升实践水平并增加健康访视实践中的创新。以这种方法为蓝本，从业者可以发展出自己的团队协作风格，提供一种公平、积极主动、高效且客户可及的服务。
