Willis Eileen, Toffoli Luisa, Henderson Julie, Couzner Leah, Hamilton Patricia, Verrall Claire, Blackman Ian
School of Health Sciences, Flinders University, Adelaide, SA, Australia.
School of Nursing & Midwifery, University of South Australia, Adelaide, SA, Australia.
Nurs Inq. 2016 Jun;23(2):158-68. doi: 10.1111/nin.12116. Epub 2015 Aug 28.
In this study, we argue that contemporary nursing care has been overtaken by new public management strategies aimed at curtailing budgets in the public hospital sector in Australia. Drawing on qualitative interviews with 15 nurses from one public acute hospital with supporting documentary evidence, we demonstrate what happens to nursing work when management imposes rounding as a risk reduction strategy. In the case study outlined rounding was introduced across all wards in response to missed care, which in turn arose as a result of work intensification produced by efficiency, productivity, effectiveness and accountability demands. Rounding is a commercially sponsored practice consistent with new public management. Our study illustrates the impact that new public management strategies such as rounding have on how nurses work, both in terms of work intensity and in who controls their labour.
在本研究中，我们认为，当代护理工作已被旨在削减澳大利亚公立医院部门预算的新公共管理策略所取代。基于对一家公立急症医院的15名护士进行的定性访谈以及相关文献证据，我们展示了管理层将巡视作为一种风险降低策略时护理工作会发生什么。在所概述的案例研究中，为应对护理缺失问题，所有病房都引入了巡视，而护理缺失又是由效率、生产力、效果和问责要求导致的工作强度加大所引起的。巡视是一种与新公共管理相一致的商业赞助做法。我们的研究说明了诸如巡视等新公共管理策略对护士工作方式的影响，这体现在工作强度以及谁控制其劳动力这两个方面。
