Gaps in governance: Protective mechanisms used by nurse leaders when policy and practice are misaligned Organization, structure and delivery of healthcare

BMC Health Services Research

Volumn 15, Issue 1, 2015, Pages

  Knight, Kaye M ^a   Kenny, Amanda ^a   Endacott, Ruth ^b,c  

^a LA TROBE UNIVERSITY   (Australia)

^b UNIVERSITY OF PLYMOUTH   (United Kingdom)

^c MONASH UNIVERSITY   (Australia)

Author keywords

Clinical governance; Empowerment; Leadership; Nursing; Practice; Rural; Telephone

Indexed keywords

ADULT; AGED; ATTITUDE TO HEALTH; FEMALE; HEALTH CARE POLICY; HEALTH PERSONNEL ATTITUDE; HUMAN; LEADERSHIP; MALE; MIDDLE AGED; NURSE ADMINISTRATOR; PROFESSIONAL STANDARD; PSYCHOLOGY; RESIDENTIAL HOME; RURAL HEALTH CARE; STANDARDS; TELEMEDICINE; VERY ELDERLY; VICTORIA;

ADULT; AGED; AGED, 80 AND OVER; ATTITUDE OF HEALTH PERSONNEL; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH POLICY; HUMANS; LEADERSHIP; MALE; MIDDLE AGED; NURSE ADMINISTRATORS; PROFESSIONAL ROLE; RESIDENTIAL FACILITIES; RURAL HEALTH SERVICES; TELEMEDICINE; VICTORIA;

EID: 84927673211     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-015-0827-y     Document Type: Article

References (54)

1. Wong CA, Cummings GG, Ducharme L. The relationship between nursing leadership and patient outcomes: a systematic review update. J Nurs Manag. 2013;21(5):709-24.
2. McSherry R, Pearce P, Grimwood K, McSherry W. The pivotal role of nurse managers, leaders and educators in enabling excellence in nursing care. J Nurs Manag. 2012;20(1):7-19.
3. Baernholdt M, Jennings BM, Merwin E, Thornlow D. What does quality care mean to nurses in rural hospitals? J Adv Nurs. 2010;66(6):1346-55.
4. Wolff A, Taylor S. Enhancing patient care: a practical guide to improving quality and safety in hospitals. Sydney: MJA Books; 2009.
5. Knight K, Endacott R, Kenny A. Ambiguous and arbitrary: the role of telephone interactions in rural health service delivery. Aust J Prim Health. 2010;16(2):126-31.
6. Victorian Department of Human Services. Rural emergency services - A capability based planning framework: Discussion paper. Melbourne: Department of Human Services; 2006.
7. McKinstry B, Watson P, Pinnock H, Heaney D, Sheikh A. Telephone consulting in primary care: a triangulated qualitative study of patients and providers. Br J Gen Pract. 2009;59(563):e209-18.
8. Fatovich D, Jacobs I. Emergency department telephone advice: a survey of Australian emergency departments. Emerg Med. 1998;10(2):117-21.
9. Fifield M. Telephone triage: protocols for an unacknowledged practice. Aust J Adv Nurs. 1996;13(2):5-8.
10. Braithwaite J, Travaglia JF. An overview of clinical governance policies, practices and initiatives. Aust Health Rev. 2008;32(1):10-22.
11. Brennan NM, Flynn MA. Differentiating clinical governance, clinical management and clinical practice. Clin Govern Int J. 2013;18(2):114-31.
12. Greenfield D, Nugus P, Fairbrother G, Milne J, Debono D. Applying and developing health service theory: an empirical study into clinical governance. Clin Govern Int J. 2011;16(1):8-19.
13. Klingner J, Moscovice I, Tupper J, Coburn A, Wakefield M. Implementing patient safety initiatives in rural hospitals. J Rural Health. 2009;25(4):352-7.
14. Vartak S, Ward MM, Vaughn TE. Patient safety outcomes in small urban and small rural hospitals. J Rural Health. 2010;26(1):58-66.
15. Stoneman A, Atkinson D, Davey M, Marley JV. Quality improvement in practice: improving diabetes care and patient outcomes in aboriginal community controlled health services. BMC Health Serv Res. 2014;14:481.
16. Paliadelis PS, Parmenter G, Parker V, Giles M, Higgins I. The challenges confronting clinicians in rural acute care settings: a participatory research project. Rural Remote Health. 2012;12:2017.
17. Baernholdt M, Jennings BM, Lewis EJ. A pilot study of staff nurses' perceptions of factors that influence quality of care in critical access hospitals. J Nurs Care Qual. 2013;28(4):352-9.
18. Bushy A. International perspectives on rural nursing: Australia, Canada. USA Aust J Rural Health. 2002;10(2):104-11.
19. Endacott R, Westley M. Managing patients at risk of deterioration in rural hospitals: a qualitative study. Aust J Rural Health. 2006;14(6):275-9.
20. Kenny A, Duckett S. A question of place: medical power in rural Australia. Soc Sci Med. 2004;58(6):1059-73.
21. MacLeod M, Kulig J, Stewart N, Pitblado R, Banks K, D'Arcy C. The nature of nursing practice in rural and remote Canada. Ottawa: Canadian Health Services Research Foundation; 2004.
22. Mills J, Birks M, Hegney D. The status of rural nursing in Australia: 12 years on. Collegian. 2010;17(1):30-7.
23. Montour A, Baumann A, Blythe J, Hunsberger M. The changing nature of nursing work in rural and small community hospitals. Rural Remote Health. 2009;9:1089.
24. Rosenthal K. The rural nursing generalist in the acute care setting: flowing like a river. In: Winters CA, Lee HJ, editors. Rural nursing: concepts, theory, and practice. 3rd ed. New York: Springer Publishing Company; 2010. p. 269-84.
25. Sullivan E, Francis K, Hegney D. Review of small rural health services in Victoria: how does the nursing-medical division of labour affect access to emergency care? J Clin Nurs. 2008;17(12):1543-52.
26. Australian Healthcare Associates. Evaluation of the after hours primary medical care program. Charlton: Australian Healthcare Associates Pty Ltd; 2005.
27. Australian Nursing Federation. Telehealth Standards: Registered Nurses. Australia: Australian Nursing Federation. 2013. http://anmf.org.au/documents/reports/Telehealth-Standards-Registered-Nurses.pdf. Accessed 7 July 2014.
28. Victorian Department of Human Services. Ambulatory care policy and planning framework - consultation paper. Melbourne: Department of Human Services; 2005.
29. Australian Nursing & Midwifery Federation Victorian Branch. ANMF (Vic Branch) Policy: Telephone advice lines. Melbourne: Australian Nursing & Midwifery Federation Victorian Branch. 2011. https://www.anmfvic.asn.au/news-and-publications/publications?type=policies&page=4. Accessed 25 June 2013.
30. Bish M, Kenny A, Nay R. A scoping review identifying contemporary issues in rural nursing leadership. J Nurs Scholarsh. 2012;44(4):411-7.
31. Yin R. Case Study Research: Design and methods. 4th ed. Thousand Oaks: SAGE Publications Inc; 2009.
32. Knight K, Kenny A, Endacott R. Assessing clinical urgency via telephone in rural Australia. Nurs Health Sci. 2014;Dec 3 [Epub ahead of print].
33. Miller FA, Alvarado K. Incorporating documents into qualitative nursing research. J Nurs Scholarsh. 2005;37(4):348-53.
34. Pope C, Ziebland S, Mays N. Analysing qualitative data. BMJ. 2000;320(7227):114-6.
35. Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park: Sage Publications Inc; 1985.
36. Smith J, Firth J. Qualitative data analysis: the framework approach. Nurse Res. 2011;18(2):52-62.
37. Briggs JK. Telephone triage protocols for nurses. 4th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2012.
38. Greenberg ME. A comprehensive model of the process of telephone nursing. J Adv Nurs. 2009;65(12):2621-9.
39. Huibers L, Smits M, Renaud V, Giesen P, Wensing M. Safety of telephone triage in out-of-hours care: a systematic review. Scand J Prim Health Care. 2011;29(4):198-209.
40. McGrath AC, Macdonald CR. Quality frameworks for telephone triage. Aust Health Rev. 2008;32(4):786-91.
41. Jukkala A, Greenwood R, Ladner K, Hopkins L. The clinical nurse leader and rural hospital safety and quality. Online J Rural Nurs Health Care. 2011;10(2):38-44.
42. Ploeg J, Davies B, Edwards N, Gifford W, Miller PE. Factors influencing best-practice guidelines implementation: lessons learned from administrators, nursing staff and project leaders. Worldviews Evid Based Nurs. 2007;4(4):210-9.
43. Seright TJ. Clinical decision-making of rural novice nurses. Rural Remote Health. 2011;11:1726.
44. Jasper M, Crossan F. What is strategic management? J Nurs Manag. 2012;20:838-46.
45. Bish M, Kenny A, Nay R. Using participatory action research to foster nurse leadership in Australian rural hospitals. Nurs Health Sci. 2013;15(3):286-91.
46. Kanter R. Men and women of the corporation. New York: Basic Books; 1993.
47. MacKinnon K. Rural nurses' safeguarding work: reembodying patient safety. ANS Adv Nurs Sci. 2011;34(2):119-29.
48. Greatbatch D, Hanlon G, Goode J, O'Cathain A, Strangleman T, Luff D. Telephone triage, expert systems and clinical expertise. Sociol Health Illn. 2005;27(6):802-30.
49. Purc-Stephenson RJ, Thrasher C. Nurses' experiences with telephone triage and advice: a meta-ethnography. J Adv Nurs. 2010;66(3):482-94.
50. Russell B. Professional call centres, professional workers and the paradox of the algorithm: the case of telenursing. Work Employ Soc. 2012;26(2):195-210.
51. Purkis M, Bjornsdottir K. Intelligent nursing: accounting for knowledge as action in practice. Nurs Philos. 2006;7(4):247-56.
52. Porter S, O'Halloran P, Morrow E. Bringing values back into evidence-based nursing: the role of patients in resisting empiricism. Adv Nurs Sci. 2011;34(2):106-18.
53. Hill K. Improving quality and patient safety by retaining nursing expertise. Online J Issues Nurs. 2010;15(3). http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol152010/No3-Sept-2010/Articles-Previously-Topic/Improving-Quality-and-Patient-Safety-.html. Accessed 8 August 2014
54. Sandelowski M. Sample size in qualitative research. Res Nurs Health. 1995;18:179-83.