The NHS is the largest employer in Western Europe. It embraces two
of the oldest professions - doctors and nurses - whose work
practices are still highly traditional and yet currently at the
forefront of radical change as health work is being reorganized to
reflect the new political priorities of the 1990s. This book
focuses on the collaborative work of doctors and nurses in one
particular area: the acute hospital ward, looking at the effects of
`new wave' management on formerly independent, autonomous teams.
The authors examine the impact of changes in health service on
professional boundaries and inter-professional relations, exploring
the paradox of the ostensible drive to decentralise responsibility
introduced alongside the increased management of professionals.
They discuss the tensions between simultaneous application of
Fordist to post-Fordist modes of governance and describe an
increasingly fragmented service, in which inflexible working
patterns are generated by demand for the optimal use of labour, but
where there remain examples of effective collaborative working.
General
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