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Title: A study of a change in the method of organising the delivery of nursing care in a ward of a maternity hospital
Author: Metcalf, Claire
Awarding Body: University of Manchester
Current Institution: University of Manchester
Date of Award: 1982
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The aim of this research study was to introduce and examine the effects of a change to a system of Patient Allocation in a ward of a Maternity hospital. The study examined in particular the relationship between the organisation of the delivery of nursing care and three organisational outcomes which, in the nursing literature are reputed to be improved when a system of patient Allocation is used. These organisational outcomes are; 1) patient Satisfaction with care 2) The Job Satisfaction of the nursing staff 3) The nurse-patient relationship A review and analysis of the literature suggested that methods of organising the delivery of nursing care - Task Allocation and Patient Allocation - tend to be seen as mutually exclusive 'ideal' types and that they tend to be associated with different paradigms of care. In this study descriptive, experimental and action approaches were used and the data was obtained from two areas of investigation. 1) An experimental study whereby one ward introduced the new method of delivering care. 2) A series of interviews with the nurses and midwives who had worked in the ward where the changes were introduced, and in other wards of the hospital. Questionnaires, interviews and non-participant observation were the main instruments used to collect the data. The data obtained in the study provided little evidence to support the reputed advantages of a system of Patient Allocation. Two explanations for the results were suggested. 1) The use of Task Allocation and patient Allocation as mutually exclusive 'ideal' types has led to the image being confused with the reality. 2) Change from a system of Task Allocation to patient Allocation should be seen as a process and not an event.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available