Organising work in neonatal transfer

Optimising place of care for babies born moderately preterm

Datos Bibliográficos

ID2250249
AutoresAlexis Paton (0000-0003-4310-6983, Department of Sociology and Policy Centre for Health and Society Aston University Birmingham UK, autor de correspondencia), Caroline Cupit (0000-0002-3377-8471, Department of Health Sciences University of Leicester Leicester UK), N Armstrong (0000-0003-4046-0119, Department of Health Sciences University of Leicester Leicester UK)
Año2023
Volumen45
Número8
Páginas1634-1651
Fecha de publicación2023-11-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSociology of Health & Illness (JOURNAL)
Identificadores de la revistaISSN: 0141-9889 • E-ISSN: 1467-9566
EditorialWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.13656
PMID37237247
OpenAlexW4378515145
IdiomaEN
Referencias citadas30

The organisation of neonatal units into geographically-based networks that offer different levels of care is intended to ensure babies receive the care they need via transfers between different units. In this article, we explore the significant organisational work required in practice to accomplish such transfers. Conducted within a wider study of optimal place of care for babies born between 27 and 31 weeks' gestation, we draw on ethnographic work exploring the accomplishment of transfers in this complex care context. We undertook fieldwork in six neonatal units across two networks in England, representing 280 hours of observation and formal interviews with 15 health-care professionals. Drawing on Strauss et al.'s concept of the social organisation of medicine and Allen's concept of 'organising work', we identify three distinct forms of such work central to the successful accomplishment of a neonatal transfer: (1) 'matchmaking', to identify a suitable transfer location; (2) 'transfer articulation', to successfully effect the planned transfer; and (3) 'parent engagement', to support parents through the transfer process. Our findings build on and extend Strauss et al. and Allen's work by both highlighting the different forms of 'organising work' undertaken in this clinical context and the distribution of such work across different professional groups

Articulation (sociology · Context (archaeology · Ethnography · Geography · Health care · Political science · Process (computing · Sociology · Work (physics · Computer Science · Engineering · Infant Development and Preterm Care · Law · Maternal and Perinatal Health Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Psychology