Challenges in achieving positive outcomes for children with complex congenital conditions
Safety and continuity of care
Bibliographic Data
| ID | 3606401 |
|---|---|
| Authors | Cynthia Hunter (0000-0002-5511-5660, The University of Sydney, corresponding author), Cynthia L Hunter, Carolyn West (Children's Hospital at Westmead) |
| Year | 2010 |
| Volume | 19 |
| Issue | 1 |
| Pages | 86-99 |
| Publication date | 2010-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Health Sociology Review (JOURNAL) |
| Journal identifiers | ISSN: 1446-1242 • E-ISSN: 1839-3551 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.5172/hesr.2010.19.1.086 |
| OpenAlex | W1983201241 |
| Language | EN |
| Citations received | 1 |
| References cited | 12 |
Our aim is to examine a series of systems-level challenges to the continuity of care of a newborn (i.e. a particular case) in the rural–urban context. These challenges include the state-wide system whereby inadequate bed numbers relative to demand are monitored on a daily basis (bed management), specialist medical expertise as a resource, and the flow of information between hospitals in a rural–urban divide. Whether quality of care is maintained in light of these challenges is dependent on the relationships and 'invisible' work of a number of clinicians. Of critical importance are issues involving affective or invisible work and the solidary networks and relationships of clinicians. Ethnographic participant-observations were made of clinical teams and their networks in an Australian rural–urban health care service involving the multiple hospital admissions of a seriously-ill infant. The findings demonstrate that the system works because of clinicians' willingness to enact their practice knowledge, the networking they undertake, their resilience and the affective labour they perform to attend to patients' and families' needs. Ultimately the continuity of care is embedded in the quality of relationships as much as in specialist knowledge or professional expertise.Keywords: networkingcontinuity of careoutcomesaffective labourresources of resiliencesociology
Continuity of care · Health care · Political science · Project commissioning · Public relations · Publishing · Sociology · Cerebral Palsy and Movement Disorders · Child and Adolescent Health · Family and Disability Support Research · Law · Medicine · Nursing · Psychology · Gerontology
Emotional regulation in the workplace
Disturbing Observations as a Basis for Collaborative Research
Intensities of feeling
Works and lives
Sources of Practice Knowledge Among Nurses
Doctors' thinking about 'the system' as a threat to patient safety
Visibilising clinical work
What Is Going on
Untangling the web of critical incidents
When the field is a ward or a clinic
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |