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Updated: May 19, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

A systems perspective on nursing productivity.

Nicola North¹, Frances Hughes

¹School of Population Health, The University of Auckland, Auckland, New Zealand. n.north@auckland.ac.nz

Journal of Health Organization and Management

|August 4, 2012

Summary

This summary is machine-generated.

Reviewing labor approaches to nursing productivity in New Zealand reveals that viewing nurses as intellectual assets, not just labor units, is key. This reframing improves management strategies while protecting patient and nurse outcomes.

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Last Updated: May 19, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Health Services Management
Nursing Workforce Productivity
Labour Economics in Healthcare

Background:

New Zealand health reports highlight the nursing workforce's potential for enhancing health service productivity.
Previous labor approaches often viewed nurses as cost units, impacting patient safety and nurse well-being.

Purpose of the Study:

To critically review current and past labor-based strategies for improving nursing productivity in New Zealand.
To contextualize these strategies within international research and experience.

Main Methods:

Analysis of government documents on productivity.
Comprehensive review of New Zealand and international literature on nursing productivity and its measurement.

Main Results:

Early strategies, influenced by labor economics and scientific management, treated nurses as cost units, leading to negative impacts on patient safety and nurses despite productivity gains.
Current methods, like the 'productive ward,' borrow from manufacturing, but emerging thought emphasizes the work environment and professional roles.
A shift is occurring towards conceptualizing nurses as intellectual assets in knowledge-intensive health organizations.

Conclusions:

Advocates for a systems approach to nursing productivity, viewing nurses as capital assets.
Emphasizes measuring patient and nurse outcomes and focusing on the nurse-work environment interface.
Reframing nursing productivity management can enhance productivity while safeguarding nursing and patient outcomes.