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Related Experiment Video

Updated: Apr 4, 2026

Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
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Rounding, work intensification and new public management.

Eileen Willis1, Luisa Toffoli2, Julie Henderson1

  • 1School of Health Sciences, Flinders University, Adelaide, SA, Australia.

Nursing Inquiry
|August 29, 2015
PubMed
Summary
This summary is machine-generated.

New public management strategies are intensifying nurses' work and reducing their autonomy in Australian hospitals. Rounding, a cost-cutting measure, negatively impacts nursing care and control over labor.

Keywords:
accountabilityeffectivenessefficiencynew public managementnursing careproductivityriskroundingwork intensification

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Area of Science:

  • Healthcare Management
  • Nursing Studies
  • Public Health Policy

Background:

  • Contemporary nursing care is increasingly influenced by new public management (NPM) strategies.
  • Budgetary constraints in the Australian public hospital sector are driving these changes.
  • NPM strategies often prioritize efficiency, productivity, and accountability.

Purpose of the Study:

  • To examine the impact of NPM strategies, specifically 'rounding,' on nursing work in Australian public hospitals.
  • To demonstrate how risk reduction strategies like rounding affect nursing practices and labor control.
  • To analyze the consequences of work intensification on the quality of nursing care.

Main Methods:

  • Qualitative interviews with 15 nurses from a single public acute hospital.
  • Analysis of supporting documentary evidence related to hospital management practices.
  • Case study approach focusing on the implementation of rounding across hospital wards.

Main Results:

  • Rounding was implemented as a response to missed care incidents, which stemmed from work intensification.
  • Nurses experienced increased work intensity and a reduction in control over their labor due to rounding.
  • The study highlights rounding as a commercially sponsored practice aligned with NPM principles.

Conclusions:

  • NPM strategies, including rounding, significantly alter nursing work by increasing intensity and diminishing professional autonomy.
  • The imposition of such strategies can negatively affect the quality of patient care.
  • Further research is needed to explore sustainable management models in nursing that support both efficiency and quality care.