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Care trajectory management: A conceptual framework for formalizing emergent organisation in nursing practice
1School of Healthcare Sciences, Cardiff University, Cardiff, UK.
Aim:
To offer a new conceptual framework for formalizing nurses' work in managing emergent organisation in health and social care.
Background:
Much health and social care requires continuous oversight and adjustments in response to contingencies. Nurses have an important role in managing these relationships.
Evaluation:
A longstanding programme of research on the social organisation of health and social care work provided the foundations for the article.
Key Issue:
Nurses' work in managing emergent organisation may be conceptualized as care trajectory management and factors contributing to trajectory complexity are explored.
Conclusions:
Care trajectory management is essential for the quality and safety of health and social care but poorly served by existing management frameworks.
Implications For Nursing Management:
Care trajectory management offers a conceptual framework for the development of new management structures to support an important but poorly supported element of nursing practice.
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