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Revised and Neuroimaging-Compatible Versions of the Dual Task Screen
Published on: October 5, 2020
Task redistribution as a dual process: Reconfiguring professional boundaries through knowledge development and
1University Hospital of North Norway, Tromsø, Norway.
Health (London, England : 1997)
|May 11, 2026
Summary
Task redistribution in healthcare, like medication management by certified nursing assistants (CNAs), involves both knowledge growth and jurisdictional negotiation, impacting professional boundaries and workloads.
Area of Science:
- Healthcare Management
- Sociology of Professions
- Nursing Studies
Background:
- Global healthcare systems face workforce shortages, prompting task redistribution.
- Task redistribution can lead to interprofessional tensions and boundary renegotiations.
- Medication management is a critical area where these dynamics are observable.
Purpose of the Study:
- To examine how professional boundaries are negotiated and reshaped during task redistribution.
- To explore the case of medication management in Norwegian nursing homes.
- To understand the dual process of knowledge development and jurisdiction negotiation in task redistribution.
Main Methods:
- Ethnographic study utilizing 87 hours of observation and 7 semi-structured interviews with 9 informants in three Norwegian nursing homes.
- Thematic analysis of collected data.
- Interpretation through theoretical frameworks of participation, reification, negotiation, boundary objects, jurisdiction, and workplace assimilation.
Main Results:
- Certified nursing assistants' (CNAs) involvement in medication management fostered knowledge development through interaction with nurses.
- Medication administration records (MARs) acted as boundary objects, facilitating alignment but often requiring clarification due to information gaps.
- Interactions created knowledge sharing opportunities but also tensions, as nurses perceived them as interruptions, highlighting CNAs' peripheral jurisdiction and increased nurse workload.
Conclusions:
- Task redistribution is a complex, dual process involving knowledge development and negotiation of jurisdiction, not a simple task transfer.
- Policies must acknowledge this duality to effectively support the realities of professional work during task redistribution.
- Understanding boundary dynamics is crucial for managing interprofessional relations and optimizing healthcare delivery.
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