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dc.contributor.authorMcCormack, Brendan
dc.contributor.authorMitchell, Liz
dc.contributor.authorCook, Glenda
dc.contributor.authorReed, Jan
dc.contributor.authorChilds, Susan
dc.date.accessioned2018-06-29T21:37:09Z
dc.date.available2018-06-29T21:37:09Z
dc.date.issued2008
dc.identifierER3429
dc.identifier.citationMcCormack, B., Mitchell, L., Cook, G., Reed, J. & Childs, S. (2008) Older persons experiences of whole synstemsL the impact of health and social care organizational structures, Journal of Nursing Management, vol. 16, , pp. 105-114,
dc.identifier.issn0966-0429, ESSN: 1365-2834
dc.identifier.urihttp://onlinelibrary.wiley.com/doi/10.1111/j.1365-2834.2007.00823.x/abstract;jsessionid=576B088E515A3CECBB0D1FDF613AF1E5.f02t02
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/3429
dc.description.abstractAim(s)- An in-depth case study of whole systems working. Background- This paper reports on the second part of a two-part study exploring whole systems working. Part 1 of the study focused on an in-depth review of the literature pertaining to continuity of care and service integration. The second part, reported here, focused on an in-depth case study of one whole system. Evaluation- Informed by the findings of part 1 of the study, data collection methods included in-depth interviews, real-time tracking of 18 older people, focus groups and consensus conferencing. Different data sets were analysed individually and synthesized using matrices derived from the literature review findings. Key issue(s)- Key themes from data synthesis include: (1) access to the most appropriate services; (2) service fragmentation; (3) continuity of care; and (4) routinized care. Conclusion(s)- The four themes of the case study reflect the need to address issues of demarcation of professional responsibilities, complicated channels of communication, information flows, assessment and reassessment in whole systems working. Implications for nursing management- The impact of disempowering relationships on actual continuity of care and perceptions of quality among service users and providers. Lessons need to be learnt from specialist services and applied to service delivery in general.
dc.format.extent105-114
dc.publisherWiley
dc.relation.ispartofJournal of Nursing Management
dc.titleOlder persons experiences of whole synstemsL the impact of health and social care organizational structures
dc.typearticle
dcterms.accessRightsrestricted
dc.description.facultysch_nur
dc.description.volume16
dc.identifier.doihttp://10.1111/j.1365-2834.2007.00823.x
dc.description.ispublishedpub
dc.description.eprintid3429
rioxxterms.typearticle
qmu.authorMcCormack, Brendan
dc.description.statuspub
dc.description.number2


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