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Instrumentalisation of the health system: An examination of the impact on nursing practice and patient autonomy.

Authors :
Molina‐Mula, Jesús
Peter, Elizabeth
Gallo‐Estrada, Julia
Perelló‐Campaner, Catalina
Source :
Nursing Inquiry. Jan2018, Vol. 25 Issue 1, p1-1. 8p. 1 Chart.
Publication Year :
2018

Abstract

Most current management systems of healthcare institutions correspond to a model of market ethics with its demands of competitiveness. This approach has been called managerialism and is couched in terms of much‐needed efficiencies and effective management of budgetary constraints. The aim of this study was to analyse the decision‐making of nurses through the impact of health institution management models on clinical practice. Based on Foucault's ethical theory, a qualitative study was conducted through a discourse analysis of the nursing records in a hospital unit. The results revealed that the health institution standardises health care practice, which has an impact on professional and patient autonomy as it pertains to decision‐making. The results of this research indicate that resistance strategies in the internal structures of health organisations can replace the normalisation and instrumentalisation of professional practice aimed at promoting patient self‐determination. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
13207881
Volume :
25
Issue :
1
Database :
Academic Search Index
Journal :
Nursing Inquiry
Publication Type :
Academic Journal
Accession number :
127390060
Full Text :
https://doi.org/10.1111/nin.12201