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Change and the NHS workforce: Ambivalence, anxiety and anger

Ball, E and Regan , P 2010, 'Change and the NHS workforce: Ambivalence, anxiety and anger ' , Nurse Education in Practice, 10 (3) , pp. 113-114.

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    Abstract

    Working in a healthcare system defined by change necessitates, at the least, some degree of intermittent observation. Being commited to change to ensure delivery of 21st century care asks for much more. It means trusting and believing in change. Yet sometimes change in the National Health Service evokes amongst staff a view that reforms are not always thought through from implementation to evaluation, and are determined by overriding political agendas which results in NHS users are exhibiting an ambivalent or anxious response to change measures (Wallace & Taylor-Gooby 2009). As a result, implementation can be hampered; and impacts further when a sense of mistrust is inculcated within an institution and change is viewed skeptically (Greener & Martin Powell 2008). This is not helped when reform from 2007-2009 came with job freezes and financial budgeting deficits, rather than reform to improve quality (Peters 2009; Craig & Adams 2007). Such strategies may or may-not have long-term cost effective outcomes, but what worries practitioners is that a reduction in the provision of services made available to patients might ensue (White 2008). It is feared that the tension between quality and budgeting constraints will only increase in the current climate. It is therefore timely that change is debated when reform frameworks and market-style initiatives are in such proliferation.

    Item Type: Article
    Themes: Subjects / Themes > R Medicine > RT Nursing
    Health and Wellbeing
    Schools: Colleges and Schools > College of Health & Social Care
    Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences
    Journal or Publication Title: Nurse Education in Practice
    Publisher: Elsevier
    Refereed: Yes
    ISSN: 1471-5953
    Depositing User: Dr Elaine Ball
    Date Deposited: 21 Jul 2010 14:10
    Last Modified: 20 Aug 2013 17:19
    References: Cooke, H. (2006). Seagull management and the control of nursing work, Work, employment and society, 20(2): 223–243. Department of Health (2007a). Our NHS; Our Future; NHS Next Stage Interim Review, Crown copyright. Department of Health (2007b) Facing the future: A review of the role of health visitor, Crown copyright. Greener I and Martin Powell (2008)The changing governance of the NHS: Reform in a post-Keynesian health Service, Human Relations, 61(5): 617–636. Healthcare commission (2007) The annual health check 2006/2007: A national overview of the performance of NHS trusts in England http://www.healthcarecommission.org.uk/_db/_documents/Annual_health_check_national_overview_2006-2007.pdf Accessed 10.12.2009 Health and Safety Executive (2007). Work-related ill health and injuries in health and social care, http://www.hse.gov.uk/statistics/industry/healthservices.htm Accessed 10.12.2009 Paton, C (2007) Visible hand or invisible fist? The new market and choice in the English NHS. Health Economics, Policy and Law, 2, 317–25. Peckham, S., Exworthy, M., Greener, I. & Powell, M (2005) Decentralizing health services: More local accountability or just more central control. Public Money and Management, 25, 221–8. Peters D (2009) Integration, long term disease and creating a sustainable NHS Journal of holistic healthcare, 6(5) 1-7. Wallace A and P Taylor-Gooby (2009) New labour and reform of the English NHS: user views and attitudes, Journal of Public Participation in Health 23:1-10. Taylor-Gooby P, Wallace A. (2009) Public values and public trust: responses to welfare state reform in the UK. Journal of Social Policy, 38: 1-19. UNITE. (2007). Unite health section; Who Cares? Autumn, http://www.amicus-cphva.org/docs/The%20Who%20Cares%20briefing%20paper-Sept%2007%20update.doc Accessed 10.12.2009 White, A (2008) Where is the community nursing research workforce? British Journal of Community Nursing 13(3) 3-7. Craig, I. Adams, C. (2007). Survey shows ongoing crisis in health visiting, Community Practitioner, 80(11) 33-40. Marshak, R. J. Grant, D. (2008) Organizational Discourse and New Organization Development Practices. British Journal of Management, Volume 19, Issue 1, Page 7-19. Schwarz G. M. Huber, G. P. (2008) Challenging organizational change research, British Journal of Management, Volume 19, Issue s1, Page 1-6.
    URI: http://usir.salford.ac.uk/id/eprint/9487

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