Learning and change in the redesign of a primary health care initiative

Rule, J; Dunston, R; Solomon, N

Learning and change in the redesign of a primary health care initiative

Rule, J Dunston, R Solomon, N

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Publication Type:: Journal Article
Citation:: Journal of Workplace Learning, 2016, 28 (7), pp. 451 - 467
Issue Date:: 2016-09-12

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Field	Value	Language
dc.contributor.author	Rule, J	en_US
dc.contributor.author	Dunston, R	en_US
dc.contributor.author	Solomon, N https://orcid.org/0000-0001-7223-0428	en_US
dc.date.issued	2016-09-12	en_US
dc.identifier.citation	Journal of Workplace Learning, 2016, 28 (7), pp. 451 - 467	en_US
dc.identifier.issn	1366-5626	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117959
dc.description.abstract	© 2016, © Emerald Group Publishing Limited. PurposeThis paper aims to provide an account of learning and change in the redesign of a primary health-care initiative in a large metropolitan city in Australia. Design/methodology/approachThe paper is based on research exploring the place and role of learning in the re-making of health professional practices in a major New South Wales Government health reform called HealthOne. The analysis and findings presented here make reference to data drawn from a longitudinal ethnographic study (2011-2014) conducted by an inter-disciplinary team of researchers from the University of Technology Sydney. Socio-material and practice-based approaches for understanding learning are used in working with the data. FindingsThere were substantial changes in professional practice, especially in the role of the General Practice Liaison Nurse. Changes, and the learning connected to the changes, were dynamically influenced by the macro-context. HealthOne was a reform initiative with a strong focus on achieving health service redesign and a consistent focus on staff developing new ways of thinking and operating. Although learning was often discussed, it was, for the most part, expressed in general terms, and there was a lack of a formal and well-developed approach to learning collectively and individually. Originality/valueThis research paper will inform future attempts at service redesign in community and primary health contexts and provides a site-specific examination of workplace learning in a context of rapid change.	en_US
dc.relation.ispartof	Journal of Workplace Learning	en_US
dc.relation.isbasedon	10.1108/JWL-09-2015-0069	en_US
dc.subject.classification	Business & Management	en_US
dc.title	Learning and change in the redesign of a primary health care initiative	en_US
dc.type	Journal Article
utslib.citation.volume	7	en_US
utslib.citation.volume	28	en_US
utslib.for	1301 Education Systems	en_US
utslib.for	1303 Specialist Studies in Education	en_US
utslib.for	1503 Business and Management	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences/FASS Faculty Administration
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences/Public Communication Program
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences/School of Communication
utslib.copyright.status	closed_access
pubs.issue	7	en_US
pubs.publication-status	Published	en_US
pubs.volume	28	en_US

Abstract:

© 2016, © Emerald Group Publishing Limited. PurposeThis paper aims to provide an account of learning and change in the redesign of a primary health-care initiative in a large metropolitan city in Australia. Design/methodology/approachThe paper is based on research exploring the place and role of learning in the re-making of health professional practices in a major New South Wales Government health reform called HealthOne. The analysis and findings presented here make reference to data drawn from a longitudinal ethnographic study (2011-2014) conducted by an inter-disciplinary team of researchers from the University of Technology Sydney. Socio-material and practice-based approaches for understanding learning are used in working with the data. FindingsThere were substantial changes in professional practice, especially in the role of the General Practice Liaison Nurse. Changes, and the learning connected to the changes, were dynamically influenced by the macro-context. HealthOne was a reform initiative with a strong focus on achieving health service redesign and a consistent focus on staff developing new ways of thinking and operating. Although learning was often discussed, it was, for the most part, expressed in general terms, and there was a lack of a formal and well-developed approach to learning collectively and individually. Originality/valueThis research paper will inform future attempts at service redesign in community and primary health contexts and provides a site-specific examination of workplace learning in a context of rapid change.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/117959