The path from policy to practice: resilience of everyday work in acute settings

Clay-Williams, R; Johnson, J; Debono, D; Braithwaite, J

The path from policy to practice: resilience of everyday work in acute settings

Clay-Williams, R Johnson, J Debono, D

Braithwaite, J

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Publisher:: Palgrave Macmillan
Publication Type:: Chapter
Citation:: Managing Change From Health Policy to Practice, 2016, pp. 26 - 38
Issue Date:: 2016-04-29

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Field	Value	Language
dc.contributor.author	Clay-Williams, R	en_US
dc.contributor.author	Johnson, J	en_US
dc.contributor.author	Debono, D https://orcid.org/0000-0003-2095-156X	en_US
dc.contributor.author	Braithwaite, J	en_US
dc.contributor.editor	Waldorff, SB	en_US
dc.contributor.editor	Pedersen, AR	en_US
dc.contributor.editor	Fitzgerald, L	en_US
dc.contributor.editor	Ferlie, E	en_US
dc.date.issued	2016-04-29	en_US
dc.identifier.citation	Managing Change From Health Policy to Practice, 2016, pp. 26 - 38	en_US
dc.identifier.isbn	1137518162	en_US
dc.identifier.isbn	9781137518163	en_US
dc.identifier.uri	http://hdl.handle.net/10453/118912
dc.description.abstract	Implementation of policy in terms of detailed rigid protocols and procedures is perennially at odds with how everyday work is enacted in healthcare. This is especially evident when the needs of patients cannot be met by following guidance as written and can manifest as disconnects and misunderstandings between policymakers and clinicians. Healthcare is a complex adaptive system that does not lend itself to linear processes and ‘one-size-fits-all’ solutions, or standardization. This chapter provides a critique of policy implementation processes and presents an alternate perspective of policy implementation translated in terms of intent rather than inflexible directives. Several examples from acute care settings are provided to illustrate this perspective. Allowing for flexible interpretation of policy to meet the needs of patient care can result in a more resilient — and potentially safer — healthcare system	en_US
dc.publisher	Palgrave Macmillan	en_US
dc.relation.ispartof	Managing Change From Health Policy to Practice	en_US
dc.title	The path from policy to practice: resilience of everyday work in acute settings	en_US
dc.type	Chapter
utslib.location	Basingstoke, UK	en_US
utslib.for	111709 Health Care Administration	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 Health
utslib.copyright.status	closed_access
pubs.consider-herdc	true	en_US
pubs.place-of-publication	Basingstoke, UK	en_US
pubs.publication-status	Published	en_US

Abstract:

Implementation of policy in terms of detailed rigid protocols and procedures is perennially at odds with how everyday work is enacted in healthcare. This is especially evident when the needs of patients cannot be met by following guidance as written and can manifest as disconnects and misunderstandings between policymakers and clinicians. Healthcare is a complex adaptive system that does not lend itself to linear processes and ‘one-size-fits-all’ solutions, or standardization. This chapter provides a critique of policy implementation processes and presents an alternate perspective of policy implementation translated in terms of intent rather than inflexible directives. Several examples from acute care settings are provided to illustrate this perspective. Allowing for flexible interpretation of policy to meet the needs of patient care can result in a more resilient — and potentially safer — healthcare system

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

http://hdl.handle.net/10453/118912