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Systems, economics, and neoliberal politics: Theories to understand missed nursing care

journal contribution
posted on 07.10.2020, 00:00 by T Jones, A Drach-Zahavy, M Amorim-Lopes, Eileen WillisEileen Willis
The phenomenon of missed nursing care is endemic across all sectors. Nurse leaders have drawn attention to the implications of missed care for patient outcomes, with calls to develop clear political, methodological, and theoretical approaches. As part of this call, we describe three structural theories that inform frameworks of missed care: systems theory, economic theory, and neoliberal politics. The final section provides commentary on the strengths and limitations of these three theories, in the light of structuration theory and calls to balance this research agenda by reinstating nurse agency and examining the interactions between nurses as agents and the health systems as structures. The paper argues that a better understanding of variations in structure–agency interaction across the healthcare system might lead to more effective interventions at strategic leverage points. © 2020 John Wiley & Sons Australia, Ltd

Funding

Other

History

Volume

22

Issue

3

Start Page

586

End Page

592

Number of Pages

7

eISSN

1442-2018

ISSN

1441-0745

Publisher

Wiley-Blackwell

Peer Reviewed

Yes

Open Access

No

Acceptance Date

24/02/2020

External Author Affiliations

Virginia Commonwealth University; USA; Universidade do Porto and Católica Porto Business School, Portugal

Era Eligible

Yes

Journal

Nursing and Health Sciences