Challenges in achieving positive outcomes for children with complex congenital conditions: Safety and continuity of care

Hunter, Cynthia L; West, Carolyn
April 2010
Health Sociology Review;Apr2010, Vol. 19 Issue 1, p86
Academic Journal
Our aim is to examine a series of systems-level challenges to the continuity of care of a newborn (i.e. a particular case) in the rural–urban context. These challenges include the state-wide system whereby inadequate bed numbers relative to demand are monitored on a daily basis (bed management), specialist medical expertise as a resource, and the flow of information between hospitals in a rural–urban divide. Whether quality of care is maintained in light of these challenges is dependent on the relationships and ‘invisible’ work of a number of clinicians. Of critical importance are issues involving affective or invisible work and the solidary networks and relationships of clinicians. Ethnographic participant-observations were made of clinical teams and their networks in an Australian rural–urban health care service involving the multiple hospital admissions of a seriously-ill infant. The findings demonstrate that the system works because of clinicians' willingness to enact their practice knowledge, the networking they undertake, their resilience and the affective labour they perform to attend to patients' and families' needs. Ultimately the continuity of care is embedded in the quality of relationships as much as in specialist knowledge or professional expertise.


Related Articles

  • Resources.  // H&HN: Hospitals & Health Networks;Aug2001, Vol. 75 Issue 8, p45 

    Presents several information resources on the workforce shortage issue facing the United States health care system.

  • GETTING CREATIVE IN HEALTH CARE. Pagan, Janet; Cunningham, Stuart; Higgs, Peter // Media International Australia (8/1/07-current);Aug2009, Issue 132, p78 

    Health care accounts for a substantial and growing share of national expenditures, and Australia's health-care system faces some unprecedented pressures. This paper examines the contribution of creative expertise and services to Australian health care. They are found to be making a range of...

  • Be Wary of the Internet. Eads, Sean // Massage & Bodywork;Autumn/Winter2008 Body Sense, p40 

    The article offers suggestions when finding and evaluating healthcare information in the Internet. It is advised to get online health information at Web resources dedicated to provide only peer-reviewed medical information. The Webmd.com and Healthfinder.gov are resources that provide articles...

  • UV Curable Primer Surfacer.  // Fleet Equipment;Jul2005, Vol. 31 Issue 7, p63 

    The article reports that Montana Products Inc. has announced a new product--the UV21 SolarSpeed UV Curable Primer Surfacer. The product offers all the conveniences of a 1K urethane, but when cured with UV (ultra-violet) light it has all the properties of a 2K urethane. The maker said that this...

  • Evidence-based resources simplified. Kendall, Sandra // Canadian Family Physician;Feb2008, Vol. 54 Issue 2, p241 

    The article focuses on the Mount Sinai Hospital evidenced-based medicine (MSH EBM) algorithm for clinicians and allied-health professionals in hospitals. The algorithm helps the allied health professionals by summarizing the resources available to address clinical questions. It also provides...

  • Improving Cash Flow in a Down Economy.  // Journal of AHIMA;2009, Vol. 80 Issue 3, p22 

    The article focuses on the how health information management (HIM) reduce debts in tough economic times of the healthcare industry in the U.S. It states the important role of HIM professionals to properly manage cash flows. It also highlights the majority of the denials caused by administrative...

  • VIRTUAL HIM.  // Journal of AHIMA;2009, Vol. 80 Issue 3, p38 

    The article offers information on considering virtual health information management to improve levels of service in the U.S. healthcare industry. Virtual staffing and the goals of moving to a virtual department is considered. It also highlights the benefits offered for the staffing and employee...

  • Coeliac resource.  // British Journal of Community Nursing;Feb2007, Vol. 12 Issue 2, p87 

    The article reports on the launch the second in a series of five learning modules for health care professionals by the Coeliac Disease Resource Centre supported by Glutafin. The focus of module on patient groups at risk of coeliac disease. It aims to support clinical practice and increase...

  • Picture of Health. Coulson-Thomas, Colin // Management Services;Winter2010, Vol. 54 Issue 4, p20 

    The article focuses on using management tools to improve health care. It recommends the use of new tools to manage information, knowledge, and best practice to better support healthcare professionals and their relationships with patients as well as increasing public understanding. Diagnostic and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics