The Path from policy to practice: resilience of everydaywork in acute settings

Robyn Clay-Williams, Julie K. Johnson, Deborah Debono, Jeffrey Braithwaite

Research output: Chapter in Book/Report/Conference proceedingChapterResearchpeer-review

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 process and presents an alternative 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.
LanguageEnglish
Title of host publicationManaging change
Subtitle of host publicationfrom health policy to practice
EditorsSusan Boch Waldorff, Anne Reff Pedersen, Louise Fitzgerald, Ewan Ferile
Place of PublicationBasingstoke, UK
PublisherPalgrave Macmillan
Pages26-38
Number of pages13
ISBN (Print)9781137518156
Publication statusPublished - 2015
EventInternational Organisational Behaviour in Healthcare Conference (9th : 2014) - Copenhagen, Denmark
Duration: 23 Apr 201425 Apr 2014

Publication series

NameOrganizational behaviour in health care series
PublisherPalgrave Macmillan

Conference

ConferenceInternational Organisational Behaviour in Healthcare Conference (9th : 2014)
CountryDenmark
CityCopenhagen
Period23/04/1425/04/14

Fingerprint

policy implementation
resilience
patient care
interpretation

Cite this

Clay-Williams, R., Johnson, J. K., Debono, D., & Braithwaite, J. (2015). The Path from policy to practice: resilience of everydaywork in acute settings. In S. B. Waldorff, A. R. Pedersen, L. Fitzgerald, & E. Ferile (Eds.), Managing change: from health policy to practice (pp. 26-38). (Organizational behaviour in health care series). Basingstoke, UK: Palgrave Macmillan.
Clay-Williams, Robyn ; Johnson, Julie K. ; Debono, Deborah ; Braithwaite, Jeffrey. / The Path from policy to practice : resilience of everydaywork in acute settings. Managing change: from health policy to practice. editor / Susan Boch Waldorff ; Anne Reff Pedersen ; Louise Fitzgerald ; Ewan Ferile. Basingstoke, UK : Palgrave Macmillan, 2015. pp. 26-38 (Organizational behaviour in health care series).
@inbook{a38967d2d7034f76b49dd9f3b1c660e2,
title = "The Path from policy to practice: resilience of everydaywork in acute settings",
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 process and presents an alternative 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.",
author = "Robyn Clay-Williams and Johnson, {Julie K.} and Deborah Debono and Jeffrey Braithwaite",
year = "2015",
language = "English",
isbn = "9781137518156",
series = "Organizational behaviour in health care series",
publisher = "Palgrave Macmillan",
pages = "26--38",
editor = "Waldorff, {Susan Boch} and Pedersen, {Anne Reff} and Louise Fitzgerald and Ewan Ferile",
booktitle = "Managing change",
address = "United Kingdom",

}

Clay-Williams, R, Johnson, JK, Debono, D & Braithwaite, J 2015, The Path from policy to practice: resilience of everydaywork in acute settings. in SB Waldorff, AR Pedersen, L Fitzgerald & E Ferile (eds), Managing change: from health policy to practice. Organizational behaviour in health care series, Palgrave Macmillan, Basingstoke, UK, pp. 26-38, International Organisational Behaviour in Healthcare Conference (9th : 2014), Copenhagen, Denmark, 23/04/14.

The Path from policy to practice : resilience of everydaywork in acute settings. / Clay-Williams, Robyn; Johnson, Julie K.; Debono, Deborah; Braithwaite, Jeffrey.

Managing change: from health policy to practice. ed. / Susan Boch Waldorff; Anne Reff Pedersen; Louise Fitzgerald; Ewan Ferile. Basingstoke, UK : Palgrave Macmillan, 2015. p. 26-38 (Organizational behaviour in health care series).

Research output: Chapter in Book/Report/Conference proceedingChapterResearchpeer-review

TY - CHAP

T1 - The Path from policy to practice

T2 - resilience of everydaywork in acute settings

AU - Clay-Williams, Robyn

AU - Johnson, Julie K.

AU - Debono, Deborah

AU - Braithwaite, Jeffrey

PY - 2015

Y1 - 2015

N2 - 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 process and presents an alternative 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.

AB - 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 process and presents an alternative 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.

M3 - Chapter

SN - 9781137518156

T3 - Organizational behaviour in health care series

SP - 26

EP - 38

BT - Managing change

A2 - Waldorff, Susan Boch

A2 - Pedersen, Anne Reff

A2 - Fitzgerald, Louise

A2 - Ferile, Ewan

PB - Palgrave Macmillan

CY - Basingstoke, UK

ER -

Clay-Williams R, Johnson JK, Debono D, Braithwaite J. The Path from policy to practice: resilience of everydaywork in acute settings. In Waldorff SB, Pedersen AR, Fitzgerald L, Ferile E, editors, Managing change: from health policy to practice. Basingstoke, UK: Palgrave Macmillan. 2015. p. 26-38. (Organizational behaviour in health care series).