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Team Nursing: Professional Coordination or Bureaucratic Control?

Опубликовано на портале: 23-03-2007
Journal of Health and Social Behavior. 1982.  Vol. 23. No. 1. P. 84-95. 
Nursing teams are conceptualized as coordination mechanisms that respond to task interdependence within the hospital unit. The form of coordination is predicted to result from organizational decision makers' conceptions of the work to be performed as well as the more objective characteristics of the work. The effects of these technological variables on coordination are mediated by the size of the unit and the degree of professionalism exhibited by the nursing staff. A path model is constructed and tested using a sample of 146 patient care units from a national sample of 17 hospitals. In general, the results are supportive of the model: both conceptions of a task and task predictability (or known technology) appear to affect coordination through other structural characteristics of the unit. On larger units the nursing team provides a hierarchical control mechanism, whereas teaming in units characterized by greater staff professionalism provide a means of lateral coordination as well as hierarchical control.

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текст статьи в jstor: http://links.jstor.org/sici?sici=0022-1465%28198203%2923%3A1%3C84%3ATNPCOB%3E2.0.CO%3B2-J
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