The following paper is the first in a series of three papers to highlight current practice among governing body nurses, that is, nurses who hold the statutory role of nurse member on clinical commissioning groups in England. In this paper we present findings from a small pilot study into these nurses' experiences of Clinical Commissioning Groups. Their roles have emerged at a time of organisational change and in a period following extensive criticism of nursing and nurses in the media. We suggest that nurses' roles and experiences are affected by these contextual 'events' and by the emerging structures and diversity of clinical commissioning groups. We argue that governing body nurses' effectiveness in leading nurses and nursing on clinical commissioning groups may be affected by their relationships with other nurses, especially senior nurses, within clinical commissioning group localities. We suggest that it is timely to evaluate the effectiveness of statutory nurse member roles in influencing decision making on Clinical Commissioning Groups. and explore the experience of GBNs being appointed to CCGs; the ways in which they carry out their responsibilities; their perceived effectiveness in ensuring safe, patient-centred care, and the factors that influence this, in order to identify how GBNs can be best supported.
INTRODUCTION
This paper discusses the role of senior nurses who sit on clinical commissioning groups that now plan and procure most health services in England. These nurses are expected to bring a nursing view to all aspects of clinical commissioning group business (National Health Service England 2014a; Olphert 2014). The role is a senior level appointment and requires experience of strategic commissioning. However little is known about how nurses function in these roles. Following Barrientos' methodology (1998), published policy and literature were analysed to investigate these roles and NHS England's claim that nursing can influence and advance a nursing perspective in clinical commissioning groups. Drawing on work by Berg et al (2008Berg et al ( , 2014 on 'new public management' we discuss how nurses on clinical commissioning groups work at the alignment of the interests of biomedicine and managerialism. We propose that the way this nursing role is being implemented might paradoxically offer further evidence of the devaluing of nursing (Latimer 2014) rather than the emergence of a strong professional nursing voice at the level of strategic commissioning.
Little is known about how the effects of moral injury and trauma manifest amongst police Internet Child Abuse Teams. This article reports on the impacts of organisational role and environmental factors on moral injury and trauma amongst this population. Six participants were recruited from two police constabularies in the United Kingdom. Data were analysed using interpretative phenomenological analysis. Findings indicated that the participants’ moral injury and trauma were predominantly attributable to excessive workloads and stigma in relation to mental health within policing. Generic psychological interventions were insufficiently responsive to the complex needs of the police investigators.
In this article, the author discusses findings from an interpretative phenomenological study which explores challenging issues in relation to professionalism for counselling, and illuminates features in need of consideration in relation to organisational contexts. These features include the rapid reconfiguration of professionalism in response to contemporary organisational structures such as policy and managerial driven incentives. Using two individual semi-structured interviews, the meaning of professionalism for counsellors is explored. The author proposes that the rapidly growing disparity between old or occupational professionalism, as opposed to new or organizational professionalism, causes uncertainty for counsellors who may struggle to maintain their professional identity. The counsellor's sense of professionalism is further disempowered if they feel themselves unheard, causing the counsellor to either resist or disengage from organizational obligations. Findings suggest that a counsellor's sense of professionalism is more ably communicated if their place in an organisation is enacted rather than imposed. The author discusses the experiences of two counsellors in relation to the literature on professionalism, with focus upon the emotional reactions which were expressed as to organisational changes.
Background: Research recognizes that collaborative working between academic organizations and clinical institutions may help realize the effective delivery of patient care. Yet, few studies report on the processes required to effect the necessary changes. Ths article reports on a research process that was delivered by a team of academics and clinicians that aimed to illuminate processes of interprofessional collaboration.Methods and findings: Semi-structured interviews were conducted with eight participants selected from both a university and a foundation trust. Data were analyzed using thematic analysis.Conclusions: The fruits of interprofessional practice and collaboration have beneficialeffects, especially for the patient. These are realized through the collegialefforts of stakeholders from each organization, where consistent effort, cooperativeand inclusive actions facilitate participative agency, resulting in rich relationships.
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