‘It's all about time’: Temporal effects of cancer pathway introduction in treatment and care

Pedersen, Kirstine Zinck; Obling, Anne Roelsgaard

doi:10.1016/j.socscimed.2020.112786

Cited by 10 publications

(10 citation statements)

References 50 publications

(71 reference statements)

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“…Thus, the proclaimed crisis of care seems to involve more than lack of time, representing also a shift in orientations to, and valuations of time, related to notions of what care is and should be in a modern hospital context. Temporality is, however, rarely treated as a research object in its own right in studies of healthcare organisations and caring relationships (Habran and Battard, 2019;Pedersen and Roelsgaard Obling, 2020). This study contributes to the literature on the current condition of care by exploring the temporal structuring of caring practices among nurses on a Norwegian cancer ward, and emphasising the need to rethink why and how time to care matters.…”

Section: Introductionmentioning

confidence: 96%

Time to care - An ethnographic study of how temporal structuring affects caring relationships in clinical nursing

Ihlebæk

2021

Social Science & Medicine

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Section: Introductionmentioning

confidence: 96%

Time to care - An ethnographic study of how temporal structuring affects caring relationships in clinical nursing

Ihlebæk

2021

Social Science & Medicine

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“…Waterworth (2003) argues that nurses' experiences of time, referred to as temporal reference frameworks (Zerubavel, 1979), are not a matter of individual conceptualisation necessarily but are associated with implicit shared understandings of temporality inherent in teamwork. Drawing on Waterworth's argument, Pedersen and Roelsgaard Obling (2020) caution against leaping to presumptions that temporal structures are inherently more or less humane, for example, not assuming that standardisation is necessarily inhumane. The current study demonstrates that good care is typically a synthesis of temporal structures.…”

Section: Discussionmentioning

confidence: 99%

An analysis of time conceptualisations and good care in an acute hospital setting

Dewar,

Cook,

Smythe

et al. 2023

Nursing Inquiry

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This study articulates the relationship between conceptualisations of time and the accounts of good care in an acute setting. Neoliberal healthcare services, with their focus on efficiencies, predominantly calculate quality care based on time‐on‐the‐clock workforce management planning systems. However, the ways staff conceptualise and then relate to diverse meanings of time have implications for good care and for staff morale. This phenomenological study was undertaken in acute medical–surgical wards, investigating the contextual, temporal nature of care embedded in human relations. The study interviews involved 17 participants: 11 staff, 3 previous patients and 3 family members. Data were analysed iteratively to surface the phenomenality of temporality and good care. The following constituents of the data set are explored that together illustrate the relationship between the conceptualisations of time and the accounts of good care in an acute setting: patient time as a relational journey; patient time, sovereign time and time ethics and time, teamwork and flow. The findings are clinically significant because they offer a contrasting narrative about the relationship between time and care quality. The experiences of giving and receiving good care are indivisible from how temporality is experienced and the social relations within which care is embedded. Healthcare staff experience temporality differently from patients and families, a point that healthcare participants in this study appeared to comprehend and accommodate. For all parties involved in providing care or being the recipient of care, however, the capacity to be present was valued as a humanising ethic of care. Our study reinforces the importance of not creating presumptive binaries about which temporal structures are more or less humanising—there is a place for a fast‐paced tempo, which can be experienced as being in the flow of human relations with one's team and on behalf of patients.

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“…The modern hospital is a context where the focus on time optimisation has been concomitant with an increased use of universally designed infrastructure, permeated by standardised and digitalised technologies. According to the promoters of this technological development, digitalisation bears the promise of improved efficiency and quality of care, by altering the temporal structures of treatment trajectories and work practices (Pedersen & Roelsgaard Obling, 2020). Hence, 'faster' is taken as a corollary of 'better' , thus enabling improved access to healthcare services, better allocation of economic and human resources, and resilience in the face of new emerging demographic challenges (Adam, 2004;Pedersen & Roelsgaard Obling, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…According to the promoters of this technological development, digitalisation bears the promise of improved efficiency and quality of care, by altering the temporal structures of treatment trajectories and work practices (Pedersen & Roelsgaard Obling, 2020). Hence, 'faster' is taken as a corollary of 'better' , thus enabling improved access to healthcare services, better allocation of economic and human resources, and resilience in the face of new emerging demographic challenges (Adam, 2004;Pedersen & Roelsgaard Obling, 2020). However, increased digitalisation in and of healthcare systems has also been said to have wide-reaching implications, with unintended and often opposing or surprising outcomes.…”

Section: Introductionmentioning

confidence: 99%

Becoming In/dependent: An Assemblage Analysis of Technical Design from Below

Foss,

Sørhaug

2023

Lost in Digital Translations: Studies of Digital Resistance and Accommodation to the Welfare State in Practice

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In this chapter we investigate the resistance of two tech-savvy speech and mobility impaired users to increased attempts at digitalising their communication devices. Though these informants are keen users of technology and accommodate various types to increase their ability to become independent, they are also highly critical of the technologies they are continuously confronted with. Through in-depth ethnography, we suggest a context-sensitive approach when introducing new technology, for people who are not always able to communicate and express what they mean directly. We believe that we need to be attentive to what is being introduced, as well as to what is taken away from the assemblage of speech and mobility impaired users and their technologies. In a society that is increasingly streamlining services and communication towards digital technologies, we need to be attentive to users’ resistance, and how digitalisation might hinder people’s ability to become independent.

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‘It's all about time’: Temporal effects of cancer pathway introduction in treatment and care

Cited by 10 publications

References 50 publications

Time to care - An ethnographic study of how temporal structuring affects caring relationships in clinical nursing

Time to care - An ethnographic study of how temporal structuring affects caring relationships in clinical nursing

An analysis of time conceptualisations and good care in an acute hospital setting

Becoming In/dependent: An Assemblage Analysis of Technical Design from Below

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