ArticleJournal of health organization and management2024
The collaborative and professional boundary challenges from a bottom-up perspective: an insider action research study on a hospital ward.
Article in Journal of health organization and management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- The Evolving Role of Nurses in Hospital Settings-A Scoping Review.Journal of advanced nursing · 2026Article
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Authors and funding
4 authors.
Funding
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Abstract
purposeThe aim of this study was to identify and describe the collaborative and professional boundary challenges at a hospital ward from a bottom-up perspective. DESIGN/METHODOLOGY/APPROACH: The study was conducted as a bottom-up improvement project at a hospital ward in western Sweden. An insider action research (IAR) approach was used during the project. The theoretical framework for this project was based on the Cultural-Historical Activity Theory (CHAT). Data were collected between 2019 and 2021.
findingsThe findings showed that unclear professional boundaries and limited resources challenged and hindered interprofessional collaboration. The project group had to reorganize its daily work to adjust to the different disciplines' legal responsibilities in relation to the patients' recovery process. To safely discharge patients, the professionals needed to talk about each other's professional responsibilities, professional boundaries and ethical codes. ORIGINALITY/VALUE: The IAR project revealed that revising the daily team-round routine improved the status of assistant nurses and encouraged physicians to consider input from all professions during the patients' recovery process. However, the new approach faced resistance from clinic leadership, who believed it could prolong patients' stays in the ward. The findings underscore the challenges of modifying hierarchical structures and social orders within hospital settings.
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