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Rosemary Rushmer, CPPM, Department of Management, University of St Andrews
(PI contact at: rkr@st-andrews.ac.uk)
Gillian Pallis, Dundee Business School, University of Abertay Dundee
The NHS Plan (www.nhs.uk/nhsplan) suggests that one of the reasons that
the NHS has failed to meet its aims and objectives in the past is due
in part to outdated and inappropriate demarcation between professional
groups and the roles they perform. The difficulty that healthcare professionals
have in co-ordinating their work (busy workload, different working patterns
and shifts, different professional objectives), are well documented. Also
rigid interpersonal attitudes have been identified as unhelpful to the
willingness of the different professional groups to undertake greater
inter-professional collaboration. This work looks at the use, deployment
and collaboration between different practitioners working in health care
settings, focusing on the types of working relationships that the systems
of health delivery are likely to cultivate and foster. It would appear
that some contexts enhance the formation of collaborative and co-operative
working relationships whereas other detract from these.
Qualitative methods were used to collect opinions and reflective accounts from health care practitioners, exploring how they carry out their professional roles, dispense care, and work with colleagues. The types, patterns and trends in interaction, collaboration and working relationship that these encourage are represented in diagrammatic form (connate theory) -so that that the way that the diagram looks says something about the way the relationship is.
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