Disciplinary processes and the management of poor performance among UK nurses: bad apple or systemic failure? A scoping study

Article


Traynor, M., Stone, K., Cook, H., Gould, D. and Maben, J. 2014. Disciplinary processes and the management of poor performance among UK nurses: bad apple or systemic failure? A scoping study. Nursing Inquiry. 21 (1), pp. 51-58. https://doi.org/10.1111/nin.12025
TypeArticle
TitleDisciplinary processes and the management of poor performance among UK nurses: bad apple or systemic failure? A scoping study
AuthorsTraynor, M., Stone, K., Cook, H., Gould, D. and Maben, J.
Abstract

The rise of managerialism within healthcare systems has been noted globally. This paper uses the findings of a scoping study to investigate the management of poor performance among nurses and midwives in the United Kingdom within this context. The management of poor performance among clinicians in the NHS has been seen as a significant policy problem. There has been a profound shift in the distribution of power between professional and managerial groups in many health systems globally. We examined literature published between 2000 and 10 to explore aspects of poor performance and its management. We used Web of Science, CINAHL, MEDLINE, British Nursing Index, HMIC, Cochrane Library and PubMed. Empirical data are limited but indicate that nurses and midwives are the clinical groups most likely to be suspended and that poor performance is often represented as an individual deficit. A focus on the individual as a source of trouble can serve as a distraction from more complex systematic problems.

KeywordsLiterature review; National Health Service; poor performance; professional misconduct; workplace discipline
PublisherWileyBlackwell
JournalNursing Inquiry
ISSN1320-7881
Publication dates
Online27 Feb 2013
Print16 Feb 2014
Publication process dates
Deposited18 Jun 2013
Accepted21 Jan 2013
Output statusPublished
Copyright Statement

Personal draft permitted.
This is the pre-peer reviewed version of the following article: Traynor M, Stone K, Cook H, Gould D and Maben J. Nursing Inquiry 2014; 21: 51–58 Disciplinary processes and the management of poor performance among UK nurses: bad apple or systemic failure? A scoping study, which has been published in final form at https://doi.org/10.1111/nin.12025. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

Additional information

Article published online: 27 Feb 2013. Print version published March 2014.

Digital Object Identifier (DOI)https://doi.org/10.1111/nin.12025
LanguageEnglish
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