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Aprire la black box dell’innovazione organizzativa: l’Intensità di Cura in pratica
Titolo Rivista: MECOSAN 
Autori/Curatori: Elisa Giulia Liberati 
Anno di pubblicazione:  2015 Fascicolo: 95 Lingua: Italiano 
Numero pagine:  25 P. 55-79 Dimensione file:  20190 KB
DOI:  10.3280/MESA2015-095004
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Innovare verso un modello per Intensita delle Cure (IdC) offre agli ospedali importanti potenzialita di miglioramento, tanto a livello di erogazione delle cure quanto sul piano organizzativo e gestionale. L’introduzione del modello IdC implica, peraltro, sostanziali modifiche nella struttura organizzativa e professionale dell’ospedale tradizionale nonche nelle sue precedenti modalita di funzionamento, finora poco esplorate dalla letteratura. Il presente studio analizza i processi di cambiamento sociale che sottendono e danno forma all’innovazione IdC. Fondato sui risultati di un’indagine etnografica, lo studio mostra che l’innovazione non consiste in un mero processo di adattamento, ma piuttosto in una complessa interazione tra il nuovo modello organizzativo e la struttura sociale preesistente dell’ospedale (per esempio gerarchie, norme comportamentali, gerghi in uso, regole implicite per la regolazione di autonomia e potere). Tale interazione genera sia esiti desiderati, sia effetti inattesi, che richiedono governo e attenta considerazione. Cosi ad esempio la creazione di nuovi team e setting di cura puo portare alla rinegoziazione degli accordi impliciti riguardo all’autonomia degli infermieri, interpretata in modo differente da professionisti di diverse specialita. Il contributo approfondisce questi processi e propone riflessioni e linee d’azione per decisori e manager, al fine di colmare il divario tra i programmi formali e le pratiche di cura quotidiane, capitalizzando cosi le potenzialita dell’innovazione.


Keywords: Innovazione, ospedale, intensita di Cura, etnografia, pratiche, sistema sociale

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  1. Francesco Ventrella, Francesca Fortunato, Organizzazione della Struttura Complessa di Medicina interna per intensità di cure: l'Area critica di Medicina interna in MECOSAN 112/2020 pp. 7, DOI: 10.3280/MESA2019-112002

Elisa Giulia Liberati, in "MECOSAN" 95/2015, pp. 55-79, DOI:10.3280/MESA2015-095004

   

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