Nurses and the Manchester: rearranging the work process and emergency care?

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  • Additional Information
    • Source:
      Publisher: Associacao Brasileira de Enfermagem Country of Publication: Brazil NLM ID: 7910105 Publication Model: eCollection Cited Medium: Internet ISSN: 1984-0446 (Electronic) Linking ISSN: 00347167 NLM ISO Abbreviation: Rev Bras Enferm
    • Publication Information:
      Publication: Brasilia : Associacao Brasileira de Enfermagem
      Original Publication: Brasilia [s.n.]
    • Subject Terms:
      Emergency Medical Services* ; Patient Care Management* ; Triage*; Emergency Nursing/*organization & administration ; Emergency Service, Hospital/*organization & administration ; Nurses/*psychology; Emergencies ; Humans ; Nursing Care
    • Abstract:
      Objective: to understand the changing roles of nurses in labor division organization in hospitals from the Manchester Triage System implementation in an emergency hospital.
      Methods: this is an ethnographic study that used different production techniques and data analysis.
      Results: the Manchester Triage System organized flows and places resulting in quality of care and changes in work processes. Conflict relationships related to disagreements in risk stratification were present.
      Final Considerations: the traditional roles of nurses have been transformed, but it cannot be said that there was a structural change in their position in labor division organization in hospitals. The frontiers of autonomy, therefore of increasing the professionalization of nurses, are neither fixed nor stable, expanding or contracting according to the micropolitical changes in the governance of care.
    • Publication Date:
      Date Created: 20210422 Date Completed: 20210617 Latest Revision: 20220422
    • Publication Date:
      20250114
    • Accession Number:
      10.1590/0034-7167-2020-0450
    • Accession Number:
      33886927