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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: 'I mean, obviously you're using your discretion': Nurses Use of Discretion in Policy Implementation
Author(s): Hoyle, Louise
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Keywords: Lipsky
health policy
policy implementation
street-level bureaucracy
Issue Date: Apr-2014
Citation: Hoyle L (2014) 'I mean, obviously you're using your discretion': Nurses Use of Discretion in Policy Implementation. Social Policy and Society, 13 (2), pp. 189-202.
Abstract: This article explores the application of Lipsky's (1980) notion of street-level bureaucracy for nursing staff. This article aims to demonstrate the importance of discretion within the day-to-day work of front-line nursing staff, which is similar to that of other public-sector workers. The findings are from an exploratory case study based within a Scottish inner-city hospital. It specifically focuses on how nurses can be seen to be street-level bureaucrats and how front-line nursing staff interpret policy. Discretion can be seen to be a significant feature within the front-line practice of nursing staff and this may have implications for the implementation of health policy.
DOI Link: 10.1017/s1474746413000316
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