David Greenfield

Changing Practice in a Health Organisation: the Development of Professional Expertise and Accountability in a Community of Practice: the Technologisation of Practice David Greenfield

There is a need for research to understand change processes and knowledge management in health service organisations. Mapping the ongoing development of knowledge and ensuring the accountability of professionals, individually and in teams, are critical issues for organisations. Drawing on the theoretical ideas of governance, governmentality and a community of practice the book addresses these issues. The book demonstrates how professional collaboration becomes necessitated under pressure of enacting increasingly complex work activities; an outcome being, changing practices and extended accountability relationships which enacts discipline while realising professional expertise. The technologisation of practice refers to the artefacts, conduct and the processes through which the conceptualisation and enactment of healthcare (nursing) practice has become increasingly standardised. The book will stimulate ideas and discussion for managers, professionals and students interested in organisation studies, change management and knowledge management fields.