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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.
摘要：
医疗保健系统中管理主义的兴起已在全球范围内引起注意。本文使用范围研究的结果来调查在这种情况下英国护士和助产士表现不佳的管理。NHS中临床医生绩效不佳的管理已被视为一个重大的政策问题。在全球许多卫生系统中，专业和管理团体之间的权力分配发生了深刻的变化。我们研究了2000年至10年间发表的文献，以探讨不良绩效及其管理方面。我们使用了WebofScience,CINAHL,MEDLINE,英国护理指数，HMIC,Cochrane图书馆和PubMed。经验数据有限，但表明护士和助产士是最有可能被停职的临床群体，表现不佳通常表现为个人赤字。将个人作为麻烦的根源，可以分散人们对更复杂的系统性问题的注意力。
