What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings.
Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. Adv Health Sci Educ Theory Pract. 2016;21(4):803-17. doi:10.1007/s10459-016-9667-8.
This ethnographic study examined the effects of top-down targets and protocols on health care providers' practices in an emergency department and a mental health ward in the United Kingdom. Top-down policy directives seemed to disrupt work patterns and led to unintended consequences.