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Table 3 Overview: key findings

From: Organizing work in local service implementation: an ethnographic study of nurses’ contributions and competencies in implementing a municipal acute ward

The nurses’ organizational work

Temporal articulation

Integrative articulation

Material articulation

The nurses drew on knowledge and overview of individual patients need for care and the capacity of the care environment to accommodate these and anticipated potential consequences of conflicting work pressure.

The nurses argued the importance of matching the potential patient’s need with the capacity of the care environment to adequately respond to them and demonstrated a holistic understanding when negotiating local adjustment of the MAW.

The nurses identified how the MAW required greater overview over care arrangements and contributed to formalizing these aspects in the clinics’ framework through writing up new and revised procedures.

The nurses worked to determine how to sequence the action and prioritize the patients in the new, extended service.

The nurses contributed to ensuring that the MAW was interconnected and facilitating coherence in the new extended service.

The nurses undertook great responsibility for establishing and securing access to material to support the work at the clinic and creating a safety net.