title: The shaping of organisational routines and the distal patient in assisted reproductive technologies.
abstract: In this paper we comment on the changes in the provision of fertility care in Australia, New Zealand and the UK to illustrate how different funding arrangements of assisted reproductive technologies (ART) shape the delivery of patient care and the position of fertility nursing. We suggest that the routinisation of in vitro fertilisation technology has introduced a new way of managing the fertility patient at a distance, the distal fertility patient. This has resulted in new forms of organisational routines in ART which challenge both traditional forms of nursing and advanced nursing roles. We discuss the consequences of this increasingly globalised approach to infertility through the lens of three national contexts, Australia, New Zealand and the UK to unpack the position of nursing within the new forms of organisational routines.
authors.affiliation: University of Surrey, Guildford, Surrey, UK. h.allan@surrey.ac.uk
authors.forename: Helen
authors.initials: H
authors.lastname: Allan
authors.forename: Sheryl
authors.initials: S
authors.lastname: de Lacey
authors.forename: Deborah
authors.initials: D
authors.lastname: Payne
mesh_terms: D001315:Australia; D005193:Family Planning Services / Q000458:organization & administration*; D006297:Health Services Accessibility; D006801:Humans; D007246:Infertility; D009520:New Zealand; D024802:Nurse's Role; D027724:Reproductive Techniques, Assisted / Q000451:nursing*; D014195:Travel; D006113:United Kingdom