This chapter develops a critique on the current approaches to studying the impact of management ideas. We found that, in the light of the broader flow of management ideas, the extant streams of literature on diffusion and implementation both apply relatively narrow scopes with respect to the local-extra-local relationships involved in the adoption decision, and have each paid limited attention to the agentic meaning making related to the adoption dynamics. In other words, prior work on the impact of management ideas has considered only parts of the broader flow of these ideas, leaving critical aspects concerning scope and agency under-conceptualised. In response to these challenges, we posit that studying management practitioners as audience members is necessary to deepen our understanding of the complexities concerning their impact on management and organisational practice and beyond. After all, managerial audiences are likely to play a critical role in how ideas flow between different contexts, and, given the omnipresence of the current business media as well as management education, being an audience member is an essential part of the contemporary managerial role.

In this chapter we not only challenge the current views of the nature of contemporary managerial work – to one that includes a conceptualisation of management practitioners as audience members both within and beyond mass communication settings, but also contribute to bridging and extending the currently disconnected approaches to studying the impact of ideas. On the basis of these findings, the book argues that current approaches to studying the impact of management ideas need a much deeper and broader view by further integrating important aspects of flow concerning scope and agentic meaning making particularly in relation to (A) the dynamics of managerial audience activities, (B) the protracted involvement of managerial audiences, (C) the managerial audience members’ social uses of ideas and (D) the managerial audience members’ textual productivity.

This chapter addresses the topic of information we receive about or from patients and introduces the concepts of privacy and confidentiality in relation to the management of patient information. In this chapter we also outline legal requirements for reporting harmful conduct of health professionals and others. Providing excellent nursing care for a patient requires that each nurse involved in the patient’s care acquire relevant information from the patient (or a representative) concerning the patient’s symptoms, their lifestyle, their medications, their concerns and their experiences. Therefore, nurses routinely see, hear, read and record things about other people that are not normally discussed outside the health-care setting, and have privileged access to matters of patient privacy. This brings with it certain legal and moral obligations. Therefore, managing information about patients is one of the most important ethical and legal roles nurses play in health care and, owing to modern technology (as we discuss below), it is arguably one of the greatest challenges faced by professional practice.