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A discourse analysis of managerialism and trust amongst nursing professionals

Author

Listed:
  • McCabe Thomas Joseph

    (National College of Ireland, Dublin, Ireland)

  • Sambrook Sally Anne

    (Bangor, University, Wales, UK)

Abstract

This study explores the effects of New Public Management (NPM) on trust amongst nursing professionals, nurses and nurse ward managers within the British National Health Service (NHS). Thirty-nine nurses and nurse ward managers, recruited randomly, participated in semi-structured interviews. The original data, collected in 2000-2002, are re-analysed from a discourse analysis perspective. The findings support and extend contemporary research. They show that nurses have a strong professional identity and commitment and that increasing managerialism is eroding trust. Nurses both accommodate and resist managerialist discourses. They conceptualise trust in terms of their own ward environment, line-manager and colleagues. Trust is reciprocal and related to previous experiences and other factors. Trust is beneficial to healthcare organisations, healthcare professionals and their patients. Good communication and openness positively influence the development of trust. Nurse ward managers play a pivotal role in translating contested managerialist discourse into nursing practice to sustain trust and effect professional patient care.

Suggested Citation

  • McCabe Thomas Joseph & Sambrook Sally Anne, 2019. "A discourse analysis of managerialism and trust amongst nursing professionals," The Irish Journal of Management, Sciendo, vol. 38(1), pages 38-53, December.
    • Handle: RePEc:vrs:irjman:v:38:y:2019:i:1:p:38-53:n:3
    DOI: 10.2478/ijm-2018-0009
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    References listed on IDEAS

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    1. Kurunmaki, Liisa, 2004. "A hybrid profession--the acquisition of management accounting expertise by medical professionals," Accounting, Organizations and Society, Elsevier, vol. 29(3-4), pages 327-347.
    2. Martin, Graham P. & Learmonth, Mark, 2012. "A critical account of the rise and spread of ‘leadership’: The case of UK healthcare," Social Science & Medicine, Elsevier, vol. 74(3), pages 281-288.
    3. Lars Tummers & Victor Bekkers & Bram Steijn, 2009. "Policy Alienation of Public Professionals," Public Management Review, Taylor & Francis Journals, vol. 11(5), pages 685-706, September.
    4. Kyoung‐Hee Yu & Frank Levy, 2010. "Offshoring Professional Services: Institutions and Professional Control," British Journal of Industrial Relations, London School of Economics, vol. 48(4), pages 758-783, December.
    5. Patrick Brown & Andy Alaszewski & David Pilgrim & Michael Calnan, 2011. "The quality of interaction between managers and clinicians: a question of trust," Public Money & Management, Taylor & Francis Journals, vol. 31(1), pages 43-50, January.
    6. Jerry Hallier & Tom Forbes, 2004. "In Search of Theory Development in Grounded Investigations: Doctors’ Experiences of Managing as an Example of Fitted and Prospective Theorizing," Journal of Management Studies, Wiley Blackwell, vol. 41(8), pages 1379-1410, December.
    7. Gilson, Lucy, 2003. "Trust and the development of health care as a social institution," Social Science & Medicine, Elsevier, vol. 56(7), pages 1453-1468, April.
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