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The curse of bureaucratisation or the blessings of professionalisation? Nurses’ engaged adoption of quality management in hybrid managerial positions

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  • Ernst, Jette

Abstract

The paper concerns how new quality management in the Danish hospital sector has created new career and professionalisation opportunities for nurses. While the well-known dualism between the logics of professionalism and managerialism is challenged in the literature, not much is known about how engagement in the tighter steering of practice may converge with professional identities and meaningfulness in work. The paper applies a Bourdieusian and ethnographic approach to the examination of nurses’ enthusiastic involvement in quality management as they take up hybrid managerial positions in an acute care department. The findings demonstrate the importance of the material and symbolic value of scientific-bureaucratic knowledge in legitimizing quality management, achieving meaningfulness in practice and bolstering the professional role of nurses.

Suggested Citation

  • Ernst, Jette, 2019. "The curse of bureaucratisation or the blessings of professionalisation? Nurses’ engaged adoption of quality management in hybrid managerial positions," Scandinavian Journal of Management, Elsevier, vol. 35(3).
    • Handle: RePEc:eee:scaman:v:35:y:2019:i:3:s0956522118303439
    DOI: 10.1016/j.scaman.2019.101050
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    References listed on IDEAS

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    1. Triantafillou, Peter, 2014. "Against all odds? Understanding the emergence of accreditation of the Danish hospitals," Social Science & Medicine, Elsevier, vol. 101(C), pages 78-85.
    2. Tracey Norris & Vidar Melby, 2006. "The Acute Care Nurse Practitioner: challenging existing boundaries of emergency nurses in the United Kingdom," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(3), pages 253-263, March.
    3. Choi, Soki & Holmberg, Ingalill & Löwstedt, Jan & Brommels, Mats, 2011. "Executive management in radical change--The case of the Karolinska University Hospital merger," Scandinavian Journal of Management, Elsevier, vol. 27(1), pages 11-23, March.
    4. Tony J. Watson, 2011. "Ethnography, Reality, and Truth: The Vital Need for Studies of ‘How Things Work’ in Organizations and Management," Journal of Management Studies, Wiley Blackwell, vol. 48(1), pages 202-217, January.
    5. Kristiansen, Margrethe & Obstfelder, Aud & Lotherington, Ann Therese, 2015. "Nurses’ sensemaking of contradicting logics: An underexplored aspect of organisational work in nursing homes," Scandinavian Journal of Management, Elsevier, vol. 31(3), pages 330-337.
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    Cited by:

    1. Andersson, Thomas & Gadolin, Christian, 2020. "Understanding institutional work through social interaction in highly institutionalized settings: Lessons from public healthcare organizations," Scandinavian Journal of Management, Elsevier, vol. 36(2).

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