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The dynamics of professions and the development of new roles in public services organizations : the case of modern matrons in the English NHS
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Currie, Graeme, Koteyko, Nelya and Nerlich, Brigette. (2009) The dynamics of professions and the development of new roles in public services organizations : the case of modern matrons in the English NHS. Public Administration, Vol.87 (No.2). pp. 295-311. ISSN 0033-3298
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Official URL: http://dx.doi.org/10.1111/j.1467-9299.2009.01755.x
Abstract
This study contributes to research examining how professional autonomy and hierarchy impacts upon the implementation of policy designed to improve the quality of public services delivery through the introduction of new managerial roles. It is based on an empirical examination of a new role for nurses – modern matrons – who are expected by policy-makers to drive organizational change aimed at tackling health care acquired infections (HCAI) in the National Health Service (NHS) within England. First, we show that the changing role of nurses associated with their ongoing professionalization limits the influence of modern matrons over their own ranks in tackling HCAI. Second, the influence of modern matrons over doctors is limited. Third, government policy itself appears inconsistent in its support for the role of modern matrons. The attempts of modern matrons to tackle HCAI appear more effective where infection control activity is situated in professional practice and where modern matrons integrate aspirations for improved infection control within mainstream audit mechanisms in a health care organization.
| Item Type: | Journal Article |
|---|---|
| Subjects: | H Social Sciences > HD Industries. Land use. Labor |
| Divisions: | Faculty of Social Sciences > Warwick Business School > International Centre for Governance & Public Management Faculty of Social Sciences > Warwick Business School |
| Journal or Publication Title: | Public Administration |
| Publisher: | Wiley-Blackwell Publishing Ltd. |
| ISSN: | 0033-3298 |
| Date: | June 2009 |
| Volume: | Vol.87 |
| Number: | No.2 |
| Number of Pages: | 17 |
| Page Range: | pp. 295-311 |
| Identification Number: | 10.1111/j.1467-9299.2009.01755.x |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| URI: | http://wrap.warwick.ac.uk/id/eprint/44983 |
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