Affiliation:
1. National College of Ireland , Dublin , Ireland
2. Bangor, University , Wales , UK
Abstract
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.
Reference79 articles.
1. Allen, D. (2004), ‘Re-reading nursing and rewriting practice: Towards an empirically based reformulation of the nursing mandate’. Nursing Inquiry 11: 4, 271-283.
2. Bennis, W., & Nanus, B. (1985). Leaders: The strategies for taking charge. New York: Harper & Row.
3. Bejerot, E. and Hasselbladh, H. (2011). ‘Professional autonomy and pastoral power: The transformation of quality registers in Swedish healthcare’. Public Administration 89: 4, 1604-1621.
4. Beresford P, Wallcraft J (1997). Psychiatric system survivors and emancipatory research: issues, overlaps and differences. In: Barnes C, Mercer G. Doing disability research. . Leeds, Disability Press.
5. Blomgren, M. (2003). ‘Ordering a profession: Swedish nurses encounter new public management reforms’. Financial Accountability & Management 19, 45-71.
Cited by
7 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献