000 01890naa a2200205uu 4500
001 0041611192737
003 OSt
005 20190211171012.0
008 100416s2009 xx ||||gr |0|| 0 eng d
100 1 _aCURRIE, Graeme
_924177
245 1 0 _aThe dynamics of professions and development of new roles in public service organizations :
_bthe case of modern matrons in the english NHS
260 _aMalden :
_bWiley-Blackwell,
_cJune 2009
520 3 _aThis 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.
700 1 _aKOTEYKO, Nelya
_939512
700 1 _aNERLICH, Brigitte
_939513
773 0 8 _tPublic Administration: An International Quarterly
_g87, 2, p. 295-311
_dMalden : Wiley-Blackwell, June 2009
_xISSN 00333298
_w
942 _cS
998 _a20100416
_b1119^b
_cDaiane
998 _a20100420
_b1601^b
_cCarolina
999 _aConvertido do Formato PHL
_bPHL2MARC21 1.1
_c32410
_d32410
041 _aeng