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External change and its impact on nurse management: a case study.
1University College London Hospitals NHS Trust, UK.
Journal of Nursing Management
|March 17, 1999
Summary
Nurse management is shifting from centralized, bureaucratic models to more devolved structures. This evolution reflects broader changes in healthcare policy and nursing professional development.
Area of Science:
- Healthcare Management
- Nursing Administration
- Organizational Change
Background:
- Limited academic literature on nursing middle management.
- Focus on the impact of policy and financial changes on nursing roles.
Purpose of the Study:
- Identify changes in nurse manager tasks and responsibilities.
- Analyze the evolution of nurse management in response to environmental shifts.
- Provide insights into broader trends in nurse management.
Main Methods:
- Detailed case study of a small postgraduate unit.
- Data collected by a researcher with dual participant role.
- Consideration of methodological strengths and weaknesses.
Main Results:
- Nurse management transitioning from bureaucratic to devolved arrangements.
- Centralized authority, information, and decision-making becoming problematic.
- Organizational culture and key personnel influence change.
Conclusions:
- Case study highlights a new era for nursing management.
- Devolved structures may align with enhanced professional status.
- Understanding methodological implications is key to broader significance.