Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context

Anette Lykke Hindhede*, Vibeke Andersen

*Corresponding author af dette arbejde
1 Citationer (Scopus)
82 Downloads (Pure)

Abstrakt

The public health sector in welfare states is increasingly subject to organisational changes, particularly in hospitals, as organisations comprise coalitions of various (healthcare) professionals. In this context, due to interprofessional competition, knowledge claims play an important role in achieving jurisdictional control. In this paper, we investigate the manifestations of and health professionals’ reactions to competing institutional discourses. Through qualitative interviews with hospital management, middle managers, and staff employees at three hospitals in Denmark, we demonstrate how managerial attempts to control tenacious professional bureaucracies are exercised through both bureaucratic forms of control and cultural-ideological modes of control with an introduction of new discourses of interprofessional teamwork. The findings suggest that hospitals seek not only to contain ambiguity through bureaucratic features of control, but also to cultivate it when seeking to strengthen cooperation between professions. Thereby, ambiguity itself becomes a mechanism for management
OriginalsprogEngelsk
Artikelnummere2862
TidsskriftProfessions and Professionalism
Vol/bind9
Udgave nummer1
Sider (fra-til)1-15
Antal sider15
ISSN1893-1049
DOI
StatusUdgivet - 1 mar. 2019
Udgivet eksterntJa

Fingeraftryk

Dyk ned i forskningsemnerne om 'Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context'. Sammen danner de et unikt fingeraftryk.

Citationsformater