The dynamics of professions and development of new roles in public services organizations: the case of modern matrons in the English NHS

Currie, Graeme and Koteyko, Nelya and Nerlich, Brigitte (2009) The dynamics of professions and development of new roles in public services organizations: the case of modern matrons in the English NHS. Public Administration, 87 (2). pp. 295-311. ISSN 0033-3298

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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: Article
Additional Information: This is the pre-peer reviewed version of the following article: Currie, G., Koteyko, N. & Nerlich, B., The dynamics of professions and development of new roles in public services organizations: the case of modern matrons in the English NHS, Public Administration, 87(2), 2009, 295-311, which has been published in final form at: http://onlinelibrary.wiley.com/doi/10.1111/j.1467-9299.2009.01755.x/abstract
Schools/Departments: University of Nottingham UK Campus > Faculty of Social Sciences > School of Sociology and Social Policy
Depositing User: Nerlich, Professor Brigitte
Date Deposited: 14 Oct 2010 11:27
Last Modified: 14 Oct 2010 11:27
URI: http://eprints.nottingham.ac.uk/id/eprint/1301

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