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

Currie, Graeme; Koteyko, Nelya; Nerlich, Brigitte

Authors

Graeme Currie graeme.currie@nottingham.ac.uk

Nelya Koteyko nk158@le.ac.uk

Brigitte Nerlich brigitte.nerlich@nottingham.ac.uk

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.

Journal Article Type Article
Publication Date May 22, 2009
Journal Public Administration
Print ISSN 0033-3298
Electronic ISSN 0033-3298
Publisher Wiley
Peer Reviewed Not Peer Reviewed
Volume 87
Issue 2
Institution Citation Currie, G., Koteyko, N., & Nerlich, B. (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), doi:10.1111/j.1467-9299.2009.01755.x
DOI https://doi.org/10.1111/j.1467-9299.2009.01755.x
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/j.1467-9299.2009.01755.x/abstract
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
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.wi...9.2009.01755.x/abstract

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf




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