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Establishing a multidisciplinary day‐care surgery department: Challenges for nursing management

Øygarden, Olaug, BY, Rune, Gunhild, Bjaalid and Aslaug, Mikkelsen (2018) Establishing a multidisciplinary day‐care surgery department: Challenges for nursing management. Journal Of Nursing Management. ISSN 0966-0429

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Abstract or description

Aim To increase our understanding of challenges in implementing multidisciplinary organisational models in hospitals.
Background While health service policies internationally are pushing for multidisciplinary and patient centred organising models, there are challenges involved in moving from profession and discipline based organising to the new solutions.
Method Qualitative case study, interview and document data collected in real time following the implementation process.
Results It was possible to place arguments for and against the new department within either a business-like logic, or a professional logic. The respective logics gave different prescriptions for how a hospital department should be organised.
Conclusion and implications for nursing management The institutional logics perspective enables managers to understand resistance to new ways of organising work, and may be useful in trying to foresee and handle challenges in implementing new organisation models. Managers need to carefully analyse models in terms of which parts may be seen as problematic in their own organisation, and invite all relevant stakeholders into participatory change processes. If the goal is to gather multiple professions and disciplines under one manager in order to increase patient centeredness, arrangements must be made for professionals to stay connected to the wider community of practice centred around their specialized knowledge and skills.

Item Type: Article
Additional Information: "This is the peer reviewed version of the following article: of the following article: Øygarden O, By R. T, Bjaalid G, Mikkelsen A. Establishing a Multidisciplinary day‐care surgery department: Challenges for nursing management. J Nurs Manag. 2018;00:1–10, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions."
Faculty: School of Business, Leadership and Economics > Business, Management and Marketing
Depositing User: Library STORE team
Date Deposited: 14 Aug 2018 15:18
Last Modified: 24 Feb 2023 13:51

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