Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context

Research output: Contribution to journal › Journal article › Research › peer-review

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Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context. / Hindhede, Anette Lykke; Andersen, Vibeke.

In: Professions and Professionalism, Vol. 9, No. 1, e2862, 2019.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Hindhede, AL & Andersen, V 2019, 'Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context', Professions and Professionalism, vol. 9, no. 1, e2862. https://doi.org/10.7577/pp.2862

APA

Hindhede, A. L., & Andersen, V. (2019). Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context. Professions and Professionalism, 9(1), [e2862]. https://doi.org/10.7577/pp.2862

Vancouver

Hindhede AL, Andersen V. Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context. Professions and Professionalism. 2019;9(1). e2862. https://doi.org/10.7577/pp.2862

Author

Hindhede, Anette Lykke ; Andersen, Vibeke. / Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context. In: Professions and Professionalism. 2019 ; Vol. 9, No. 1.

Bibtex

@article{3c7cf9e556824ae8b9654d0eaef894f5,
title = "Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context",
abstract = "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{\textquoteright} 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.",
author = "Hindhede, {Anette Lykke} and Vibeke Andersen",
year = "2019",
doi = "10.7577/pp.2862",
language = "English",
volume = "9",
journal = "Professions & Professionalism",
issn = "1893-1049",
publisher = "H{\~A}¸gskolen i Oslo og Akershus",
number = "1",

}

RIS

TY - JOUR

T1 - Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context

AU - Hindhede, Anette Lykke

AU - Andersen, Vibeke

PY - 2019

Y1 - 2019

N2 - 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.

AB - 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.

U2 - 10.7577/pp.2862

DO - 10.7577/pp.2862

M3 - Journal article

VL - 9

JO - Professions & Professionalism

JF - Professions & Professionalism

SN - 1893-1049

IS - 1

M1 - e2862

ER -

ID: 317083560