文章基本信息

标题：Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context
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作者：Anette Lykke Hindhede ; Vibeke Andersen
期刊名称：Professions & Professionalism
电子版ISSN：1893-1049
出版年度：2019
卷号：9
期号：1
页码：1-15
DOI：10.7577/pp.2862
出版社：Oslo and Akershus University College of Applied Sciences
摘要：The public health sector in welfare states is increasingly subject to organisational changes, particularly in hospitals, as organisations comprise coali-tions 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 profes-sional bureaucracies are exercised through both bureaucratic forms of control and cultural-ideological modes of control with an introduction of new discourses of in-terprofessional teamwork. The findings suggest that hospitals seek not only to con-tain 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.
关键词：Autonomy;control;ambiguity;interprofessional education;jurisdiction;professionalism;power;critical management studies;discourse; public hospitals