Engelsk titel: Nursing leaders are challenged by financial management in reformed Norwegian hospitals
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Författare:
Danielsen, Runar
;
Hertel, Jens Kristoffer
Email: runar.danielsen@siv.no
Språk: Nor
Antal referenser: 29
Dokumenttyp:
Artikel
UI-nummer: 18030230
Sammanfattning
Background: A series of reform measures aimed at improving efficiency and resource utilization
in Norwegian hospitals has been introduced. At the same time, the flow of patients
in Norwegian hospitals has been increasing. Purpose: In this study we aimed to gain
knowledge on how organizational conditions in Norwegian hospitals influence the financial
management of nursing services. Method: Using semi-structured interviews, a qualitative
study was conducted among six experienced nursing leaders from three external
somatic hospitals. Results: Care ideology creates paradoxical contradictions when leaders
have to balance the budget while maintaining patient safety. The personnel group constitutes
an informal influence that supports the hiring of personnel resources and restricts the
flexible use of personnel. Organizational instruments are only to a small extent described
as constituting part of the financial management. Conclusion: Measures confirming
organizational management are relatively inconspicuous, and care ideology and the staff as
an informal group influence decisions.