Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/10727
Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: A Simple Matter of Control? NHS Hospital Nurses and New Management
Authors: Bolton, Sharon C
Contact Email: sharon.bolton@stir.ac.uk
Issue Date: Mar-2004
Publisher: Blackwell Publishing for the Society for the Advancement of Management Studies
Citation: Bolton SC (2004) A Simple Matter of Control? NHS Hospital Nurses and New Management, Journal of Management Studies, 41 (2), pp. 317-333.
Abstract: Over the past two decades the National Health Hospital Service has been subjected to considerable changes in is organization. 'New' public sector management (NPM) has been given the task of changing hospital culture and making service provision more efficient. Nurses, as the largest occupational group within the National Health Service (NHS), have attracted considerable management attention and there are two distinct accounts concerning how NPM has supposedly gained control of the nursing labour process. Firstly, it is proposed that the physical division of labour of health care professionals is now firmly in the hands of hospital management through the use of Tayloristic techniques. Secondly, alternative accounts suggest that public sector organization cultures have been successfully orientated toward a customer service ethos, and that the convincing discourse of 'quality' is achieving some success as a normative control device. This paper investigates the responses of nurses to NPM, whichever form this may take, and presents data collected as part of a longitudinal study carried out in an NHS Trust hospital. It charts the changes which have occurred in the nursing labour process over a six year period, but especially draws upon more recent data to show how nurses, over a period of time, develop their own ways of reinterpreting management's desires. It argues that management is more likely to continue to rely on nurses' traditional autonomy in the delivery of health care in recognition that nurses may resist some but accommodate many of the demands made of them.
Type: Journal Article
URI: http://hdl.handle.net/1893/10727
DOI Link: http://dx.doi.org/10.1111/j.1467-6486.2004.00434.x
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: SMS Management and Support Team

Files in This Item:
File Description SizeFormat 
Bolton_2004_A_Simple_Matter_of_Control.pdf115.71 kBAdobe PDFUnder Embargo until 31/12/2999     Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependant on the depositor still being contactable at their original email address.

This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.