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An interprofessional perspective on healthcare work: physicians and nurses co-constructing identities and spaces of action
KTH, School of Industrial Engineering and Management (ITM), Industrial Economics and Management (Dept.), Organization and management.
KTH, School of Industrial Engineering and Management (ITM), Industrial Economics and Management (Dept.), Organization and management.ORCID iD: 0000-0001-6587-5711
KTH, School of Industrial Engineering and Management (ITM), Industrial Economics and Management (Dept.), Organization and management.ORCID iD: 0000-0002-4663-9913
KTH, School of Industrial Engineering and Management (ITM), Industrial Economics and Management (Dept.), Organization and management.ORCID iD: 0000-0002-5479-2563
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2019 (English)In: Journal of Management and Organization, ISSN 1833-3672, E-ISSN 1839-3527, p. 1-17Article in journal (Refereed) Published
Abstract [en]

In this article we develop a theoretical perspective of how professional identities in multi-professional organisational settings are co-constructed in daily interactions. The research reported here is located in a healthcare context where overlapping knowledge bases, unclear divisions of responsibilities, and an increased managerialist emphasis on teamwork make interprofessional boundaries in healthcare opera- tions more complex and blurred than ever. We thereby build on a research tradition that recognises the healthcare sector as a negotiated order, specifically studying how professional identities are invoked, constructed, and re-constructed in everyday work interactions. The perspective is employed in an analysis of qualitative data from interviews and participant observation at a large Swedish hospital, in which we find three main processes in the construction of space of action: hierarchical, inclusive, and pseudo-inclu- sive. In most of the interactions, existing inter-professional divides and power relations are sustained, pre- venting developments towards integrated interprofessional teamwork.

Place, publisher, year, edition, pages
2019. p. 1-17
Keywords [en]
healthcare management; organisational culture; power and dependence; social construction; public sector management
National Category
Business Administration
Research subject
Business Studies; Industrial Economics and Management
Identifiers
URN: urn:nbn:se:kth:diva-266116DOI: 10.1017/jmo.2019.89OAI: oai:DiVA.org:kth-266116DiVA, id: diva2:1381625
Note

QC 20200102

Available from: 2019-12-24 Created: 2019-12-24 Last updated: 2020-01-02Bibliographically approved

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Publisher's full texthttps://www.cambridge.org/core/journals/journal-of-management-and-organization/article/an-interprofessional-perspective-on-healthcare-work-physicians-and-nurses-coconstructing-identities-and-spaces-of-action/E45C88C04AFD0DFB9CF3074AAC62EA41

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