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Nursing management and leadership in Turkish hospitals: modernization and professionalism in a changing healthcare system / ZULEYHA INCEOZ

Swansea University Author: ZULEYHA INCEOZ

  • E-Thesis – open access under embargo until: 23rd April 2029

DOI (Published version): 10.23889/SUthesis.66307

Abstract

Research suggests that hospital nursing managers in many Western countries are gaining influence in mulidisciplinary team decision-making, and oCen work in hybrid roles that combine clinical and management duties. This study examines nurse management in Türkiye, a country where medical professionals...

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Published: Swansea, Wales, UK 2024
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Rea, David ; Willson, Alan
URI: https://cronfa.swan.ac.uk/Record/cronfa66307
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spelling v2 66307 2024-05-06 Nursing management and leadership in Turkish hospitals: modernization and professionalism in a changing healthcare system 45b92c925dc054f5a6649549f47a20f6 ZULEYHA INCEOZ ZULEYHA INCEOZ true false 2024-05-06 Research suggests that hospital nursing managers in many Western countries are gaining influence in mulidisciplinary team decision-making, and oCen work in hybrid roles that combine clinical and management duties. This study examines nurse management in Türkiye, a country where medical professionals have traditionally exercised tight control over the hospital division of labour, to see whether nurse managers there are moving in a similar direction.Qualitative interviews were conducted with nurse managers and staff nurses (n = 40) from five university, MoH or city hospitals in Istanbul. Interviewees were asked about their perceptions of the state of nursing management, ideas about the form nurse management and leadership should take, and views about facilitators of improvement and barriers to change. Although Turkish healthcare underwent comprehensive reform in the early 2000s, including increased emphasis on new public management-style tools such as audit, only a few nurses (the “bureaucratic modernisers”) wanted more involvement in audit and performance review. Instead, the majority of managers and staff nurses who desired change in current practice (the “professional modernisers”) described a nurse leadership role that stressed improved patient care, evidence-based practice, and continuing professional education. This contrasted with the view of minorities who were more wedded to the existing system (the “civil service traditionalists”), or who adopted an instrumental orientation to their job (the “self-serving pragmatists”).Generally, nurses saw liXle prospect of progress towards the forms of nurse leadership they desired because of the constraints imposed by the existing hospital culture and paXerns of communication, both of which they linked to medical power and the mindset that came with nurses’ status as civil servants. Progress made by the “professional modernisers” to date was confined to limited education and teambuilding sessions, and the construction of forms of collegial nursing practice in certain closed locales where doctor power did not intrude. E-Thesis Swansea, Wales, UK nursing, nursing management, management, healthcare management, healthcare communication, nursing leadership, healthcare leadership, leadership, health policy, hospital, sociology, qualitative rsearch, Turkiye 23 4 2024 2024-04-23 10.23889/SUthesis.66307 COLLEGE NANME COLLEGE CODE Swansea University Rea, David ; Willson, Alan Doctoral Ph.D 2024-07-08T11:06:32.8638696 2024-05-06T13:41:13.9621990 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health ZULEYHA INCEOZ 1 Under embargo Under embargo 2024-05-06T16:06:46.3201239 Output 4637021 application/pdf E-Thesis – open access true 2029-04-23T00:00:00.0000000 Copyright: The Author, Zuleyha Inceoz, 2024.This thesis is released under the terms of a Creative Commons Attribution-Only (CC-BY) license. Third party content is excluded for use under the license terms. true eng https://creativecommons.org/licenses/by/4.0/deed.en
title Nursing management and leadership in Turkish hospitals: modernization and professionalism in a changing healthcare system
spellingShingle Nursing management and leadership in Turkish hospitals: modernization and professionalism in a changing healthcare system
ZULEYHA INCEOZ
title_short Nursing management and leadership in Turkish hospitals: modernization and professionalism in a changing healthcare system
title_full Nursing management and leadership in Turkish hospitals: modernization and professionalism in a changing healthcare system
title_fullStr Nursing management and leadership in Turkish hospitals: modernization and professionalism in a changing healthcare system
title_full_unstemmed Nursing management and leadership in Turkish hospitals: modernization and professionalism in a changing healthcare system
title_sort Nursing management and leadership in Turkish hospitals: modernization and professionalism in a changing healthcare system
author_id_str_mv 45b92c925dc054f5a6649549f47a20f6
author_id_fullname_str_mv 45b92c925dc054f5a6649549f47a20f6_***_ZULEYHA INCEOZ
author ZULEYHA INCEOZ
author2 ZULEYHA INCEOZ
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institution Swansea University
doi_str_mv 10.23889/SUthesis.66307
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description Research suggests that hospital nursing managers in many Western countries are gaining influence in mulidisciplinary team decision-making, and oCen work in hybrid roles that combine clinical and management duties. This study examines nurse management in Türkiye, a country where medical professionals have traditionally exercised tight control over the hospital division of labour, to see whether nurse managers there are moving in a similar direction.Qualitative interviews were conducted with nurse managers and staff nurses (n = 40) from five university, MoH or city hospitals in Istanbul. Interviewees were asked about their perceptions of the state of nursing management, ideas about the form nurse management and leadership should take, and views about facilitators of improvement and barriers to change. Although Turkish healthcare underwent comprehensive reform in the early 2000s, including increased emphasis on new public management-style tools such as audit, only a few nurses (the “bureaucratic modernisers”) wanted more involvement in audit and performance review. Instead, the majority of managers and staff nurses who desired change in current practice (the “professional modernisers”) described a nurse leadership role that stressed improved patient care, evidence-based practice, and continuing professional education. This contrasted with the view of minorities who were more wedded to the existing system (the “civil service traditionalists”), or who adopted an instrumental orientation to their job (the “self-serving pragmatists”).Generally, nurses saw liXle prospect of progress towards the forms of nurse leadership they desired because of the constraints imposed by the existing hospital culture and paXerns of communication, both of which they linked to medical power and the mindset that came with nurses’ status as civil servants. Progress made by the “professional modernisers” to date was confined to limited education and teambuilding sessions, and the construction of forms of collegial nursing practice in certain closed locales where doctor power did not intrude.
published_date 2024-04-23T11:06:32Z
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