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dc.contributor.authorSolbakken, Rita
dc.contributor.authorBondas, Terese Elisabet
dc.contributor.authorKasén, Anne
dc.date.accessioned2020-07-16T11:54:06Z
dc.date.available2020-07-16T11:54:06Z
dc.date.created2020-06-09T14:58:41Z
dc.date.issued2020
dc.identifier.citationSolbakken, R., Bondas, T. E. & Kasén, A. (2020). First-line nurse managers' challenges at the crossroads of Norwegian health care reforms. Nursing Administration Quarterly, 44(3), 205-214. doi:en_US
dc.identifier.issn1550-5103
dc.identifier.urihttps://hdl.handle.net/11250/2669287
dc.description.abstractNorwegian municipal health care has large public service offerings, funded by tax revenues; however, the current Norwegian welfare model is not perceived as sustainable and future-oriented. First-line nurse managers in Norwegian municipal health care are challenged by changes due to major political and government-initiated reforms requiring expanded utilization of home nursing. The aim of this theoretical study was to describe challenges the first-line nurse managers in a Nordic welfare country have encountered on the basis of government-initiated reforms and to describe strategies to maintain their responsibilities in nursing care. First-line nurse managers' competence, clinical presence, and support from superiors were identified as prerequisites to maintain sight of the patients in leadership when reforms are implemented. The strategies first-line nurse managers in Norwegian municipal health care use to implement multiple reforms, regulations, and new acts require solid competencies in nursing, leadership, and administration. Competence in nursing enables focus on the patient while leading the staff. Supports from superiors and formal leadership networks are described as prerequisites for managing the challenges posed by change and to persist in leadership positions.en_US
dc.language.isoengen_US
dc.publisherWolters Kluweren_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no
dc.titleFirst-line nurse managers' challenges at the crossroads of Norwegian health care reformsen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2020 The Author(s)en_US
dc.subject.nsiVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.subject.nsiVDP::Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808en_US
dc.source.pagenumber205-214en_US
dc.source.volume44en_US
dc.source.journalNursing Administration Quarterlyen_US
dc.source.issue3en_US
dc.identifier.doi10.1097/NAQ.0000000000000420
dc.identifier.cristin1814600
dc.description.localcodePaid Open Accessen_US


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal