Interdisciplinary Promises and Hierarchical Ambiguities in a Danish Hospital Context

Anette Lykke Hindhede*, Vibeke Andersen

*Corresponding author

Research output: Contribution to journalJournal articleResearchpeer-review

1 Citation (Scopus)
72 Downloads (Pure)

Abstract

The public health sector in welfare states is increasingly subject to organisational changes, particularly in hospitals, as organisations comprise coalitions of various (healthcare) professionals. In this context, due to interprofessional competition, knowledge claims play an important role in achieving jurisdictional control. In this paper, we investigate the manifestations of and health professionals’ reactions to competing institutional discourses. Through qualitative interviews with hospital management, middle managers, and staff employees at three hospitals in Denmark, we demonstrate how managerial attempts to control tenacious professional bureaucracies are exercised through both bureaucratic forms of control and cultural-ideological modes of control with an introduction of new discourses of interprofessional teamwork. The findings suggest that hospitals seek not only to contain ambiguity through bureaucratic features of control, but also to cultivate it when seeking to strengthen cooperation between professions. Thereby, ambiguity itself becomes a mechanism for management
Original languageEnglish
Article numbere2862
JournalProfessions and Professionalism
Volume9
Issue number1
Pages (from-to)1-15
Number of pages15
ISSN1893-1049
DOIs
Publication statusPublished - 1 Mar 2019

Keywords

  • Ambiguity
  • Autonomy
  • Control
  • Critical management studies
  • Discourse
  • Interprofessional education
  • Jurisdiction
  • Power
  • Professionalism
  • Public hospitals

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