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'Nurses are seen as general cargo, not the smart TVs you ship carefully': the politics of nurse staffing in England, Spain, Sweden, and the Netherlands
Erasmus Univ, Erasmus Sch Hlth Policy & Management, Rotterdam, Netherlands..
London Sch Econ & Polit Sci, Dept Hlth Policy, London, England..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.ORCID iD: 0000-0002-3921-5522
Univ Barcelona, Dept Econometr Stat & Appl Econ Publ Policies, Barcelona, Spain.;London Sch Econ & Polit Sci, London, England.;Univ Pompeu Fabra, Ctr Res Hlth & Econ, Barcelona, Spain..
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2023 (English)In: Health Economics, Policy and Law, ISSN 1744-1331, E-ISSN 1744-134X, Vol. 18, no 4, p. 411-425Article in journal (Refereed) Published
Abstract [en]

Nurse workforce shortages put healthcare systems under pressure, moving the nursing profession into the core of healthcare policymaking. In this paper, we shift the focus from workforce policy to workforce politics and highlight the political role of nurses in healthcare systems in England, Spain, Sweden, and the Netherlands. Using a comparative discursive institutionalist approach, we study how nurses are organised and represented in these four countries. We show how nurse politics plays out at the levels of representation, working conditions, career building, and by breaking with the public healthcare system. Although there are differences between the countries - with nurses in England and Spain under more pressure than in the Netherlands and Sweden - nurses are often not represented in policy discourses; not just because of institutional ignorance but also because of fragmentation of the profession itself. This institutional ignorance and lack of collective representation, we argue, requires attention to foster the role and position of nurses in contemporary healthcare systems.

Place, publisher, year, edition, pages
Cambridge University Press, 2023. Vol. 18, no 4, p. 411-425
Keywords [en]
discursive institutionalism, institutional ignorance, nurse politics, workforce shortage
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-515596DOI: 10.1017/S1744133123000178ISI: 001084348200007PubMedID: 37702051OAI: oai:DiVA.org:uu-515596DiVA, id: diva2:1810677
Available from: 2023-11-08 Created: 2023-11-08 Last updated: 2023-11-08Bibliographically approved

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Winblad, Ulrika

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