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Å være faglig leder for anestesisykepleiere i norske helseforetak: balansekunst eller spagatøvelse?
Nordic Council of Ministers, Nordic School of Public Health NHV.
2012 (Norwegian)Independent thesis Advanced level (degree of Master (Two Years))Student thesisAlternative title
Professional leadership for nurse anesthetistsin Norwegian public hospitals : balancing actor splits exercise? (English)
Abstract [no]

Hensikt: Hensiktenmed studien var å undersøke forutsetningene for å være faglig leder for anestesisykepleiere i dagens norske helseforetak.

Metode: Studien ble gjennomført med en kombinert metodikk: 1) Spørreundersøkelse med et skjema som forfatteren selv utviklet til alle førstelinjeledere for anestesisykepleiere i norske helseforetak,totalt77, med 80,5 % svarfrekvens. Datable analysert med kvantitative metoder.2) Halvstrukturerte individuelle intervju med syv ledere, strategisk utvalgt, både kvinner og menn, i alle landets fire regionale helseforetak, som det ble gjort en kvalitativ innholdsanalyse av.

Resultat: I denne studien fant man at mange andre presserende oppgaver for lederne gjør at faglig ledelse ofte blir nedprioritertog delegert til andre, som fagutviklingssykepleierne. Lederne har et betydelig fokus på helsefremmende ledelse. Lederrollen er belastende, til tider slik at helsen påvirkes. Det er liten interesse for og nærmest ingen konkurranse om lederjobben. Av lederne er forholdsvis mange menn.

Konklusjon: På grunn av de endrede rammebetingelsene,som følge av blant annet enhetlig ledelse og helseforetak,har lederrollen endret seg. Den har gått fra å stort sett være faglig leder til stadig mer personalledelse og administrative oppgaver. Lederne har i høy grad tilpasset seg de nye kravene, ogfungerer på mange måter som hybridlederemedettydelig fokus på helsefremmende ledelse.Anestesisykepleiefaget ivaretas gjerne av fagutviklingssykepleierne. Lederjobben oppleves som belastende og ikke særlig attraktiv for anestesisykepleiere

Abstract [en]

Aim: This study aimed to investigate the conditions being a professional leader of nurse anesthetists in Norwegian public hospitals today.

Method: Thestudy used a combination of quantitative and qualitative methods, including a survey questionnaire constructed by the author and distributed to all first-line managers of nurse anesthetists in 77 Norwegian public hospitals, with a response rate of 80.5 %. The questionnaires were analyzed by quantitative methods. The author also conducted semi-structured individual interviews with seven strategically chosen leaders, both women and men, at hospitals in Norway’s four health regions. The interviews were analyzed using qualitative content analysis.

Result: The results showed that leaders give less priority to professional leadership, largely due to many other urgent tasks, and frequently delegate this part of their leadership role to others (e.g., nurse anesthetists working with professional development). In leadership roles, nurse anesthetists focus on health promotion. They describe their managerial role as burdensome, at times even affecting their health. There is not much interest in and hardly any competition for managemen tpositions. Among the leaders, there is a relative dominance of men.

Conclusion: Due to altered framework conditions, such as unitary management and health enterprises, the managerial role has changed, moving in responsibility from something more like a traditional foreman to becoming a first-line manager, who increasingly deals with personnel management and administration. Leaders have mostly adapted to the new demands.In many ways, they functionas hybrid leaders whofocus on health promoting leadership.Nurse anesthetistsperceive the management position as burdensome and not particularly attractive

Place, publisher, year, edition, pages
2012. , 65 p.
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2012:8
Keyword [en]
Nurse Anesthetist, New Public Management, Hybrid Management, Health - Promoting Leadership
Keyword [no]
anestesisykepleier, New Public Management, hybridledelse, helsefremmende ledelse
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3079OAI: oai:DiVA.org:norden-3079DiVA: diva2:714493
Presentation
2012-05-11, Nordic School of Public Health NHV, Box 12133, 402 42 Göteborg, Sweden, 00:00 (Norwegian)
Supervisors
Note

ISBN 978-91-86739-38-6

Available from: 2014-04-28 Created: 2014-04-28 Last updated: 2015-01-28Bibliographically approved

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