Abstract
This chapter brings the organisational setting of a reform to the fore. Most today’s healthcare practitioners perform their activities in organisations, but the literature on the nursing profession focuses more on professional roles and tasks in isolation of their social environment – or organisational landscape – while the organisational functioning shaping profession-building is often missing. Here, I examine the process of institutional change within hospital dynamics by looking at what demands and supplies take place in the actor-environment exchange, and how coexisting interests shape ongoing processes of modernisation. Health reform is commonly considered an economic and technical process. Yet a parallel social process is evident in approaching internal organisational dynamics. The chapter offers a discussion about organisational culture as a focus for further understandings of professional development.
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Ayala, R.A. (2020). The Organisation, the Background, the Landscape: Navigating the Reforms. In: Towards a Sociology of Nursing. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-13-8887-3_7
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DOI: https://doi.org/10.1007/978-981-13-8887-3_7
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