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Dispensing emotions: Norwegian community nurses' handling of diversity in a changing organizational context

Author

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  • Debesay, Jonas
  • Harsløf, Ivan
  • Rechel, Bernd
  • Vike, Halvard

Abstract

Since the mid-1990s, public sector health care services in Norway have been restructured, in line with New Public Management ideas. This restructuring has coincided with demographic changes that have led to a more culturally diverse patient population. Both developments have created new challenges for community nurses in managing their work. This qualitative study applies the concept of “emotional labor” to examine nurses' experiences in working with ethnic minority patients in the context of pressures arising from organizational reforms. The analysis sheds light on the nurses' attempts to comply with system-induced efficiency considerations, while catering to the special situation of patients with language barriers and unfamiliar cultural traditions. The article demonstrates how efficiency requirements and time constraints either aggravate the nurses' insecurity in dealing with minority patients or, in some cases, compel them to assume more work responsibilities so as to mitigate the effects of such constraints.

Suggested Citation

  • Debesay, Jonas & Harsløf, Ivan & Rechel, Bernd & Vike, Halvard, 2014. "Dispensing emotions: Norwegian community nurses' handling of diversity in a changing organizational context," Social Science & Medicine, Elsevier, vol. 119(C), pages 74-80.
    • Handle: RePEc:eee:socmed:v:119:y:2014:i:c:p:74-80
    DOI: 10.1016/j.socscimed.2014.08.025
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    References listed on IDEAS

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    1. Le Grand, Julian, 2003. "Motivation, Agency, and Public Policy: Of Knights and Knaves, Pawns and Queens," OUP Catalogue, Oxford University Press, number 9780199266999.
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    Cited by:

    1. Linda Aimée Hartford Kvæl & Jonas Debesay & Asta Bye & Anne Langaas & Astrid Bergland, 2019. "Choice, Voice, and Coproduction in Intermediate Care: Exploring Geriatric Patients’ and Their Relatives’ Perspectives on Patient Participation," SAGE Open, , vol. 9(3), pages 21582440198, September.
    2. Mette Geil Kollerup & Tine Curtis & Birgitte Schantz Laursen, 2018. "Improving posthospital medication management in a Danish municipality: A process evaluation," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3603-3612, October.

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