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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

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  • Wallenburg, Iris
  • Friebel, Rocco
  • Winblad, Ulrika
  • Maynou Pujolras, Laia
  • Bal, Roland

Abstract

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.

Suggested Citation

  • Wallenburg, Iris & Friebel, Rocco & Winblad, Ulrika & Maynou Pujolras, Laia & Bal, Roland, 2023. "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," LSE Research Online Documents on Economics 120430, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:120430
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    References listed on IDEAS

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    1. Owens, Kellie, 2022. "The passivists: Managing risk through institutionalized ignorance in genomic medicine," Social Science & Medicine, Elsevier, vol. 294(C).
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    Cited by:

    1. Burau, Viola & Mejsner, Sofie Buch & Falkenbach, Michelle & Fehsenfeld, Michael & Kotherová, Zuzana & Neri, Stefano & Wallenburg, Iris & Kuhlmann, Ellen, 2024. "Post-COVID health policy responses to healthcare workforce capacities: A comparative analysis of health system resilience in six European countries," Health Policy, Elsevier, vol. 139(C).

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      More about this item

      Keywords

      discursive institutionalism; institutional ignorance; nurse politics; workforce shortage;
      All these keywords.

      JEL classification:

      • R14 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Land Use Patterns
      • J01 - Labor and Demographic Economics - - General - - - Labor Economics: General

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