Climbing up the Ladder. the Changing Role of Nurse Managers within the German Hospital Management.
We use different theoretical approaches to make sense of the coherence of these instructive inner conceptions and the embeddedness in the hospital management. From an institutional-logics perspective (Thornton et al. 2012) nurse managers use the nurse perspective to stabilize their manager’s position. Although they got socialized as nurses they distance themselves from their former domain and use the nurses semantic in an instrumental sense. From a field-level perspective (Fligstein/McAdam 2012) the organization could be understood as power struggles between different groups. Nurses are subordinated to physicians (e.g. their work is dependent from doctor’s instructions) and the introduction of hospital’s managers lead to a loss of power for physicians. From that angle, the growing identification of nurse managers with the general hospital management enables them to take influence not only in organizational but also in medical decisions.