Mandatory internal mobility in French hospitals: the results of imposed management practices

Schingen, Edith van; Dariel, Odessa Petit dit; Lefebvre, Hélène; Challier, Marie-Pierre; Rothan-Tondeur, Monique

doi:10.1111/jonm.12417

Cited by 8 publications

(5 citation statements)

References 15 publications

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“…Throughout this experience, nurses' concerns about caring for COVID-19 patients were mainly due to the fear of the unknown infectious disease and the sense of unpreparedness. The first issue was also raised in 2003 with the severe acute respiratory syndrome outbreak and in 2006 with the Avian flu (Tzeng & Yin, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…nurse shortage in some sectors) and impact on dissatisfaction, especially when the process is irregular, short and organised the day before or the day of the change itself (van Schingen, Dariel, Lefebvre, Challier, & Rothan‐Tondeur, 2017). According to these negative implications, the importance of implementing a planned inter‐unit mobility has been underlined (van Schingen et al, 2017). However, during a pandemic, unplanned mobility in new units has been documented as occurring often (Danielis & Mattiussi, 2020), but implications on staff have been poorly documented.…”

Section: Introductionmentioning

confidence: 99%

“…Nurse reallocation, named mandatory mobility, has been poorly studied and mainly in its antecedents (e.g. nurse shortage in some sectors) and impact on dissatisfaction, especially when the process is irregular, short and organised the day before or the day of the change itself (van Schingen, Dariel, Lefebvre, Challier, & Rothan-Tondeur, 2017). According to these negative implications, the importance of implementing a planned inter-unit mobility has been underlined (van Schingen et al, 2017).…”

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confidence: 99%

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Nurses’ experiences of being recruited and transferred to a new sub‐intensive care unit devoted to COVID‐19 patients

et al. 2021

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Aim To describe the experiences of Italian nurses who have been urgently and compulsorily allocated to a newly established COVID‐19 sub‐intensive care unit. Background In the context of the COVID‐19 pandemic, no studies have documented the experience of nurses urgently reallocated to a newly created unit. Method A qualitative descriptive study. Twenty‐four nurses working in a sub‐intensive care unit created for COVID‐19 patients participated in four focus groups. Audio‐recorded interviews were verbatim‐transcribed; then, a thematic analysis was performed. Results The experience of nurses was summarized along three lines: (a) ‘becoming a frontline nurse’, (b) ‘living a double‐faced professional experience’ and (c) ‘advancing in nursing practice’. Conclusions Nurses who experienced being mandatorily recruited and urgently reallocated to a COVID‐19 unit lived through a mix of negative feelings in the early stages, a double‐faced situation during the episode and, at the end, the perception of global growth as a person, as a team and as a professional. Implication for nursing management Nurse managers could play a key role in identifying and preparing nurses in advance to mitigate their concerns and their sense of unpreparedness. The value attributed to nursing care should be promoted both during and after the current COVID‐19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Nurses’ experiences of being recruited and transferred to a new sub‐intensive care unit devoted to COVID‐19 patients

et al. 2021

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“…However, mobility policies caused dissatisfaction among caregivers. 17 Professional loyalty weakened. Contracting-out specialized labor proved more expensive, with emergency physicians earning up to 1300 euros net per day for overtime.…”

Section: Resultsmentioning

confidence: 99%

Health Care Reforms, Power Concentration, and Receding Citizen Participation

Simonet¹

2023

RMHP

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The article highlights several outstanding features of French healthcare reforms in light of New Public Management (NPM). The paper exposes the economic, administrative, and social context of reforms. It investigates horizontal integration, as exemplified by the concentration of power within the Regional Health Organizations, the verticalization of the chain of command, and ensuing conflicts between the French welfare elite and the operating core (eg, the medical profession). Outcomes were below expectations in many areas. The NPM-endorsed fragmentation of public organizations has yet to take root in the French healthcare system. There was little consultation with the medical profession. Physicians’ autonomy and patients’ rights receded.

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“…It enabled the technocracy that has hitherto coexisted more or less peacefully with the professional bureaucracy to replace it. Physician autonomy was significantly curbed (Bezes et al, 2012); the internal mobility of nursing staff generated dissatisfaction (Van Schingen et al, 2017); health care workers are increasingly lured away from public hospitals, particularly in some specialties (e.g., anesthesia), though the influx of International Medical Graduates (IMGs) has partially contained that risk. IMG numbers doubled between 2007 and 2017 and 20% of hospital physicians have a foreign degree (Rault & Le Breton‐Lerouvillois, 2014).…”

Section: The Medical Profession Vs the Techno Structurementioning

confidence: 99%

Centralization of health policy decisions, conversion to austerity, and public defiance in contemporary France

Simonet

2021

Journal of Public Affairs

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France has experienced significant social policy changes in the last 20 years, which are perceived to be paradigm shifts. The paper informs the reader about the implementation of New Public Management (NPM) principles in the French health care system and its limitations. NPM developments change the healthcare environment, but its outcomes were below expectations. Reforms led to a recentralization of health policy decisions, eased the implementation of austerity measures, but adversely affected key stakeholders such as the medical profession and the public. Reforms pitted the Medical Profession against the Techno Structure. Public participation and civic engagement are receding.

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Mandatory internal mobility in French hospitals: the results of imposed management practices

Abstract: This study demonstrates the importance of implementing a planned inter-unit mobility event and proposes recommendations for this type of implementation.

Cited by 8 publications

References 15 publications

Nurses’ experiences of being recruited and transferred to a new sub‐intensive care unit devoted to COVID‐19 patients

Nurses’ experiences of being recruited and transferred to a new sub‐intensive care unit devoted to COVID‐19 patients

Health Care Reforms, Power Concentration, and Receding Citizen Participation

Centralization of health policy decisions, conversion to austerity, and public defiance in contemporary France

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