Academic Journal
Professional Segmentation as a Barrier to Reform in Turkish Nursing.
| Τίτλος: | Professional Segmentation as a Barrier to Reform in Turkish Nursing. |
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| Συγγραφείς: | Inceoz Z; Swansea University School of Health & Social Care, Swansea, UK.; Department of Nursing, Carroll College, Helena, Montana, USA., Hughes D; Swansea University School of Health & Social Care, Swansea, UK. |
| Πηγή: | Nursing inquiry [Nurs Inq] 2026 Oct; Vol. 33 (4), pp. e70156. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wiley Country of Publication: Australia NLM ID: 9505881 Publication Model: Print Cited Medium: Internet ISSN: 1440-1800 (Electronic) Linking ISSN: 13207881 NLM ISO Abbreviation: Nurs Inq Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Carlton, Vic., Australia : Wiley, c1994- |
| Ιατρικοί όροι (MeSH): | Health Care Reform* , Nurse Administrators*, Turkey ; Humans ; Qualitative Research ; Leadership |
| Περίληψη: | This paper argues that segmentation within Turkish nursing is a major factor holding back the modernisation of nurse management. Since the millennium Türkiye's healthcare system has been transformed by NPM-style reforms that changed financing mechanisms and strengthened aspects of performance management, but had only limited impact on nursing management. The entrenched power of the medical profession and persisting influence of a civil service 'officer culture' have been major obstacles to change, but a third factor is division within the nursing workforce. Our qualitative study identifies four orientations among hospital nurses. Plans for innovation proposed by bureaucratic modernisers and professional modernisers are resisted by traditionalists and pragmatists, and modernisers themselves disagree about the way forward. Western discourses concerning nurse professionalisation and leadership have had uneven impact. Interdisciplinary working is largely absent, as are the hybrid management/clinical roles and movement of nurses into executive management positions. Instead, nurse managers seek to advance a curtailed form of professional development centring of continuing professional education, evidence-based practice, guideline development and creating spaces to exercise limited autonomy. Given the huge political difficulties of reducing medical power and achieving civil service reform, the best prospect of progress is to address the tensions within nursing itself. (© 2026 The Author(s). Nursing Inquiry published by John Wiley & Sons Ltd.) |
| References: | J Clin Nurs. 1997 Sep;6(5):355-63. (PMID: 9355469) Sociol Health Illn. 2009 May;31(4):494-507. (PMID: 19144083) Int J Qual Stud Health Well-being. 2014 Apr 15;9:24152. (PMID: 24746247) Heliyon. 2023 Jul 22;9(8):e18590. (PMID: 37560657) Hum Resour Health. 2013 May 10;11:19. (PMID: 23663329) Sociol Health Illn. 2026 May;48(4):e70196. (PMID: 42087695) Leadersh Health Serv (Bradf Engl). 2018 Oct 1;31(4):452-467. (PMID: 30234446) J Adv Nurs. 1997 May;25(5):1094-100. (PMID: 9147218) Int J Nurs Stud. 2018 Sep;85:19-60. (PMID: 29807190) J Health Soc Behav. 1969 Mar;10(1):3-15. (PMID: 5776946) Adv Health Sci Educ Theory Pract. 2019 Aug;24(3):443-457. (PMID: 30656525) J Clin Nurs. 2023 Sep;32(17-18):6028-6036. (PMID: 37132115) Int J Environ Res Public Health. 2021 Feb 06;18(4):. (PMID: 33562016) Sociol Health Illn. 2019 Sep;41(7):1410-1425. (PMID: 31115914) Healthc Manage Forum. 2025 Mar;38(2):148-151. (PMID: 39425269) J Health Soc Behav. 1970 Mar;11(1):59-67. (PMID: 5448873) |
| Contributed Indexing: | Keywords: Turkey; Türkiye; civil service culture; medical dominance; nurse management; professional segmentation; professionalisation |
| Entry Date(s): | Date Created: 20260802 Date Completed: 20260802 Latest Revision: 20260813 |
| Update Code: | 20260814 |
| PubMed Central ID: | PMC13429039 |
| DOI: | 10.1111/nin.70156 |
| PMID: | 42542959 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1440-1800 |
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| DOI: | 10.1111/nin.70156 |