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

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

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

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.

Keywords: discursive institutionalism; institutional ignorance; nurse politics; workforce shortage (search for similar items in EconPapers)
JEL-codes: J01 R14 (search for similar items in EconPapers)
Pages: 15 pages
Date: 2023-10-01
New Economics Papers: this item is included in nep-pol
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Published in Health Economics, Policy and Law, 1, October, 2023, 18(4), pp. 411 - 425. ISSN: 1744-1331

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Persistent link: https://EconPapers.repec.org/RePEc:ehl:lserod:120430

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