Managerial innovation in public hospitals: a nursing empowerment perspective

Innovation managériale à l’hôpital public: une lecture à partir de l’empowerment infirmier

Corinne Rochette () and Murrim Ceccato
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Corinne Rochette: CleRMa - Clermont Recherche Management - ESC Clermont-Ferrand - École Supérieure de Commerce (ESC) - Clermont-Ferrand - UCA - Université Clermont Auvergne, IAE - UCA - Institut d'Administration des Entreprises - Clermont-Auvergne - UCA - Université Clermont Auvergne
Murrim Ceccato: CleRMa - Clermont Recherche Management - ESC Clermont-Ferrand - École Supérieure de Commerce (ESC) - Clermont-Ferrand - UCA - Université Clermont Auvergne

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Abstract: Organisational innovation in the health sector has until now been the result of top-down approaches driven by the supervisory authorities and has mainly concerned the meso level. In a context where hospitals are under severe pressure on resources, particularly human resources, the ability of staff, particularly nurses, to produce managerial innovation is a promise and a little-explored avenue for transforming practices in these complex structures. This requires the empowerment of these staff members, who have long been relegated to the rank of simple executors. Through the analysis of the discourse of 19 hospital staff (10 nurses and 9 managers from the nursing sector) working in three French hospitals, we identify some markers of local organisational innovations and a nursing leadership that has yet to be built due to a lack of empowerment.

Keywords: Managerial innovation; structural empowerment; magnet hospitals; nurse leadership; Innovation managériale; empowerment structurel; hôpitaux magnétiques; leadership infirmier (search for similar items in EconPapers)
Date: 2022
New Economics Papers: this item is included in nep-sbm
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Published in Question(s) de Management, 2022, Le management public en question, 39, pp.107-120. ⟨10.3917/qdm.219.0107⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-03739616

DOI: 10.3917/qdm.219.0107

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