Do non-profit nursing homes separate governance roles?

Dewaelheyns, Nico; Eeckloo, Kristof; Herck, Gustaaf Van; Hulle, Cynthia Van; Vleugels, Arthur

doi:10.1016/j.healthpol.2008.09.014

Cited by 11 publications

(4 citation statements)

References 33 publications

(51 reference statements)

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“…In the quantitative study, the average total score of the B-NWI-R is similar to the results of previous studies carried out in Brazil with the same instrument ( 15 - 16 ) . However, the result obtained is below the means found in studies conducted in hospitals that adopt management models with shared governance principles ( 17 - 18 ) .…”

Section: Discussioncontrasting

confidence: 75%

Governance of professional nursing practice in a hospital setting: a mixed methods study

Santos

2015

Rev. Latino-Am. Enfermagem

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Objective: to elaborate an interpretative model for the governance of professional nursing practice in a hospital setting. Method: a mixed methods study with concurrent triangulation strategy, using data from a cross-sectional study with 106 nurses and a Grounded Theory study with 63 participants. The quantitative data were collected through the Brazilian Nursing Work Index - Revised and underwent descriptive statistical analysis. Qualitative data were obtained from interviews and analyzed through initial, selective and focused coding. Results: based on the results obtained with the Brazilian Nursing Work Index - Revised, it is possible to state that nurses perceived that they had autonomy, control over the environment, good relationships with physicians and organizational support for nursing governance. The governance of the professional nursing practice is based on the management of nursing care and services carried out by the nurses. To perform these tasks, nurses aim to get around the constraints of the organizational support and develop management knowledge and skills. Conclusion: it is important to reorganize the structures and processes of nursing governance, especially the support provided by the organization for the management practices of nurses.

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Section: Discussioncontrasting

confidence: 75%

Governance of professional nursing practice in a hospital setting: a mixed methods study

Santos

2015

Rev. Latino-Am. Enfermagem

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“…The board and management need to periodically review how they are working together and whether they have a common vision on how the organization should try to achieve its goals (Cornforth and Edwards 1999;Cornforth 2001). In addition, the board and management should make a clear distinction between operational responsibilities and oversight responsibilities (Dewaelheyns et al 2009). Future research, for example, could investigate how the quality of communication influences the separation of roles and responsibilities between the board and management in public and non-profit organizations.…”

Section: Discussionmentioning

confidence: 99%

“…We extend this literature by also using a DCE to investigate managerial objectives and managers' alignment with organizational goals in public organizations. Third, given that we focus on the nursing home industry, we also contribute to the literature on nursing home governance (Dewaelheyns et al 2009). …”

Section: Literature Reviewmentioning

confidence: 99%

“…In addition, in order to avoid that regional differences in regulation interfere with our findings, we only studied the nursing home industry in Flanders (the Dutchspeaking part of Belgium), which is dominated by the presence of public and private non-profit nursing homes. Although licence rules and subsidies are independent of ownership type, differences do exist between public and non-profit nursing homes in Flanders (see Dewaelheyns et al 2009 for a more extensive discussion of the nursing home industry in Flanders). One important difference relates to the boards of these nursing homes.…”

Section: Settingmentioning

confidence: 99%

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Managerial Objectives and the Governance of Public and Non-Profit Organizations

Puyvelde¹,

Caers²,

Bois³

et al. 2014

Public Management Review

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By investigating managerial objectives, we test the simultaneous need for both control (agency theory) and collaboration (stewardship theory) in public and non-profit governance. We construct a discrete choice experiment to elicit preferences of managers in Belgian public and non-profit nursing homes. The results confirm that boards of nursing homes may experience pressure to simultaneously control and collaborate with their managers, thereby suggesting that agency and stewardship theory can be combined into a more general internal governance framework. We conclude by providing some policy implications to improve public and non-profit governance.

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Market concentration, supply, quality and prices paid by local authorities in the English care home market

et al. 2021

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We investigate the impact of exogenous local conditions which favor high market concentration on supply, price and quality in local markets for care homes for older people in England. We extend the existing literature in: (i) considering supply capacity as a market outcome alongside price and quality; (ii) taking account of the chain structure of care home supply and differences between the nursing home and residential care home sectors; (iii) using an econometric approach based on reduced form relationships that treats market concentration as a jointly determined outcome of a complex market. We find that areas susceptible to a high degree of market concentration tend to have greatly restricted supply of care home places and (to a lesser extent) a higher average public cost, than areas susceptible to low degree of market concentration. There is no significant evidence that conditions favoring high market concentration affect average care home quality.

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Do non-profit nursing homes separate governance roles?

Cited by 11 publications

References 33 publications

Governance of professional nursing practice in a hospital setting: a mixed methods study

Governance of professional nursing practice in a hospital setting: a mixed methods study

Managerial Objectives and the Governance of Public and Non-Profit Organizations

Market concentration, supply, quality and prices paid by local authorities in the English care home market

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