Abstract

This research presents a critical analysis and original theoretical approach to a complex phenomenon that addresses current gaps in our understanding of the experiences of nurse executives and their organizational positioning in homecare organizations. It reveals how nurse executives experience paradoxical identities of executive and nurse. The competitiveness of homecare as a business and the status of homecare among other healthcare sectors is problematic and exacerbates the tension between those two identities. This qualitative research aims to explore NEs' epistemic and discursive organizational positioning in HCOs. This research also explores how nurse executives enact their moral, socio-professional, political and epistemic agency in homecare organizations in Ontario. The research questions guiding this study were: 1) How do nurse executives enact their agency, identity, values, and means in their organization? 2) What are the daily transactions and negotiations with organizational and systemic entities with which nurse executives engage in their organization? 3) How do nurse executives navigate such complexities to fulfil their organizational responsibilities and enact influence in their organizations? This research emphasized the importance of dominant discourses and practices in homecare organizations, shaping distinct epistemic landscapes that foster specific ways of thinking, speaking, and acting across those organizations and within the healthcare system.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 30997556; ProQuest document ID: 2968687960. The author still retains copyright.

Author Details

Lisa Ashley, PhD, MEd, RN, CCHN(C)

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

Qualitative Research

Keywords:

Nurse Executives, Identity, Homecare

Advisor

Amalie Perron

Second Advisor

Jessica Dillard-Wright

Third Advisor

Kimberley McMillan

Degree

PhD

Degree Grantor

University of Ottawa

Degree Year

2024

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2024-04-11

Full Text of Presentation

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