Search

Background: This study examines the phenomenon of arrangements limiting terms of office for directors of nursing (DONs) as a policy change in the Israeli public healthcare system since nursing is a major component of the healthcare system's personnel, and DONs have a crucial influence on achieving the organization's goals in a changing and developing environment with limited resources. Aim of Article: To understand how senior role-holders in the Israeli public healthcare system view arrangements limiting terms of office for directors of nursing as a policy change in the Israeli nursing system. Methods: Qualitative design comprising face-to-face interviews with sixteen purposefully sampled senior managers at three medical centers in central Israel. Data were analyzed thematically. Findings: Five themes emerged: ambivalence concerning the need for arrangements limiting terms of office, arrangements limiting terms of office as an organizational change, arrangements limiting terms of office as a method of career management, arrangements limiting terms of office - where they are headed, and length of the term of office. Conclusions: This study shows that the answer to the question whether to perpetuate the past or shape the future is not unequivocal; it is evident from ambivalent attitudes towards the option of instituting arrangements limiting terms of office. [ABSTRACT FROM AUTHOR]

Copyright of Scientific Annals of the 'Al. I. Cuza' University, Iasi. Sociology & Social Work / Analele Stiintifice ale Universitatii 'Al. I. Cuza' Iasi Sociologie si Asistenta Sociala is the property of Alexandru Ioan Cuza University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The Israeli public health system is a complex, important, and operationally complicated system. The scope of its operations and its annual turnover are massive and it encompasses an enormous number of professional personnel with various skills, some of whom are hard to replace. Hence, senior managers in the public health system are posed with a major management and professional challenge. As a result of the current state of affairs, in which senior managers enjoy unlimited terms of office, there is no retention of high quality human capital in the public/state healthcare system and promotion opportunities are few, with little turnover in the higher management ranks of the state-run system. The current paper examines the advantages and disadvantages term of office limits have for senior managers in the state-funded healthcare system, and argues that the main purpose of specifying terms of office for these jobs is to improve the organization's performance. The aim of this article is to examine the perceptions of senior management role holders in the public health system regarding terms of office arrangements and their implications for senior managers in the hospitalization system. The proposed research design includes mixed methods design, which involves a first phase of qualitative interviews to get explanations about the researched phenomenon, followed by a second phase of quantitative data collection and analysis that builds on the first qualitative phase [1]. This article will present the qualitative phase: Six in - depth interviews with senior management role holders in the public hospitalization system conducted in the center of Israel. The results of the study provide a clear image showing the positive and negative aspects of term of office arrangements in the Israeli Healthcare system. [ABSTRACT FROM AUTHOR]