Open AccessWorking Environment Activities in Hospitals: Expansion of Scope and Decentralization of Responsibility
Author(s) -
Per-Christian Borgen,
Bente Vibecke Lunde
Publication year - 2021
Publication title -
nordic journal of working life studies
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 15
ISSN - 2245-0157
DOI - 10.18291/njwls.125506
Subject(s) - decentralization , scope (computer science) , norwegian , public relations , qualitative research , public administration , business , sociology , political science , law , social science , linguistics , philosophy , computer science , programming language
This article analyzes how two development traits in the regulatory requirements for Working Environment (WE) activities – an expansion of scope and a decentralization of responsibility – are understood and handled over time by actors responsible for WE activities in Norwegian hospitals. The expanded scope of WE activities is studied based on the requirements outlined in The Working Environment Act, public health science theory, and the WE challenges in hospitals. The decentralized responsibility for WE activities is studied based on Internal Control (IC) reform and other hospital reforms inspired by New Public Management (NPM). The final section of the article discusses the effects of the two development traits, and how these enlarge the line manager’s area of responsibility. The article is based on a qualitative, longitudinal study conducted in three Norwegian hospitals in 1998-1999 and 2013.