The Bureaucratic Steering of Local Governments and its Effects on Nursing Autonomy in Home Care for Elderly in the Netherlands and Shanghai

Alscher, Pascal Ulrich (2017) The Bureaucratic Steering of Local Governments and its Effects on Nursing Autonomy in Home Care for Elderly in the Netherlands and Shanghai.

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Abstract:The purpose of this research is to identify how the bureaucratic steering of the Shanghai government influences the quality of Buurtzorg care through the nursing autonomy as a practice example of Chinese bureaucratic steering towards Western social innovations. Buurtzorg is an award-winning Dutch home care organization that started its first pilot in Shanghai in 2014. This present study looks at the transfer of the Buurtzorg model particularly with regard to the bureaucratic steering imposed by the Shanghai government. The bureaucratic steering will be assessed through the categorization into two dimensions; coercive/enabling and hard/soft bureaucratic steering. Moreover, one of the key drivers for the success of Buurtzorg in the Netherlands are the self-managed teams in which the nurses enjoy a high level of discretion. In order to explore the expected associations interviews were held with Buurtzorg professionals of different occupational levels in Shanghai and the Netherlands and other knowledgeable respondents. The interviews revealed that the bureaucratic steering of the Shanghai government indeed required an adjustment of the Buurtzorg model. Moreover, this research adds to the debate of whether external steering by government helps or hinders organizations in addressing wicked problems.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science, 88 social and public administration
Programme:European Public Administration BSc (56654)
Link to this item:http://purl.utwente.nl/essays/73086
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