University of Hertfordshire

From the same journal

From the same journal

By the same authors

‘Nurse entrepreneurs’ a case of government rhetoric?

Research output: Contribution to journalArticle

  • M. Traynor
  • V. Drennan
  • C. Goodman
  • A. Mark
  • K. Davis
  • R. Peacock
  • M. Banning
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Original languageEnglish
Pages (from-to)13-18
JournalJournal of Health Services Research and Policy
Journal publication date2008
Publication statusPublished - 2008


Introduction: Nursing has come to play a prominent role in government health policy since 1997. Extending the scope of nursing practice into activities previously carried out by doctors can assist a managerialist and ‘modernizing’ project of increasing National Health Service (NHS) efficiency by removing demarcations between professional groups.
Methods: Drawing on elements of poststructuralist linguistics, this paper presents an analysis of a key government speech in the context of a discussion of overall policy intentions.
Results: The speech can be seen as an example of how government has attempted to use rhetoric to make its goals attractive to nurses.
Conclusion: Policy-makers have to make their policies acceptable to those whom they expect to implement them. In this case, organizational efficiency, chiefly in terms of broader access to NHS services, as well as role substitution, is aligned with government policy promoting social enterprise and ‘sold’ to the nursing profession as enhancing its status compared with medicine.


Original article can be found at: Copyright Royal Society of Medicine Press DOI: 10.1258/jhsrp.2007.006057 [Full text of this article is not available in the UHRA]

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