Heslop, Liza ORCID: 0000-0003-2761-5147 and Francis, Karen (2005) Case study of program management in Canada. Nursing Leadership, 18 (2). ISSN 1910-622X

Abstract

This study explored the central concepts, themes and development of program management within the organizational context of public health services delivery in Canada in the late 1990s. Interviews with seven key officials involved in the design and development of program management in two Canadian health services organizations were transcribed and analyzed to gain an understanding of evolving strategies and practices. Thematic analysis revealed a complex interplay of institutional, professional and disciplinary processes and tensions that these officials attributed to the changing organizational configurations of program management. Interpretation of the opinions and decisions taken by these healthcare managers and senior nurses illustrates the strategic and operational response of two Canadian health services organizations to economic reform. This study explored the ways in which seven Canadian healthcare officials in two organizations negotiated, interpreted and implemented recent changes to their system of care delivery in the late 1990s....

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