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Abstract Background The local municipality, whose management style is largely inspired by the New Public Management (NPM) model, has administrative responsibilities for primary health care in Norway. Those responsible for health care at the local level often find themselves torn between their professional responsibilities and the municipality's market-oriented funding system. The introduction of the new health care reform process known as the Coordination Reform in January 2012 prioritises primary health care while simultaneously promoting a more collaborative and multidisciplinary approach to health care. Nurse leaders experience constant cross-pressure in their roles as members of the municipal executive team, the execution of their professional and administrative duties, and the overall political aims of the new reform. The aim of this article is to illuminate some of the major challenges facing nurse leaders in charge of nursing homes and to draw attention to their professional concerns about the quality of nursing care with the introduction of the new reform and its implementation under NPM-inspired municipal executive leadership. Method This study employs a qualitative design. In-depth interviews were conducted with 10 nurse leaders in 10 municipalities, with a phenomenological-hermeneutic approach used for data analysis and interpretation. Result Findings highlighted the increasingly complex challenges facing nurse leaders operating in the context of the municipality's hierarchical NPM management structure, while they are required to exercise collaborative professional interactions as per the guidelines of the new Coordination Reform. The interview findings were interpreted out of three sub-themes 1) importance of support for the nurse leader, 2) concerns about overall service quality, and 3) increased tasks unrelated to nursing leadership. Conclusion The priorities of municipal senior management and the focus of the municipality's care service need clarification in the light of this reform. The voices of those at the frontlines of the caring services need to be heard as the restructuring of the caring services may have implications both for funding allocation and for the quality of patient care.

© The Author(s). 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.e. The Creative Commons Public Domain Dedication waiver applies to the data made available in this article, unless otherwise stated. ; Background: The local municipality, whose management style is largely inspired by the New Public Management (NPM) model, has administrative responsibilities for primary health care in Norway. Those responsible for health care at the local level often find themselves torn between their professional responsibilities and the municipality's market-oriented funding system. The introduction of the new health care reform process known as the Coordination Reform in January 2012 prioritises primary health care while simultaneously promoting a more collaborative and multidisciplinary approach to health care. Nurse leaders experience constant cross-pressure in their roles as members of the municipal executive team, the execution of their professional and administrative duties, and the overall political aims of the new reform. The aim of this article is to illuminate some of the major challenges facing nurse leaders in charge of nursing homes and to draw attention to their professional concerns about the quality of nursing care with the introduction of the new reform and its implementation under NPMinspired municipal executive leadership. Method: This study employs a qualitative design. In-depth interviews were conducted with 10 nurse leaders in 10 municipalities, with a phenomenological-hermeneutic approach used for data analysis and interpretation. Result: Findings highlighted the increasingly complex challenges facing nurse leaders operating in the context of the municipality's hierarchical NPM management structure, while they are required to exercise collaborative professional interactions as per the guidelines of the new Coordination Reform. The interview findings were interpreted out of three sub-themes 1) importance of support for the nurse leader, 2) concerns about overall service quality, and 3) increased tasks unrelated to nursing leadership. Conclusion: The priorities of municipal senior management and the focus of the municipality's care service need clarification in the light of this reform. The voices of those at the frontlines of the caring services need to be heard as the restructuring of the caring services may have implications both for funding allocation and for the quality of patient care.

"How much room to manoeuvre do administrators of municipal social services feel they have in meeting organizational objectives? How much latitude do staff in these services have to utilize their own expertise in performing tasks? What challenges do welfare services face due to cultural diversity? Can new ways of working contribute to increased learning for students in the practice field? These are among the questions addressed in this book, in which challenges associated with maintaining society's objectives in municipal health, care and child welfare services are focused on. The goal is to provide the reader with insight into degree of latitude pratictioners have when seeking to utilize their own expertise in the context of their job.

The book is a collection of ten scholarly articles that, via new empirical studies and theoretical contributions, shed light on manoeuvering room within the practical fulfilment of professional welfare services in the two main municipal healthcare and child welfare organizations. Both services must comply with public regulatory measures in an increasingly more complex field; both are therefore examined in the same anthology.

Latitude in Professional Welfare Administration is directed primarily toward students in nursing, child welfare and social education, but may be of interest to students in other health and caregiving fields as well. Employees within municipal health and family services including child welfare services, and politicians involved in development within this sector, will also find this anthology useful.

The anthology's editors are Bente Lilljan Lind Kassah, professor of sociology at UiT The Arctic university of Norway in Harstad; Hilde Nordahl-Pedersen, assistant professor at UiT The Arctic university of Norway in Harstad; and Wivi-Ann Tingvoll, docent emerita at UiT The Arctic university of Norway in Narvik." - "Hvordan opplever ledere handlingsrommet for å ivareta kommunale tjenesters samfunnsoppdrag? Hvilket handlingsrom har ansatte når de skal benytte sin kompetanse for å løse oppgaver? Hvordan utfordres tjenesteutøvelsen av kulturelt mangfold? Kan nye arbeidsmåter bidra til å styrke studenters læring i praksisfeltet? Dette er spørsmål som tas opp i denne boken, der utfordringer knyttet til ivaretakelse av samfunnsoppdraget i de kommunale helse-, omsorg- og barneverntjenestene står sentralt. Hensikten er å gi leseren innblikk i tjenesteutøvernes handlingsrom når de søker å benytte sin kompetanse i tjenesteutøvelsen.

Boken samler ti vitenskapelige artikler som gjennom nye empiriske studier og teoretiske bidrag belyser handlingsrommet for tjenesteutøvelse av profesjonalisert velferd i kommunal helse- og omsorgstjeneste og kommunalt barnevern. Begge tjenestene skal imøtekomme offentlige myndigheters føringer i et stadig mer komplekst praksisfelt, og de belyses derfor i samme antologi.

Handlingsrom for profesjonalisert velferd er primært rettet mot studenter i sykepleie, barnevern og vernepleie, men kan også være aktuell for andre studenter innenfor helse- og omsorgsarbeid. Ansatte i kommunal helse- og omsorgstjeneste samt kommunalt barnevern og politikere som har innflytelse over utviklingen innenfor helse- og omsorgssektoren, vil også kunne ha nytte av å lese antologien.

Redaktører for antologien er Bente Lilljan Lind Kassah, professor i sosiologi ved UiT Norges arktiske universitet i Harstad, Hilde Nordahl-Pedersen, amanuensis ved UiT Norges arktiske universitet i Harstad, og Wivi-Ann Tingvoll, dosent emerita ved UiT Norges Arktiske Universitet i Narvik."