• Inga SHALEV Edith Wolfson Academic Nursing School, Israel
  • Adriana PRODAN Alexandru Ioan Cuza University of Iasi, Faculty of Economics and Business Administration Iasi, Romania


Health management, Director of nursing, Term limits, Organizational change, Innovation in healthcare systems


The nursing profession is a major partner in the management of healthcare organizations. At present, directors of nursing in the public health system occupy their role for 15 years on average and even until retirement. This study aimed to explore the implications of limiting terms of office for the nursing system within Israel's public health system. Moreover, the study examined the readiness of stakeholders to implement arrangements limiting terms of office for senior roles within the nursing system. This survey study utilized a sample of 201 stakeholders from five of Israel's 11 general public hospitals throughout the country. The findings of the statistical analysis showed that the implications of setting arrangements limiting terms of office for the nursing system in Israel's public health system are innovativeness and change in the organization, mobility in the organization, and improving the organization's management. Conclusions : readiness to implement arrangements limiting terms of office for DONs is characterized by perceptual duality. Topics for future research: expanding the study to the middle ranks of the nursing system, namely, to the population of head nurses.


Armenakis, A.A., Harris, S. G. and Mossholder, K.W. (1993). Creating readiness for organizational change. Human Relations, 46, 681-703.

Bin Nun, G., Berlovitz, Y. and Shani, M. (2010). The Health Care System in Israel. Am Oved, Tel Aviv (in Hebrew).

Bryman, A. (2012). Social Research Methods. 4th ed. Oxford, NY.

Choi, M. (2011). Employees' attitudes toward organizational change: a literature review. Human Resource Management, 50(4), 479-500.

Choi, M. and Ruona, W.E.A. (2011). Individual readiness for organizational change and its implications for human resource and organization development. Human Resource Development Review, 10(1), 46-73.

Clark, J.S. (2012). The system chief nurse executive role: sign of the changing times? Nursing Administration Quarterly, 36(4), 299-305.

Creswell, J. (2014), Research Design; Qualitative, Quantitative, and Mixed Methods Approaches. 4th ed. Sage Publications, Los Angeles CA.

Dou, Y., Sahgal, S. and Zhang, E. (2015). Should independent directors have term limits? The role of experience in corporate governance. Financial Management, 44, 583-621.

Jia, N. (2016). Should directors have term limits? Evidence from corporate innovation. European Accounting Review, 1-31.

Koch-Davidovich, F. (2009). Determining the term of office of senior positions in the civil service: comparative review. Knesset Research and Information Center, Jerusalem (in Hebrew).

Miller, W. and Rollnick, S. (2002). Motivational Interviewing Preparing People for Change. Guilford Publications, New York (Hebrew edition).

Moyers, R. (2011). Five reasons board leaders should have term limits. The Chronicle of Philanthropy [Online]. [Accessed: 15 December 2016].

Rosen, B., Waitzberg, R. and Merkur, S. (2015). Israel: Health System Review. Health Systems in Transition, 17(6). World Health Organization, Copenhagen, on behalf of the European Observatory on Health Systems and Policies.

Shalev, I. and Prodan, A.(2016). Term of office limits for senior management roles in Israel's public health system -a management asset or an obstacle? Journal of Public Administration, Finance and Law, 10, 81-92.

Shalev, I. & Prodan, A. (2018). Limiting terms of office for directors as a policy change in the Israeli nursing system. Review of International Comparative Management, 19(2), 109-123.

State of Israel, Prime Minister's Office (2008). Setting the Term of Office of Senior Officials in the Civil Service (in Hebrew).

Toren, O. and Picker, O. (Eds) (2009). Leadership in White. Managing Nursing in Hospitals. Magnes (in Hebrew), Jerusalem.

Vafeas, N. (2003). Length of board tenure and outside director independence. Journal of Business Finance and Accounting, 30, 1043-1064.

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