Clinicians in management: a qualitative study of managers’ use of influence strategies in hospitals
نویسندگان
چکیده
BACKGROUND Combining a professional and managerial role can be challenging for doctors and nurses. We aimed to explore influence strategies used by doctors and nurses who are managers in hospitals with a model of unitary and profession neutral management at all levels. METHODS We did a study based on data from interviews and observations of 30 managers with a clinical background in Norwegian hospitals. RESULTS Managers with a nursing background argued that medical doctors could more easily gain support for their views. Nurses reported deliberately not disclosing their professional background, and could use a doctor as their agent to achieve a strategic advantage. Doctors believed that they had to use their power as experts to influence peers. Doctors attempted to be medical role models, while nurses spoke of being a role model in more general terms. Managers who were not able to influence the system directly found informal workarounds. We did not identify horizontal strategies in the observations and accounts given by the managers in our study. CONCLUSIONS Managers' professional background may be both a resource and constraint, and also determine the influence strategies they use. Professional roles and influence strategies should be a theme in leadership development programs for health professionals.
منابع مشابه
Exploring PDA Usage by Iranian Residents and Interns: A Qualitative Study
Background and Objectives: Clinicians in many countries increasingly use Personal Digital Assistant (PDA) as an assisting tool in clinical practice. The pattern of PDA usage by clinicians in Iran has not been characterized. This study explored the attitudes of Iranian residents and interns toward medical uses of PDA. Methods: An interview-based qualitative study was carried out in 2011. A p...
متن کاملToward a Model for Risks of Change Management Process in Teaching Hospitals
Introduction: Teaching Hospitals are constantly confronted with environmental changes that are forcing them to implement change management. However, there are risks that make this process unsuccessful. Therefore, the purpose of this study was explanation of the model of change management process risks in the teaching hospitals. Methods: This qualitative study was conducted through grounded the...
متن کاملStrategic Planning Success Factors in Hospitals: A Qualitative Study
Background and aim: Strategic planning (SP) is the art and science of strategic analysis of an organization, forecasting changes in an organization’s internal and external environments, setting strategic goals, developing suitable strategies, and allocating optimal resources to achieve competitive advantage. Strategic planning plays an important role in promoting hospital success. However, it h...
متن کاملThe Correlation between demographic characteristics, emotional intelligence and conflict management strategies in managers of different organizational levels in hospitals affiliated to Tehran University of Medical Sciences
Introduction: Hospitals have conflicts because of their complex nature, so they need managers with high emotional intelligence for effective conflict management. There are contradictory results in the correlations between demographic characteristics, emotional intelligence and conflict management; therefore, this study was conducted to investigate the correlation between them in different manag...
متن کاملرابطه هوش هیجانی و راهبردهای مدیریت تعارض مدیران بیمارستانهای منتخب شهر کرج
Background: Today, conflict is a common topic that occupies the human thought more than any other issues. On the other hand, use of emotional intelligence and its components leads to effective conflict management. The aim of this study was to investigate the relationship between emotional intelligence and conflict management strategies among the selected hospitals of Karaj, Iran. Methods: This...
متن کامل