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Contemporary leadership in healthcare organizations Fragmented or concurrent leadership

机译:医疗保健组织中的当代领导力零散或并发的领导力

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Purpose - The purpose of this paper is to gain a deeper understanding of the main contemporary challenges for healthcare leaders in their everyday work practice, and the support they need to master their experienced dilemmas.rnDesign/methodology/approach - Qualitative in-depth interviews (n = 52), and focus-group interviews (n = 6) with 31 first-line and 45 second-line healthcare leaders are analysed in line with constructivist grounded theory.rnFindings - In this paper, two leadership models are proposed for defining and differentiating ways of meeting different logics and demands made on leaders in the healthcare sector. The first model is leadership by separating different logics and fragmentation of time. Here, leaders express a desire for support in defining, structuring, dividing, and allocating tasks. The second model is leadership by integrating different logics and currentness of solutions. In this case, leaders want support in strengthening proactive leadership and shaping the basis for participative employeeship. Research limitations/implications - This research is designed to describe what people experience rather than to assess the frequency of that experience in the studied settings. However, it would be interesting to elaborate on the findings of this study using other research methodologies. Practical implications - The findings contribute to contextual knowledge that is of relevance in supporting healthcare leaders. This is helpful in identifying important conditions that support the establishment of leadership and employeeship, leading to improvements in healthcare practice. Originality/value - The paper describes how contemporary leadership in the healthcare sector is constituted through different strategies for meeting multiple logics.
机译:目的-本文的目的是深入了解医疗保健领导者在日常工作实践中面临的主要当代挑战,以及他们需要克服的经验困境所需要的支持。rn设计/方法/方法-定性深入访谈( n = 52),并根据建构主义扎根理论分析了针对31位一线和45位二线医疗保健领导者的焦点小组访谈(n = 6)。研究发现-本文提出了两种领导力模型,用于定义和定义满足医疗行业领导者的不同逻辑和要求的差异化方法。第一个模型是通过分离不同的逻辑和时间碎片来进行领导。在这里,领导者表达了在定义,构造,划分和分配任务方面的支持愿望。第二种模型是通过集成解决方案的不同逻辑和最新性来实现领导。在这种情况下,领导者需要获得支持,以加强积极的领导和塑造参与型员工的基础。研究的局限性/含义-这项研究旨在描述人们的经历,而不是评估人们在所研究的环境中经历的频率。但是,使用其他研究方法详细阐述本研究的发现将是很有趣的。实际意义-研究结果有助于了解与支持医疗保健领导者有关的背景知识。这有助于确定支持建立领导力和员工资格的重要条件,从而改善医疗保健实践。原创性/价值-本文描述了如何通过满足多种逻辑的不同策略来构建当代医疗保健领域的领导地位。

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