Ivan Spehar1, Jan C Frich, Lars Erik Kjekshus. 1. Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway.
Abstract
PURPOSE: The purpose of this paper is to investigate how clinicians' professional background influences their transition into the managerial role and identity as clinical managers. DESIGN/METHODOLOGY/APPROACH: The authors interviewed and observed 30 clinicians in managerial positions in Norwegian hospitals. FINDINGS: A central finding was that doctors experienced difficulties in reconciling the role as health professional with the role as manager. They maintained a health professional identity and reported to find meaning and satisfaction from clinical work. Doctors also emphasized clinical work as a way of gaining legitimacy and respect from medical colleagues. Nurses recounted a faster and more positive transition into the manager role, and were more fully engaged in the managerial aspects of the role. PRACTICAL IMPLICATIONS: The authors advance that health care organizations need to focus on role, identity and need satisfaction when recruiting and developing clinicians to become clinical managers. ORIGINALITY/VALUE: The study suggests that the inclusion of aspects from identity and need satisfaction literature expands on and enriches the study of clinical managers.
PURPOSE: The purpose of this paper is to investigate how clinicians' professional background influences their transition into the managerial role and identity as clinical managers. DESIGN/METHODOLOGY/APPROACH: The authors interviewed and observed 30 clinicians in managerial positions in Norwegian hospitals. FINDINGS: A central finding was that doctors experienced difficulties in reconciling the role as health professional with the role as manager. They maintained a health professional identity and reported to find meaning and satisfaction from clinical work. Doctors also emphasized clinical work as a way of gaining legitimacy and respect from medical colleagues. Nurses recounted a faster and more positive transition into the manager role, and were more fully engaged in the managerial aspects of the role. PRACTICAL IMPLICATIONS: The authors advance that health care organizations need to focus on role, identity and need satisfaction when recruiting and developing clinicians to become clinical managers. ORIGINALITY/VALUE: The study suggests that the inclusion of aspects from identity and need satisfaction literature expands on and enriches the study of clinical managers.
Keywords:
Clinical manager; Doctor; Hybrid management; Identity; Nurse; Role transition
Authors: Mathilde A Berghout; Isabelle N Fabbricotti; Martina Buljac-Samardžić; Carina G J M Hilders Journal: PLoS One Date: 2017-09-14 Impact factor: 3.240
Authors: Ivan Spehar; Hege Sjøvik; Knut Ivar Karevold; Elin Olaug Rosvold; Jan C Frich Journal: Scand J Prim Health Care Date: 2017-03-01 Impact factor: 2.581