Hill S, Beattie R S, McDougall M
Department of Management, Glasgow Caledonian University, UK.
Health Serv Manage Res. 1999 Aug;12(3):183-9. doi: 10.1177/095148489901200306.
This article contributes to bridging the gap between research activity and the practical implementation of management decision making in the health sector by reflecting upon some of the issues and dilemmas for researchers, whether academics or managers, in conducting qualitative research in this sector. The article presents the methodological issues addressed by a team of researchers engaged on a project about manager learning and development in an NHS Trust, and highlights concerns about ethical issues that emerged from the research process. The study had involved a series of interviews with senior managers and clinical staff, doctors, nurses and therapists, and it addressed issues surrounding change within the organization, the impact on individuals' jobs, and the resultant learning and development required and undertaken. The article emphasizes that engaging in reflection on the research process is valuable and suggests that it should become a mainstream part of such research. It concludes that there is an important role of qualitative management research in the health sector and that for it to be acceptable and valued, it must be operationally sensitive, ethically robust and methodologically rigorous.
本文通过思考卫生部门研究人员（无论是学者还是管理人员）在进行定性研究时面临的一些问题和困境，有助于弥合研究活动与卫生部门管理决策实际实施之间的差距。本文介绍了一组研究人员在一个关于国民健康服务信托基金（NHS Trust）经理学习与发展的项目中所解决的方法问题，并强调了研究过程中出现的伦理问题。该研究涉及对高级管理人员和临床工作人员、医生、护士和治疗师进行一系列访谈，探讨了组织内部变革、对个人工作的影响以及由此产生的所需和进行的学习与发展等问题。本文强调对研究过程进行反思是有价值的，并建议反思应成为此类研究的主流部分。研究得出结论，定性管理研究在卫生部门具有重要作用，要使其被接受和重视，必须在操作上敏感、在伦理上健全且在方法上严谨。
