Daiker Barbara L
Daiker& Associates, LLC, 9281 Tewsbury Gate, Maple Grove, MN 55311, USA.
J Med Pract Manage. 2013 May-Jun;28(6):332-40.
The purpose of this qualitative grounded theory study was to describe the theoretical structures of the strategies used by medical practices to navigate adaptive challenges. The process of responding to adaptive challenges in five medical practices was studied using a grounded theory approach, collecting data from interviews with the organizations' leaders and managers. The leadership of these medical practices had successfully navigated adaptive challenges within two years of the study. The analysis revealed a model that describes the key elements in finding solutions to adaptive challenges. The model was named the Adaptation Solution Dynamic, which explains the elements of Rational Tools, Relationship Commitment, and Achievement Drive. The findings from the results of this study provide a theoretical basis for studying how leaders support identifying solutions to adaptive challenges.
这项定性扎根理论研究的目的是描述医疗实践机构应对适应性挑战所采用策略的理论结构。采用扎根理论方法，对五家医疗实践机构应对适应性挑战的过程进行了研究，收集了来自对这些机构领导人和管理人员访谈的数据。在研究开展的两年内，这些医疗实践机构的领导层成功应对了适应性挑战。分析揭示了一个描述应对适应性挑战解决方案关键要素的模型。该模型被命名为“适应解决方案动态模型”，它解释了理性工具、关系承诺和成就驱动力等要素。本研究结果为研究领导者如何支持确定适应性挑战的解决方案提供了理论基础。
