Spehar Ivan, Frich Jan C, Kjekshus Lars Erik
Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway.
J Health Organ Manag. 2015;29(3):353-66. doi: 10.1108/JHOM-03-2013-0047.
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.
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.
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.
本文旨在探讨临床医生的专业背景如何影响他们向管理角色的转变以及作为临床管理者的身份认同。
设计/方法/途径：作者对挪威医院中担任管理职位的30名临床医生进行了访谈和观察。
一个核心发现是，医生在协调健康专业人员角色与管理者角色方面存在困难。他们保持着健康专业人员的身份认同，并表示从临床工作中找到意义和满足感。医生还强调临床工作是获得医学同事认可和尊重的一种方式。护士讲述了向管理者角色的转变更快且更积极，并且更全面地参与到该角色的管理方面。
作者提出，医疗保健组织在招聘和培养临床医生成为临床管理者时，需要关注角色、身份认同和需求满足。
原创性/价值：该研究表明，纳入身份认同和需求满足文献中的方面扩展并丰富了对临床管理者的研究。
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