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医疗保健管理人员对管理绩效不佳情况的看法。

Healthcare managers' perceptions of managing poor performance.

作者信息

Hill Melanie, Gluyas Heather, Sandy Martinique, Wingate Andrew

机构信息

Murdoch University , Murdoch, Australia.

Alfred Health, Melbourne, Australia.

出版信息

J Health Organ Manag. 2018 May 21;32(3):416-427. doi: 10.1108/JHOM-09-2017-0241.

DOI:10.1108/JHOM-09-2017-0241
PMID:29771208
Abstract

Purpose The purpose of this paper is to understand the perceptions and experiences of healthcare managers working within a community and ambulatory health service who manage poorly performing staff and, to identify the supports, and gaps in supports, that are available to these managers. Design/methodology/approach Data were collected via two focus groups using a semi-structured schedule. The data were transcribed, themed and conclusions summarised. Findings On analysis of the discussion of the line managers' experiences and perceptions of competence, six themes were identified, five themes common to both groups. When discussing the availability and gaps in supports available when managing poor performance, managers were aware of the majority of the supports available to them in the workplace but there was a disconnect between managers and the HR department. Research limitations/implications Though the results of this study are not generalisable, as the participants came from programs within a single hospital, they may be transferrable to other healthcare environments. Future research should attempt to replicate these findings using other research techniques. Practical implications The findings in this paper indicate that methods should be identified to build better relationships between managers and HR departments, develop clear management learning pathways, and to support managers to manage their emotional responses. These strategies will support organisations to achieve improved outcomes from the performance management processes. Originality/value This study contributes to the current literature by identifying key themes that may have an impact on the outcome of performance management processes. These themes would benefit from further exploration.

摘要

目的 本文旨在了解在社区及门诊医疗服务机构工作的医疗保健管理人员对表现不佳员工的看法和经历,并确定这些管理人员可获得的支持以及支持方面的差距。

设计/方法/途径 通过两个焦点小组,使用半结构化日程收集数据。对数据进行转录、确定主题并总结结论。

研究结果 在分析一线管理人员对能力的体验和看法的讨论时,确定了六个主题,其中五个主题是两组共有的。在讨论管理绩效不佳员工时支持的可用性和差距时,管理人员了解工作场所中他们可获得的大多数支持,但管理人员与人力资源部门之间存在脱节。

研究局限性/影响 尽管本研究的结果不可推广,因为参与者来自单一医院的项目,但它们可能适用于其他医疗环境。未来的研究应尝试使用其他研究技术来复制这些发现。

实际意义 本文的研究结果表明,应确定方法以在管理人员和人力资源部门之间建立更好的关系,制定明确的管理学习途径,并支持管理人员管理他们的情绪反应。这些策略将支持组织在绩效管理过程中取得更好的成果。

原创性/价值 本研究通过确定可能对绩效管理过程结果产生影响的关键主题,为当前文献做出了贡献。这些主题值得进一步探索。

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