Ranjbar Mansour, Neishabouri Masoumeh, Gorji Mohammad Ali Heidari
Educational Development Center, Mazandaran University of Medical Sciences, Sari, Iran.
Department of Medical-Surgical Nursing, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Open Access Maced J Med Sci. 2019 Jun 30;7(12):2017-2023. doi: 10.3889/oamjms.2019.475.
In recent decades, managing health-service systems has faced multiple challenges. Identifying and resolving these challenges promote the efficiency and effectiveness of hospital activities.
The present study aimed to explore the human factors affecting health service managers.
In this qualitative study, in-depth unstructured interviews were conducted with 29 employees who were in close contact with the health service managers. All the interviews were transcribed verbatim. Data were collected using purposeful sampling and were analysed using conventional content analysis via MAXQDA software.
A group of 29 participants were interviewed (male 65.5%, female 34.4%). "Managing managers" has been identified as the primary theme with four supporting secondary themes including the inappropriate appointment of managers, the impact of human and social needs of managers, influential employees, and disrupting organisational communications. These are the challenges faced by managers in managing human resources in health-service organisations.
Results showed that employees manage their managers within the organisation so that they can prevent managers from concentrating on their management affairs and tasks resulting in the distortion of management practices. The results of this study can help the key policy makers and planners in health-service organisations to guide the organisation to pursue its goals through appointing appropriate managers and identifying influential employees.
近几十年来，卫生服务系统的管理面临着多重挑战。识别并解决这些挑战可提高医院活动的效率和成效。
本研究旨在探讨影响卫生服务管理者的人为因素。
在这项定性研究中，对29名与卫生服务管理者密切接触的员工进行了深入的非结构化访谈。所有访谈均逐字转录。数据采用目的抽样法收集，并通过MAXQDA软件使用常规内容分析法进行分析。
共访谈了29名参与者（男性占65.5%，女性占34.4%）。“管理管理者”被确定为主要主题，并有四个支持性的次要主题，包括管理者任命不当、管理者的人文和社会需求的影响、有影响力的员工以及扰乱组织沟通。这些是卫生服务组织中管理者在人力资源管理方面面临的挑战。
结果表明，员工在组织内部对管理者进行管理，以使管理者无法专注于其管理事务和任务，从而导致管理实践出现偏差。本研究结果可帮助卫生服务组织中的关键政策制定者和规划者通过任命合适的管理者和识别有影响力的员工来引导组织实现其目标。
