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认知、关联与冲突的缺失:医院董事会与护士委员会主席之间的关系型领导过程

Knowing, relating and the absence of conflict: relational leadership processes between hospital boards and chairs of nurse councils.

作者信息

Verhoeven Arjan, Van de Loo Erik, Marres Henri, Lalleman Pieterbas

机构信息

Department of ORL and Head and Neck Surgery, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.

Department of Organisational Behaviour, INSEAD Asia Campus, Singapore, Singapore.

出版信息

Leadersh Health Serv (Bradf Engl). 2022 Nov 11;ahead-of-print(ahead-of-print). doi: 10.1108/LHS-06-2022-0067.

DOI:10.1108/LHS-06-2022-0067
PMID:36350179
Abstract

PURPOSE

This study aims to enhance understanding of the collaboration between chairs of nurse councils (CNCs) and members of executive hospital boards (BM) from a relational leadership perspective.

DESIGN/METHODOLOGY/APPROACH: The authors used a qualitative and interpretive methodology. The authors study the daily interactions of BM and CNCs of seven Dutch hospitals through a relational leadership lens. The authors used a combination of observations, interviews and document analysis. The author's qualitative analysis was used to grasp the process of collaborating between BM and CNCs.

FINDINGS

Knowing each other, relating with and relating to are distinct but intertwined processes that influence the collaboration between BM and CNC. The absence of conflict is also regarded as a finding in this paper. Combined together, they show the importance of a relational process perspective to understand the complexity of collaboration in hospitals.

ORIGINALITY/VALUE: Collaboration between professional groups in hospitals is becoming more important due to increasing interdependence. This is a consequence of the complexity in organizing qualitative care. Nevertheless, research on the process of collaborating between nurse councils (NCs) and executive hospital boards is scarce. Furthermore, the understanding of the workings of boards, in general, is limited. The relational process perspective and the combination of observations, interviewing and document analysis proved valuable in this study and is underrepresented in leadership research. This process perspective is a valuable addition to skills- and competencies-focused leadership literature.

摘要

目的

本研究旨在从关系型领导的角度增进对护士委员会主席(CNC)与医院执行董事会成员(BM)之间合作的理解。

设计/方法/途径:作者采用了定性和解释性方法。作者通过关系型领导的视角研究了七家荷兰医院的BM和CNC的日常互动。作者使用了观察、访谈和文件分析相结合的方法。作者的定性分析用于把握BM和CNC之间的合作过程。

研究结果

相互了解、相互联系和相互关联是不同但相互交织的过程,会影响BM和CNC之间的合作。冲突的不存在也被视为本文的一项研究结果。综合起来,它们表明了从关系过程的角度来理解医院合作复杂性的重要性。

原创性/价值:由于相互依存性的增加,医院中专业团体之间的合作变得越来越重要。这是组织定性护理复杂性的结果。然而,关于护士委员会(NC)与医院执行董事会之间合作过程的研究很少。此外,总体而言,对董事会运作的理解是有限的。关系过程视角以及观察、访谈和文件分析的结合在本研究中被证明是有价值的,并且在领导力研究中未得到充分体现。这一过程视角是对以技能和能力为重点的领导力文献的宝贵补充。

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