Lundin Karin, Skytt Bernice, Silén Marit, Engström Maria, Strömberg Annika
Department of Health and Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.
Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden and Department of Public Health and Caring Sciences, Faculty of Medicine, Uppsala University, Uppsala, Sweden.
Leadersh Health Serv (Bradf Engl). 2024 Dec 20;38(5):1-15. doi: 10.1108/LHS-07-2024-0060.
The purpose of this paper is to describe first-line managers' (FLMs') experiences and reflections on structural conditions for management practice within hospital settings using Kanter's theory of structural empowerment.
DESIGN/METHODOLOGY/APPROACH: A qualitative deductive approach with a descriptive design was used. Interviews were conducted with 11 FLMs in charge of medical or surgical hospital units spread across Sweden. Data were analyzed using a directed content analysis, based on Kanter's theory of structural empowerment, encompassing such as access to necessary and sufficient resources, information, support and opportunities to learn and develop.
Findings of this study from the FLMs' descriptions and reflections shed light on the impact of power dynamics on the structural conditions for management practice. The availability of nursing staff was a fundamental resource in the FLMs' work performance, ensuring delivery of care to patients and a sound work environment for staff. Additionally, the other structural elements outlined in Kanter's theory were evident in the findings, as the FLMs wished for structured information flow, identified potential and challenged opportunities for development and emphasized the importance of receiving support from people with a genuine understanding of their work situation.
ORIGINALITY/VALUE: The results of this study contribute to the understanding of FLMs' structural conditions for management practice in hospital settings. The paper's originality stems from the use of a deductive approach, providing a structured lens with the potential to inform future research and practice in the field of health-care management.
本文旨在运用坎特的结构赋权理论，描述一线管理者（FLMs）在医院环境中对管理实践结构条件的经验和思考。
设计/方法/途径：采用具有描述性设计的定性演绎方法。对瑞典各地负责医院内科或外科病房的11名一线管理者进行了访谈。基于坎特的结构赋权理论，运用定向内容分析法对数据进行分析，该理论涵盖获取必要和充足的资源、信息、支持以及学习和发展的机会等方面。
本研究从一线管理者的描述和思考中得出的结果揭示了权力动态对管理实践结构条件的影响。护理人员的可获得性是一线管理者工作绩效的一项基本资源，确保了对患者的护理以及为员工提供良好的工作环境。此外，坎特理论中概述的其他结构要素在研究结果中也很明显，因为一线管理者希望有结构化的信息流，识别发展潜力并挑战发展机会，同时强调从真正了解其工作情况的人那里获得支持的重要性。
原创性/价值：本研究结果有助于理解一线管理者在医院环境中的管理实践结构条件。本文的原创性源于采用了演绎方法，提供了一个结构化视角，有可能为医疗保健管理领域的未来研究和实践提供参考。
