When the OR manager is task focused rather than people focused.

Being an effective manager requires a delicate balance of "task focused" and "people focused" managerial actions. Even when the manager has a reason to be focused on tasks, employees should be unlikely to find lack of "people focus." Morale, creativity, and initiative will decrease on the unit, the manager's power and authority may be usurped, and the manager may feel lonely and unsupported by staff. This lack of support for the manager also may be demonstrated in written evaluations or by the employees going to the manager's superior to complain.