Healthcare middle managers` experiences developing leadership capacity and capability in a public funded learning network.

Background: Healthcare middle managers (HMMs) have, as the leaders closest to clinical practice, a crucial position in healthcare today. There is broad knowledge about the demands on HMMs' capacity, their situation in general, and the challenges this presents for the improvement of healthcare qualit...

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Publicado en:BMC Health Services Research Vol. 18; no. 1
Autores principales: Hartviksen, Trude Anita, Sjolie, Berit Mosseng, Aspfors, Jessica, Uhrenfeldt, Lisbeth
Formato: Journal Article
Publicado: BioMed Central 6/8/2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: BioMed Central
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        atl: Healthcare middle managers` experiences developing leadership capacity and capability in a public funded learning network.
      aug:
        au:
          Hartviksen, Trude Anita
          Sjolie, Berit Mosseng
          Aspfors, Jessica
          Uhrenfeldt, Lisbeth
        affil: Faculty of Nursing and Health Sciences Nord University Bodø Norway
      sug:
        subj:
          Health Personnel
          Administrative Personnel
          Norway
          Rural Health
          Focus Groups
          Organizational Development
          Professional Role
          Professional Competence Standards
          Ferrans and Powers Quality of Life Index
          Questionnaires
          Scales
          Short Portable Mental Status Questionnaire
      ab: Background: Healthcare middle managers (HMMs) have, as the leaders closest to clinical practice, a crucial position in healthcare today. There is broad knowledge about the demands on HMMs' capacity, their situation in general, and the challenges this presents for the improvement of healthcare quality. There is less knowledge about how to facilitate HMMs` capacity and capability with regard to their leadership and how to handle this in a complex context. The purpose of this study was to identify and discuss the facilitation of HMMs' development of capacity and capability for leadership.Method: A critical hermeneutic design was chosen. Data were collected through three focus group interviews with Norwegian HMMs who participated in a learning network. A user representative (from among the recipients of public healthcare), involved in the same learning network, participated in all three interviews. A qualitative interpretive approach guided the analysis.Results: The results show two main themes: 1. Trusted interaction despite organizational and structural frames and 2. Knowledgeable understanding of a complex context.Conclusion: This learning network facilitated HMMs` development of capacity and capability for leadership. The development included a combination of understanding the complex context, knowledge, trust, and confidence. The approaches in the learning network were based on transformative learning, coherence, reflection, discussion, repetition, knowledge sharing, and short lectures. These approaches can be recommended for the facilitation and support of HMMs.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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