scholarly journals Just a leader? Leadership work challenges and identity contradiction experienced by Finnish physician leaders

2021 ◽  
Vol 35 (9) ◽  
pp. 195-210
Author(s):  
Sari Huikko-Tarvainen ◽  
Pasi Sajasalo ◽  
Tommi Auvinen
Keyword(s):  
Design Methodology ◽  
Clinical Skills ◽  
Full Time ◽  
Physician Leadership ◽  
Leadership Skill ◽  
Content Type ◽  
Clinical Patient ◽  
Physician Leaders ◽  
Patient Work ◽  
Practical Implications

PurposeThis study seeks to improve the understanding of physician leaders' leadership work challenges.Design/methodology/approachThe subjects of the empirical study were physician leaders (n = 23) in the largest central hospital in Finland.FindingsA total of five largely identity-related, partially paradoxical dilemmas appeared regarding why working as “just a leader” is challenging for physician leaders. First, the dilemma of identity ambiguity between being a physician and a leader. Second, the dilemma of balancing the expected commitment to clinical patient work by various stakeholders and that of physician leadership work. Third, the dilemma of being able to compensate for leadership skill shortcomings by excelling in clinical skills, encouraging physician leaders to commit to patient work. Fourth, the dilemma of “medic discourse”, that is, downplaying leadership work as “non-patient work”, making it inferior to patient work. Fifth, the dilemma of a perceived ethical obligation to commit to patient work even if the physician leadership work would be a full-time job. The first two issues support the findings of earlier research, while the remaining three emerging from the authors’ analysis are novel.Practical implicationsThe authors list some of the practical implications that follow from this study and which could help solve some of the challenges.Originality/valueThis study explores physician leaders' leadership work challenges using authentic physician leader data in a context where no prior empirical research has been carried out.

First and foremost, physicians: the clinical versus leadership identities of physician leaders

2016 ◽  
Vol 30 (4) ◽  
pp. 711-728 ◽  
Author(s):  
Joann Farrell Quinn ◽  
Sheri Perelli
Keyword(s):  
Health Care ◽  
Skills Training ◽  
Leadership Role ◽  
Organizational Level ◽  
Care Organization ◽  
Full Time ◽  
Clinical Expertise ◽  
Physician Leadership ◽  
Content Type ◽  
Physician Leaders

Purpose – Physicians are commonly promoted into administrative and managerial roles in US hospitals on the basis of clinical expertise and often lack the skills, training or inclination to lead. Several studies have sought to identify factors associated with effective physician leadership, yet we know little about how physician leaders themselves construe their roles. The paper aims to discuss these issues. Design/methodology/approach – Phenomenological interviews were performed with 25 physicians at three organizational levels with physicians affiliated or employed by four hospitals within one health care organization in the USA between August and September 2010. A rigorous comparative methodology of data collection and analysis was employed, including the construction of analytic codes for the data and its categorization based on emergent ideas and themes that are not preconceived and logically deduced hypotheses, which is characteristic of grounded theory. Findings – These interviews reveal differences in how part- vs full-time physician leaders understand and value leadership roles vs clinical roles, claim leadership status, and identify as physician leaders on individual, relational and organizational basis. Research limitations/implications – Although the physicians in the sample were affiliated with four community hospitals, all of them were part of a single not-for-profit health care system in one geographical locale. Practical implications – These findings may be of interest to hospital administrators and boards seeking deeper commitment and higher performance from physician leaders, as well as assist physicians in transitioning into a leadership role. Social implications – This work points to a broader and more fundamental need – a modified mindset about the nature and value of physician leadership. Originality/value – This study is unique in the exploration of the nature of physician leadership from the perspective of the physician on an individual, peer and organizational level in the creation of their own leadership identity.

Competencies physicians need to lead – a Canadian case

2018 ◽  
Vol 31 (2) ◽  
pp. 195-209 ◽  
Author(s):  
Scott Comber ◽  
Kyle Clayton Crawford ◽  
Lisette Wilson
Keyword(s):  
Financial Literacy ◽  
Design Methodology ◽  
Leadership Skills ◽  
Physician Leadership ◽  
Current Form ◽  
Content Type ◽  
Business Skills ◽  
Canadian Physician ◽  
Physician Leaders ◽  
Systems Transformation

Purpose Emerging evidence correlates increased physician leadership effectiveness with improved patient and healthcare system outcomes. To maximize this benefit, it is critical to understand current physician leadership needs. The purpose of this study is to understand, through physicians’ self-reporting, their own and others’ most effective and weakest leadership skills in relation to the LEADS leadership capabilities framework. Design/methodology/approach The authors surveyed 209 Canadian physician leaders about their perceptions of their own and other physicians’ leadership abilities. Thematic analysis was used, and the results were coded deductively into the five LEADS categories, and new categories emerging from inductive coding were added. Findings The authors found that leaders need more skills in the areas of Engage Others and Lead Self, and an emergent category of Business Skills, which includes financial competency, budgeting, facilitation, etc. Further, Achieve Results, Develop Coalitions and Systems Transformation are skills least reported as needed in both self and others. Originality/value The authors conclude that LEADS, in its current form, has a gap in the competencies prescribed, namely, “Business Skills”. They recommend the development of a more comprehensive LEADS framework that includes such skills as financial literacy/competency, budgeting, facilitation, etc. The authors also found that certain dimensions of LEADS are being overlooked by physicians in terms of importance (Systems Transformation, Achieve Results, Develop Coalitions), and this warrants greater investigation into the reasons why these skills are not as important as the others (Engage Others and Lead Self).

Asda, Morrisons and Tesco offer employees an alternative route to a degree

2014 ◽  
Vol 22 (3) ◽  
pp. 21-23
Keyword(s):  
Design Methodology ◽  
Degree Programs ◽  
Full Time ◽  
Tuition Fees ◽  
Retail Operations ◽  
Quality Work ◽  
Content Type ◽  
Job Experience ◽  
The University ◽  
Practical Implications

Purpose – This study aims to reveal how UK supermarket giants Asda, Morrisons and Tesco have teamed up with universities to launch degree courses for their non-graduate employees. Design/methodology/approach – This study explains what gave rise to the degree programs, the form they take and the results they are expected to achieve. Findings – The origins and progress of Asda’s link with Middlesex University in honors degrees in either distribution or retail operations, the Morrisons degree in management and business with the University of Bradford and Tesco’s partnership with Manchester Metropolitan University on a retail-foundation degree are charted. Practical implications – The advantages to participants of getting a university qualification at the same time as on-the-job experience have been highlighted. Social implications – In this study, some of the growing number of alternatives to the traditional three-year full-time degree program, which is becoming more attractive as university tuition fees dissuade some young people from taking a degree straight after leaving school has been dealt with. Originality/value – Demonstrates the demand for and success of quality work-based learning leading to higher-education qualifications for retail employees.

Influence of perceived and effective congruence on recall and purchase intention in sponsored printed sports advertising

2019 ◽  
Vol 20 (4) ◽  
pp. 617-633 ◽  
Author(s):  
Manuel Alonso Dos Santos ◽  
Ferran Calabuig Moreno ◽  
Josep Crespo-Hervás
Keyword(s):  
Visual Attention ◽  
Purchase Intention ◽  
Design Methodology ◽  
Ordinary Least Squares ◽  
Analysis Of Covariance ◽  
Objective Measures ◽  
Full Time ◽  
Content Type ◽  
Brand Recall ◽  
Practical Implications

Purpose The purpose of this paper is to examine the influence of congruence (perceived and effective) and the level of visual attention towards sponsors on recall and purchase intention in sports sponsorship by applying neurophysiological measures. Design/methodology/approach This study is part of neuromarketing research applied to sports. The experiment entails eye tracking with 111 men and 129 women (n=24) with 24 sports posters of three different disciplines (sailing, tennis and F1), varying the congruence, the number of sponsors and the position (2×2×2). The data are analyzed via analysis of covariance and regression using ordinary least squares. Findings Brand recall is influenced by the number of sponsors present on the poster and by the time of fixation. Effective and perceived congruence covariance the purchase intention, but the full time of fixation on the sponsor does not. The latter only, purchase intention indirectly. Practical implications The results enable managers to implement better poster designs and sponsors to have objective measures of sponsorship. Originality/value There are few studies that analyze print media in sponsorship using neurophysiological techniques. This research is a pioneer in considering attention to sports posters to examine recall and purchase intention.

Do my staff trust me?

2014 ◽  
Vol 35 (5) ◽  
pp. 470-488 ◽  
Author(s):  
Joe Krasman
Keyword(s):  
Decision Making ◽  
Organizational Structure ◽  
Personality Traits ◽  
Design Methodology ◽  
Trust Building ◽  
Full Time ◽  
Span Of Control ◽  
Content Type ◽  
Main Effects ◽  
Practical Implications

Purpose – The purpose of this paper is to examine the influence of organizational structure on the degree to which supervisors are perceived to be trustworthy by their subordinates. The manner in which subordinates’ personality traits interact with and moderate these relationships is also examined. Design/methodology/approach – A three-part survey was completed by 137 full-time workers from various industries. Findings – Formalization was positively related to subordinates’ perceptions of their supervisors’ trustworthiness and more strongly for subordinates who ranked higher on straightforwardness. Routinization was also positively related but only for subordinates who ranked low on excitement-seeking. Centralization in the form of hierarchy of authority was negatively related and more strongly for subordinates who ranked higher on competence. Routinization for subordinates who ranked high on excitement-seeking, centralization in the form of participation in decision-making, and span of control were not related. Practical implications – Before pursuing trust-building efforts, supervisors should consider whether and in what way they may already be perceived to be trustworthy by their subordinates based on the structure of their organization and the personality traits of their subordinates. Originality/value – This study is the first to examine the main effects of organizational structure on subordinates’ perceptions of their supervisors’ trustworthiness.

The outlook is bright for apprentices at Days

2014 ◽  
Vol 22 (3) ◽  
pp. 24-26
Keyword(s):  
Young People ◽  
Design Methodology ◽  
Social Implications ◽  
Full Time ◽  
British Government ◽  
Content Type ◽  
The World ◽  
Apprenticeship Programs ◽  
Practical Implications

Purpose – This paper aims to examine the advantages that two firms – Days Contract Hire and Keir Construction – gain from regularly taking on apprentices. Design/methodology/approach – Describes how the apprenticeship programs work at the two companies and the support that apprentices are given. Findings – Suggests that companies benefit in terms of better trained employees who are more loyal to the business and better able to service the needs of the customer. Practical implications – Reveals how the apprentices themselves benefit from having a trade and the likelihood of a full-time job. Social implications – Highlights some of the reasons that the British government is once again turning to apprenticeships as a good way of preparing young people for the world of work. Originality/value – Provides the inside story of the experiences of apprentices at two successful companies.

scholarly journals Effects of organizational conflict history and employees' situational perceptions of COVID-19 on negative megaphoning and turnover intention

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Myoung-Gi Chon ◽  
Lisa Tam ◽  
Jeong-Nam Kim
Keyword(s):  
Turnover Intention ◽  
Behavioral Intentions ◽  
Design Methodology ◽  
Situational Factors ◽  
Amazon Mechanical Turk ◽  
Organizational Conflict ◽  
Full Time ◽  
Content Type ◽  
Situational Perceptions ◽  
Practical Implications

PurposeThis study explores the interaction effects of organizational conflict history and employees' situational perceptions of COVID-19 on negative megaphoning and turnover intention.Design/methodology/approachSurvey data (N = 476) were collected from US citizens, who self-identified as full-time employees, through Amazon Mechanical Turk (MTurk) in August 2020.FindingsOrganizational conflict history (i.e. highly conflict-prone vs less conflict-prone workplaces) interacts with employees' situational perceptions of COVID-19 (i.e. inactive vs active publics) in affecting employees' negative megaphoning and turnover intention toward their organizations. Employees who are active publics on COVID-19 in highly conflict-prone workplaces reported the highest negative megaphoning and turnover intention. On the contrary, employees who are inactive publics on COVID-19 in less conflict-prone workplaces reported the lowest negative megaphoning and turnover intention.Practical implicationsCOVID-19 is an uncontrollable, exogenous crisis for organizations. While it is expected that employees in highly conflict-prone workplaces would report higher negative megaphoning and turnover intention, this study found that employees' situational perceptions of COVID-19 would further exacerbate the effects. This finding reflects the importance of managing organizational conflicts continuously and preemptively while also segmenting and cultivating relationships with employees based on their situational perceptions of issues and crises.Originality/valueThis study identified the significance of the interaction of cross-situational factors (e.g. employees' recollection of organizational conflict history) and situational factors (e.g. employees' situational perceptions of issues) in affecting employees' negative behavioral intentions in crisis situations, even if the crises are exogenous and uncontrollable.

Kwik Fit apprenticeship stands out from the crowd

2015 ◽  
Vol 23 (7) ◽  
pp. 18-20
Keyword(s):  
Design Methodology ◽  
Theory And Practice ◽  
Social Implications ◽  
Full Time ◽  
Training Workshop ◽  
Content Type ◽  
Classroom Training ◽  
Center Activity ◽  
Male Dominated ◽  
Practical Implications

Purpose – Examines the factors that have helped the Kwik Fit apprenticeship scheme to top honors in the latest Ofsted inspection. Design/methodology/approach – Provides details of the apprenticeship scheme and contains an interview with someone who has completed it successfully. Findings – Details the combination of classroom, training-workshop and in-center activity, with particular links between theory and practice. Practical implications – Shows that almost nine out of ten apprentices stay on at Kwik Fit at the end of their apprenticeship, and many participants progress to senior levels in the company. Social implications – Highlights the example of one female apprentice working in a male-dominated environment. Originality/value – Explains the workings of a “traditional” apprenticeship, with apprentices permanently full-time employed from the day they start.

Consumer value creation through WhatsApp use

2019 ◽  
Vol 32 (4) ◽  
pp. 455-471
Author(s):  
Jorge Cruz-Cárdenas ◽  
Jorge Guadalupe-Lanas ◽  
Ekaterina Zabelina ◽  
Andrés Palacio-Fierro ◽  
Margarita Velín-Fárez ◽  
...  
Keyword(s):  
Latin American ◽  
Value Creation ◽  
Emotional Support ◽  
Design Methodology ◽  
Instant Messaging ◽  
Role Performance ◽  
Content Type ◽  
Consumer Value ◽  
Depth Interviews ◽  
Practical Implications

Purpose The purpose of this paper is to understand in-depth how consumers create value in their lives using WhatsApp, the leading mobile instant messaging (MIM) application. Design/methodology/approach The study adopts the perspective of customer-dominant logic (CDL) and uses a qualitative multimethod design involving 3 focus groups and 25 subsequent in-depth interviews. The research setting was Ecuador, a Latin American country. Findings Analysis and interpretation of the participants’ stories made it possible to identify and understand the creation of four types of value: maintaining and strengthening relationships; improving role performance; emotional support; and entertainment and fun. In addition, the present study proposes a conceptual model of consumer value creation as it applies to MIM. Practical implications Understanding the way consumers create value in their lives using MIM is important not only for organizations that offer MIM applications, but also for those companies that develop other applications for mobile phones or for those who wish to use MIM as an electronic word-of-mouth vehicle. Originality/value The current study is one of the first to address the topic of consumer behavior in the use of technologies from the perspective of CDL; this perspective enables an integrated qualitative vision of value creation in which the consumer is the protagonist.

scholarly journals Advantages and potential challenges of data management in e-maintenance

2019 ◽  
Vol 25 (3) ◽  
pp. 378-396 ◽  
Author(s):  
Arian Razmi-Farooji ◽  
Hanna Kropsu-Vehkaperä ◽  
Janne Härkönen ◽  
Harri Haapasalo
Keyword(s):  
Data Management ◽  
Design Methodology ◽  
Management Practices ◽  
Future Research ◽  
Conceptual Approach ◽  
Content Type ◽  
Different Types ◽  
Maintenance Systems ◽  
Industry Leader ◽  
Practical Implications

Purpose The purpose of this paper is twofold: first, to understand data management challenges in e-maintenance systems from a holistically viewpoint through summarizing the earlier scattered research in the field, and second, to present a conceptual approach for addressing these challenges in practice. Design/methodology/approach The study is realized as a combination of a literature review and by the means of analyzing the practices on an industry leader in manufacturing and maintenance services. Findings This research provides a general understanding over data management challenges in e-maintenance and summarizes their associated proposed solutions. In addition, this paper lists and exemplifies different types and sources of data which can be collected in e-maintenance, across different organizational levels. Analyzing the data management practices of an e-maintenance industry leader provides a conceptual approach to address identified challenges in practice. Research limitations/implications Since this paper is based on studying the practices of a single company, it might be limited to generalize the results. Future research topics can focus on each of mentioned data management challenges and also validate the applicability of presented model in other companies and industries. Practical implications Understanding the e-maintenance-related challenges helps maintenance managers and other involved stakeholders in e-maintenance systems to better solve the challenges. Originality/value The so-far literature on e-maintenance has been studied with narrow focus to data and data management in e-maintenance appears as one of the less studied topics in the literature. This research paper contributes to e-maintenance by highlighting the deficiencies of the discussion surrounding the perspectives of data management in e-maintenance by studying all common data management challenges and listing different types of data which need to be acquired in e-maintenance systems.

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