Combining a professional and managerial role can be challenging for doctors and nurses. We aimed ... more Combining a professional and managerial role can be challenging for doctors and nurses. We aimed to explore influence strategies used by doctors and nurses who are managers in hospitals with a model of unitary and profession neutral management at all levels. We did a study based on data from interviews and observations of 30 managers with a clinical background in Norwegian hospitals. Managers with a nursing background argued that medical doctors could more easily gain support for their views. Nurses reported deliberately not disclosing their professional background, and could use a doctor as their agent to achieve a strategic advantage. Doctors believed that they had to use their power as experts to influence peers. Doctors attempted to be medical role models, while nurses spoke of being a role model in more general terms. Managers who were not able to influence the system directly found informal workarounds. We did not identify horizontal strategies in the observations and accounts...
Journal of Health Organization and Management, 2015
Purpose - The purpose of this paper is to investigate how clinicians&... more Purpose - The purpose of this paper is to investigate how clinicians' professional background influences their transition into the managerial role and identity as clinical managers. Design/methodology/approach - The authors interviewed and observed 30 clinicians in managerial positions in Norwegian hospitals. Findings - A central finding was that doctors experienced difficulties in reconciling the role as health professional with the role as manager. They maintained a health professional identity and reported to find meaning and satisfaction from clinical work. Doctors also emphasized clinical work as a way of gaining legitimacy and respect from medical colleagues. Nurses recounted a faster and more positive transition into the manager role, and were more fully engaged in the managerial aspects of the role. Practical implications - The authors advance that health care organizations need to focus on role, identity and need satisfaction when recruiting and developing clinicians to become clinical managers. Originality/value - The study suggests that the inclusion of aspects from identity and need satisfaction literature expands on and enriches the study of clinical managers.
The dualistic model of passion was investigated in a work context. This model states that individ... more The dualistic model of passion was investigated in a work context. This model states that individuals may develop either a harmonious or obsessive passion for a valued activity. We hypothesized that harmonious passion for work would be positively related to job satisfaction through higher perceptions of belongingness at work. Results from a survey conducted with 278 Norwegian employees showed that belongingness partly mediated the effect from harmonious passion to job satisfaction. Obsessive passion was unrelated to belongingness, and thus, no such mediation was evident for obsessive passion on job satisfaction. These findings highlight the importance of harmonious passion for work and the role of belongingness for overall work satisfaction.
Combining a professional and managerial role can be challenging for doctors and nurses. We aimed ... more Combining a professional and managerial role can be challenging for doctors and nurses. We aimed to explore influence strategies used by doctors and nurses who are managers in hospitals with a model of unitary and profession neutral management at all levels. We did a study based on data from interviews and observations of 30 managers with a clinical background in Norwegian hospitals. Managers with a nursing background argued that medical doctors could more easily gain support for their views. Nurses reported deliberately not disclosing their professional background, and could use a doctor as their agent to achieve a strategic advantage. Doctors believed that they had to use their power as experts to influence peers. Doctors attempted to be medical role models, while nurses spoke of being a role model in more general terms. Managers who were not able to influence the system directly found informal workarounds. We did not identify horizontal strategies in the observations and accounts...
Journal of Health Organization and Management, 2015
Purpose - The purpose of this paper is to investigate how clinicians&... more Purpose - The purpose of this paper is to investigate how clinicians' professional background influences their transition into the managerial role and identity as clinical managers. Design/methodology/approach - The authors interviewed and observed 30 clinicians in managerial positions in Norwegian hospitals. Findings - A central finding was that doctors experienced difficulties in reconciling the role as health professional with the role as manager. They maintained a health professional identity and reported to find meaning and satisfaction from clinical work. Doctors also emphasized clinical work as a way of gaining legitimacy and respect from medical colleagues. Nurses recounted a faster and more positive transition into the manager role, and were more fully engaged in the managerial aspects of the role. Practical implications - The authors advance that health care organizations need to focus on role, identity and need satisfaction when recruiting and developing clinicians to become clinical managers. Originality/value - The study suggests that the inclusion of aspects from identity and need satisfaction literature expands on and enriches the study of clinical managers.
The dualistic model of passion was investigated in a work context. This model states that individ... more The dualistic model of passion was investigated in a work context. This model states that individuals may develop either a harmonious or obsessive passion for a valued activity. We hypothesized that harmonious passion for work would be positively related to job satisfaction through higher perceptions of belongingness at work. Results from a survey conducted with 278 Norwegian employees showed that belongingness partly mediated the effect from harmonious passion to job satisfaction. Obsessive passion was unrelated to belongingness, and thus, no such mediation was evident for obsessive passion on job satisfaction. These findings highlight the importance of harmonious passion for work and the role of belongingness for overall work satisfaction.
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Papers by Ivan Spehar