References This qualitative study was conducted to provide a model of managerial practical wisdom in public hospitals in order to define the components affecting managerial practical wisdom, development strategies and its results in hospitals based on interpretive paradigm using Grounded strategy and content analysis technique and based on paradigm model of Corbin and Strauss (2008). To this end, semi-structured interviews were conducted with 21 hospital managers, professors and experts in the field of health care management. The basic themes of the interviews during the data analysis and coding stage identify the central class, causal, contextual, intervening factors, strategies and consequences of managerial practical wisdom in the form of a paradigm model and finally to create Grounded theory about managerial practical wisdom in these hospitals. Accordingly, the dimensions and components of practical wisdom among the managers of the mentioned hospitals were cognitive abilities and managerial competencies, factors affecting its development including individual factors (personal experiences, personality pattern, and individual values) and organizational factors (spirituality at work, organizational values and organizational will). Moreover, the results of developing this type of wisdom among the mentioned managers can be categorized as individual results (mental and psychological well-being), organizational results (improving service quality, stakeholder satisfaction, organizational dynamism and agility, organizational vitality and organizational citizenship behaviors) and social outcomes (social capital development). These results can be used in the creation and development of quantitative tools for measuring managerial practical wisdom and as a qualitative complement in evaluating the quality of decisions among hospital managers.
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The aim of the paper is to examine leadership at the level of CEOs and effectiveness in healthcare setting. Previous studies suggest there is relationship between leadership style, situation and circumstances. The relationship between leadership and effectiveness is probably not straightforward and may be influenced by both environmental and contextual factors yet no irrefutable support on this assumption can be found. In our paper we examine relationships between leadership, environment, organisational context and effectiveness in Polish healthcare organisations. Multifactor Leadership Questionnaire which has been used in a great number of research relating to the public sector on leadership was employed in this research. Implications for practitioners and policy makers are given.
PL
Celem niniejszego artykułu jest sprawdzenie przywództwa na poziomie CEO w publicznych jednostkach ochrony zdrowia (z uwagi na wielkość zatrudnienia i wysokość kontraktu zdecydowana się na badanie we wszystkich szpitalach w województwie śląskim. Na 83 szpitale w badaniach wzięło udział 67 szpitali). Wykorzystano zakupiony z możliwością na prawach licencyjnych kwestionariusz MLQ (Mulitifactor Leadership Questionnare), który bada styl przywództwa realizowany w organizacjach. Artykuł dostarcza cennych informacji zarówno dla praktyków jak i teoretyków zainteresowanych poprawą efektywności działania publicznego sektora ochrony zdrowia.
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