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Organizational ambidexterity and the hybrid middle manager : the case of patient safety in UK hospitals

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Burgess, Nicola, Strauss, Karoline, Currie, Graeme and Wood, Geoffrey (2015) Organizational ambidexterity and the hybrid middle manager : the case of patient safety in UK hospitals. Human Resource Management, 54 (Supplement 1). s87-s109. doi:10.1002/hrm.21725

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Official URL: http://dx.doi.org/10.1002/hrm.21725

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Abstract

his article focuses on knowledge management in UK hospitals as an area in which organizational ambidexterity (OA) is a necessary condition. In contrast to much of the literature on OA that looks at senior managers, we focus on the role of “hybrid” middle managers, professional workers who hold managerial responsibilities, in ensuring that the quality of care delivered is at an optimum “safe” level for patients. We examine the influence of prevailing tensions and competing agendas characteristic of a professionalized, public-sector context upon knowledge exploitation and exploration at the middle levels of the organization. Our study investigates how these tensions are experienced and reconciled at the individual level. We examine the contextual and personal circumstances that enable hybrid middle managers to forge workable compromises between exploration and exploitation to facilitate OA. We find that this process is contingent on professional legitimacy, social capital, and a holistic professional orientation. This has wider implications for human resource practice to support the discretion and motivation of hybrid middle managers to facilitate OA for enduring performance and advancement of best practice

Item Type: Journal Article
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
Divisions: Faculty of Social Sciences > Warwick Business School > Entrepreneurship, Innovation & Management
Faculty of Social Sciences > Warwick Business School > Operations Management
Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH): Organizational effectiveness, Knowledge management, Hospital administrators, Personnel management, Personnel administration, Hospital
Journal or Publication Title: Human Resource Management
Publisher: John Wiley & Sons, Inc.
ISSN: 0090-4848
Official Date: December 2015
Dates:
DateEvent
December 2015Published
22 April 2015Available
3 June 2014Accepted
Volume: 54
Number: Supplement 1
Page Range: s87-s109
DOI: 10.1002/hrm.21725
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Funder: National Institute for Health Research (NIHR) , Collaboration for Leadership in Applied Health Research and Care West Midlands (CLAHRC WM)
Grant number: 09/1002/05 (NIHR HS&DR)

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