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The translational role of hybrid nurse middle managers in implementing clinical guidelines : effect of, and upon, professional and managerial hierarchies

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Spyridonidis, Dimitrios and Currie, Graeme (2016) The translational role of hybrid nurse middle managers in implementing clinical guidelines : effect of, and upon, professional and managerial hierarchies. British Journal of Management, 27 (4). pp. 760-777. doi:10.1111/1467-8551.12164

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Official URL: http://dx.doi.org/10.1111/1467-8551.12164

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Abstract

Our study uses qualitative and interpretative design to analyse what hybrid nurse middle managers do in their managerial practice, what affects this, and to what effect, focusing upon implementing policy-driven guidelines on the clinical frontline. Examining two comparative hospital cases and drawing upon Scandinavian institutionalism, we conceive their role as one of ‘translation’. On the one hand, they exhibit strategic agency. On the other hand, their managerial role not only influences, but is influenced by, professional and managerial hierarchies. In both hospitals, in the short term we see how hybrid nurse middle managers are able to mediate professional and managerial hierarchies and implement clinical guidelines through translational work. However, in one case, they less effectively accommodate policy-driven, managerial pressure towards compliance with government regulations and financial parsimony. In this case, the outcome of their translational work is not sustained in the longer term, as professional and managerial hierarchies reassert themselves. Drawing upon the example of their managerial role in healthcare, we highlight that hybrid middle managers enact a strategic translational role and outline situational constraints that impact this more strategic role.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Social Sciences > Warwick Business School > Entrepreneurship, Innovation & Management
Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH): Hospitals -- Management -- Case Studies, Nurse administrators , Nurses -- Professional relationships, Occupational prestige, Medical policy
Journal or Publication Title: British Journal of Management
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 1045-3172
Official Date: October 2016
Dates:
DateEvent
October 2016Published
7 April 2016Available
5 February 2016Accepted
8 February 2016Submitted
Volume: 27
Number: 4
Page Range: pp. 760-777
DOI: 10.1111/1467-8551.12164
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
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