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Challenges facing healthcare managers
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To develop a broad perspective on the challenges faced by middle and front line healthcare managers, we examined research from the UK and other countries. We found that both groups face numerous challenges in their roles (see table 1).
Previous research shows that front line managers face challenges around self identity, particularly for those in ‘hybrid’ clinical-managerial roles, and around the negative perception of management in general. They also have problems with human resources, lack of organizational support, and with too many systems and processes that are inadequate, outdated, complex, or simply inconsistent with their responsibilities. Other challenges included lack of preparation for a managerial role, balancing priorities, work pressures, lack of recognition, role conflict, and the absence of power, influence and authority.
Previous research also showed that middle managers faced challenges around self-identity, negative perceptions of the management role and human resources issues. They also experienced a lack of involvement in decision making and felt challenged by hierarchical organizational structures which inhibited their authority over particular groups. Other challenges included role ambiguity and conflict, work pressures, job insecurity, work relationships, organizational communication, and conflicting government directives such as having cleaner hospitals, but being under pressure to save money by hiring fewer cleaners.
Janice A. Osbourne - Personal Name
NONE
Healthcare Management
English
January 2011
1-4
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