Archetypes of bad physician leaders - a qualitative study from a large Finnish central hospital.

IF 1.7 Q3 HEALTH POLICY & SERVICES
Sari Huikko-Tarvainen, Tommi Auvinen
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引用次数: 0

Abstract

Purpose: This study aims to explore the archetypes of bad leaders as perceived by Finnish physicians across various hierarchical levels. Understanding these archetypes is essential for addressing leadership deficiencies and mitigating the detrimental effects of bad leadership and the positivity bias in leadership research.

Design/methodology/approach: Data were collected through in-person, semi-structured interviews with Finnish physicians (n = 50), including residents, specialists, heads of departments and chief physicians. Inductive content analysis, followed by thematization, was used to identify recurring themes and patterns of bad leadership behaviors. Initial codes were generated and subsequently categorized into archetypes of bad leadership, which were further organized into broader thematic categories of bad leadership.

Findings: Based on our findings, the authors identified four main themes of bad leadership encompassing seven archetypes of bad leaders, addressing incompetence, lack of transparency, exploitation, bad workload management, bullying, psychological harassment and inequity: lack of support and accessibility (absent and dismissive), authoritarianism and abuse of power (autocratic, bully and manipulative), incompetence and ineffectiveness (incompetent) and unfairness and discrimination (unfair). These issues occurred occasionally in different situations.

Practical implications: The findings indicate that a leader's behavior and leadership style directly affect physicians' well-being and work satisfaction, potentially contributing to higher physician turnover and reduced quality of patient care. These results underscore the importance of fostering leadership education that emphasizes communication skills, emotional intelligence and conflict resolution to enhance constructive leadership behaviors.

Originality/value: To the best of the authors' knowledge, no prior empirical research has specifically examined the archetypes of bad physician leaders.

不良医生领导的原型——来自芬兰一家大型中心医院的定性研究。
目的:本研究旨在探讨不同层级芬兰医师所认知的不良领导原型。了解这些原型对于解决领导缺陷和减轻不良领导的有害影响以及领导研究中的积极偏见至关重要。设计/方法/方法:通过对芬兰医生(n = 50)的面对面半结构化访谈收集数据,包括住院医生、专家、科室主任和主任医生。归纳内容分析,其次是主题化,被用来识别反复出现的主题和模式的不良领导行为。最初的代码被生成,随后被分类为不良领导的原型,这些原型被进一步组织成更广泛的不良领导的主题类别。根据我们的研究结果,作者确定了糟糕领导的四个主要主题,包括七种糟糕领导的原型,分别是无能、缺乏透明度、剥削、糟糕的工作量管理、欺凌、心理骚扰和不公平:缺乏支持和可接近性(缺席和轻蔑)、威权主义和滥用权力(专制、欺凌和操纵)、无能和无效率(无能)、不公平和歧视(不公平)。这些问题偶尔会在不同的情况下发生。实践启示:研究结果表明,领导者的行为和领导风格直接影响医生的幸福感和工作满意度,可能导致更高的医生流失率和患者护理质量的降低。这些结果强调了培养领导力教育的重要性,强调沟通技巧、情商和解决冲突的能力,以增强建设性的领导行为。原创性/价值:据作者所知,之前没有实证研究专门研究过糟糕的医生领导的原型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Leadership in Health Services
Leadership in Health Services HEALTH POLICY & SERVICES-
CiteScore
2.90
自引率
17.60%
发文量
51
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