A Critical Qualitative Study of the Position of Middle Managers in Health Care Quality Improvement.
To date, health care quality improvement (QI) has focused on the engagement of executive leadership and frontline staff as key factors for success. Little work has been done on understanding how mid-level unit/program managers perceive their role in QI and how capacity could be built at this level to increase success. We present ethnographic data on the experience of hospital middle managers to consider how the expectations and capacity of their current position might influence QI progress organizationally.
Li Ka Shing Knowledge Institute (Dr Dainty), St Michael's Hospital (Dr Sinclair), Toronto, Ontario, Canada; Institute of Health Policy Management and Evaluation (Dr Dainty), and Division of Emergency Medicine, Faculty of Medicine (Dr Sinclair), University of Toronto, Toronto, Ontario, Canada.
Katie N
KN
Dainty
Douglas
D
Sinclair
D017598:Efficiency, Organizational / Q000592:standards; D006801:Humans; D007857:Leadership; D009718:Nurse Administrators / Q000592:standards*; D024802:Nurse's Role / Q000523:psychology*; D009864:Ontario; D015279:Organizational Culture; D036301:Qualitative Research; D058996:Quality Improvement / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards