How important are quality and safety for clinician managers? Evidence from triangulated studies

Jeffrey Braithwaite (Associate Professor, Centre for Clinical Governance Research in Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.)
Donald Hindle (Director, Centre for Clinical Governance Research in Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.)
Terence P. Finnegan (Senior Staff Specialist, Royal North Shore Hospital, St Leonards, Australia.)
Elizabeth M. Graham (Director of Nursing and Support Services, Fairfield Health Service, South Western Sydney Area Health Service, Fairfield, Australia.)
Pieter J. Degeling (Professor and Director, Centre for Clinical Management, Durham University, Durham, UK. )
Mary T. Westbrook (Visiting Fellow, Centre for Clinical Governance Research, Chatswood, Australia.)

Clinical Governance: An International Journal

ISSN: 1477-7274

Publication date: 1 March 2004

Abstract

Aims to discover the work hospital clinician managers think they do and observe them in practice. A total of 14 managerial interests and concerns were identified in focus group discussions. Clinician managers’ jobs are pressurised, and are more about negotiation and persuasion than command and control. Their work is of considerable complexity, pace and responsibility and it is predicated more on managing inputs (e.g. money and people) than care processes, systems, outputs and outcomes. Thus the capacity of clinicians in these roles to respond to reforms such as those envisaged in the Bristol Inquiry may be problematic. Qualitative studies are re‐affirmed as important in providing grounded insights into not only clinical activities, but also organisational behaviour and processes.

Keywords

Citation

Braithwaite, J., Hindle, D., Finnegan, T., Graham, E., Degeling, P. and Westbrook, M. (2004), "How important are quality and safety for clinician managers? Evidence from triangulated studies", Clinical Governance: An International Journal, Vol. 9 No. 1, pp. 34-41. https://doi.org/10.1108/14777270410517700

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Emerald Group Publishing Limited

Copyright © 2004, Emerald Group Publishing Limited

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