Jun 05, · Public hospitals have established specialty clinics in (62%) of local community health centres, which considerably improved the accessibility and quality of clinical care at the community level, with the price of services being 20% lower than in tertiary hospitals and the health insurance reimbursement rates 30% higher With course help online, you pay for academic writing help and we give you a legal service. This service is similar to paying a tutor to help improve your skills. Our online services is trustworthy and it cares about your learning and your degree. Hence, you should be sure of the fact that our online essay help cannot harm your academic life This document is not available in digital form. If you are supporting DoD or U.S. Government research please Sign In using a CAC, PIV or ECA or register with blogger.com registered, sign in, search for your document, and click on “Request Scanned Document”
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Try out PMC Labs and tell us what you think. Learn More. Background: Effective leadership is a vital component of health care systems and has an extensive range of functions in improving organizational effectiveness and efficiency. This study aimed at exploring leadership challenges encountered by leaders thesis on service quality in hospitals Iranian hospitals.
Methods: This qualitative study was conducted on a purposeful sample of 27 members of hospital management team in Tehran using face-to-face semi-structured interviews and in-depth interviews. Thematic analysis was used to analyze and report the data. Results: In this study, 5 main themes emerged upon the challenges of leadership in health care organizations as follow: organizational structure complexity, centralization, and bureaucracy ; human resources the number and distribution of human resources, staff empowerment, and education, thesis on service quality in hospitals, motivational mechanisms, thesis on service quality in hospitals, and staff diversity ; work nature sensitivity, stress and tension, customer diversity, and team- oriented ; leaders knowledge and skills, appointment, superiors and colleagues, and time ; and context regulations and programs, cultural issues, social issues, and economic issues.
Conclusion: The results of this study shed some light on the leadership thesis on service quality in hospitals in a culturally specific developing country.
The results also proved the importance of using educated leaders who are capable of understanding, analyzing, and dealing with such complex challenges. This was the first exploratory attempt to identify the leadership challenges in hospitals in Iran that were not addressed by previous literature, thesis on service quality in hospitals.
Health care organizations HCOswith hospitals at the center, are considered as large and complex contemporary organizations, owing to their advanced procedures and different resources 1. Leading quality improvement process requires leaders thesis on service quality in hospitals manage uncertainty and foster cultural and behavioral changes 7 - 9.
Leadership is a long-term process of influencing people toward accomplishing a mission and particular goals of a group or an organization This process sets goals and strategies, enhances commitment and compliance to objectives and organizational productivity, and promotes the culture of team and dynamicity in organizations 11 Studies have revealed that most of the problems of health care systems are due to poor communication and leadership 1 Poor leadership in HCOs could increase costs, reduce efficiency and effectiveness, and cause dissatisfaction among staff, ultimately resulting in lower patient satisfaction and society health level 16 - Most leadership studies have been conducted in developed countries and in the areas outside health care, and only a very few has been done in the realm of health care 22 Despite the presence of the complex challenges in managing health care organizations in developing countries, not enough studies have been done in these countries Some have further investigated the transformational, thesis on service quality in hospitals, ethical, charismatic, spiritual, and other prominent hospital leadership models, while most have been conducted on limited hospital settings 30 - Therefore, there is a gap in integrated studies to investigate and recognize the challenges of leadership in Iranian health care system IHCS.
Qualitative studies, as an effective approach, are expected to provide in-depth and objective views on the real experiences of leaders in this sector. The current study has been conducted to explain the obstacles and challenges of leadership in Iranian HCOs to help identify the problems, and thereby develop the appropriate operational and applicable solutions for effective leadership in HCOs of IHCS.
A qualitative approach was employed to obtain an in-depth view on contextual issues of leadership, explore the new aspects of leadership, and examine the leadership challenges in Iranian HCOs. This study was conducted in Participants were hospital managers working at different managerial levels in hospitals located in Tehran, Iran. The main inclusion criterion was having at least five years of managerial experience.
Data were collected using semi-structured, in-depth interviews. Therefore, the time, questions, and wording of each interview were flexible to increase the depth and volume of the collected data. Three interviewees denied voice recording, and a person was employed to write down their interviews. The average length of interviews was between 40 to 60 minutes.
The time and place of interviews were determined by the interviewees. Data collection continued until data saturation was reached, thesis on service quality in hospitals, which was after 27 interviews. Data were collected and analyzed simultaneously, and the thematic analysis framework was employed.
Codes were derived in an inductive procedure using open coding. Then, categories and themes were defined based on the similarities and differences, thesis on service quality in hospitals.
MAXQDA10 was used for thesis on service quality in hospitals the data analysis process. To increase the credibility of the findings, enough time was spent to collect and review data frequently using a variety of sampling methods selecting participants from different managerial levels and organizations and giving feedback to the participants.
In addition, vague issues were clarified through further phone contact. Audit trial was used to assure the dependability of the findings. Besides, 2 faculty members, who were experts in qualitative research, analyzed and reviewed the handwritten interviews to ensure the dependency of contents and results.
The participants were provided with sufficient information about the objectives of the study, data confidentiality, and the optional nature of the study. Also, their informed consent was obtained. The age range of all 27 interviewees varied from 40 to 59 years, they had 7 to 26 years of management experience, and of them 16 were male. Among the participants, there were 1 hospital director, 9 hospital managers, 6 nursing administrators matrons3 administrative-financial managers, and 8 supervisors, working in public, private, and social security hospitals.
Interviewees stated that the existence of various professions in hospitals can increase specialization and horizontal differentiation and may cause conflicts in communication and coordination. For example, the way the accounting staff looks at the problems is different from the way the nursing personnel or physicians consider them….
The emergency physician considers a series of experiments immediate, but the laboratory staff has the opposite idea.
This great diversity of expertise results in many conflicts…. On the other hand, it limits the efforts to improve leader-follower relationship and minimizes job satisfaction. Vague and inadequate job descriptions and specifications is another structural challenge.
More conflicts seen between my employees are because of vague job descriptions, as there are overlaps and conflicts in job descriptions Participants stated that the lack of financial resources and its negative effects on the activities of the hospital and also on bonus and welfare facilities has led to conflicts of interests and inconsistencies.
Old buildings with unfavorable conditions in terms of light, space, and location, as well as the lack of equipment and accessories have caused stress and conflict. This problem along with the lack of equipment slows down work and causes many conflicts…. The best incentive is to make working places safe and appropriate Participants considered the shortage of manpower and its improper distribution a major problem in the leadership.
Owing to increased workload, the shortage of manpower increased tensions and conflicts on the one hand and decreased the opportunity to establish friendly relationships between the personnel and supervisors on the other hand. On the other hand, we have to use people who are not suitable for the job and who are sometimes uninterested in their jobs.
Such people always have problems in their jobs and in their relationships with others. Another issue about human resources is inappropriate pre-employment and on-the-job education in terms of amount, content, and sometimes unskilled educators. Most of the staff thesis on service quality in hospitals not aware of their duties and administrative rules, thesis on service quality in hospitals, and this could cause serious problems in communication and work process ….
One of the most important leadership challenges was inappropriate motivational mechanism in the hospitals. When my boss forces me to give all my subordinates almost the same scores to avoid objections, the one who is doing well gets disappointed…. Another leadership challenge in the hospital is the wide diversity of hospital staff in terms of education level, profession, social class, and income, as well as the need to recognize these differences to apply motivational and leadership techniques proportional to different people.
It is difficult to recognize their attitudes and satisfy them One of the challenges mentioned in this study was the work nature in the hospital, its sensitivity, and the stress and tension involved. In addition to the heavy workload, shift work and night-time awakenings cause tension, exhaustion, and irritability On the other hand, shift work causes a person to have different supervisors in different shifts and decreases mutual communication and interactions Most participants believed those variations in patients and their companions in terms of disease; social class, thesis on service quality in hospitals, income, and culture required manpower with special mental and spiritual abilities on the one hand and caused tensions and conflicts in the work place on the other hand; so it required intelligent leadership and special motivational methods for dealing with this condition.
This is a stressful and grueling process…. Perhaps no workplace needs such teamwork…, thesis on service quality in hospitals. Troublesome rules, insufficient support and supervision rules in the field of manpower, overlaps, and sometimes conflicts between the rules and programs, and frequent changes in determined legislation and programs were some of the challenges related to regulations and programs.
Most of the time, when we thesis on service quality in hospitals a huge part of a job, a new opposing rule is passed….
It confuses the personnel and minimizes their motives. For example, there are many restrictive rules to give a bonus, and it requires much paperwork and signatures Cultural challenges at 2 national and organizational levels were one of the most important challenges mentioned in this study.
Moreover, thesis on service quality in hospitals, poor teamwork, the prevalence of flattery, low motivation, lack of mutual trust, and a desire to make short-term results were considered the challenges associated with the organizational culture. Our people always respect those who have a higher level, special position, better certificate, and who keep distance a bit Unfortunately, respecting each other, especially elders, respecting women and the value of forgiveness are fading away….
It affects the organization, results in self-service and conflicts, and causes employees not to listen to their bosses…. Nowadays, the personnel have many problems compared to the time when I was a director of a hospital in a small town. Unlike us, the new generation lives in houses with few children, they are always at the center of attention, and they have everything they want. Most of participants believed that the economic situation with its effects on the organization, staff and patients was one of the most important challenges in the hospitals.
Economic problems related to employees affected their morale, abilities, thesis on service quality in hospitals, and motivation and having second jobs, which could affect the lives, problems, and diseases of the people. These problems may increase the tensions and conflicts in the workplace and may cause higher workload and issues caused by them. When they do not have enough money, how can I motivate them by written letters of appreciation?
A patient who, in addition to his disease, is faced with treatment expenses will have difficulties in developing relationship with the personnel…. Thesis on service quality in hospitals work place is in chaos…. He is not a good leader and cannot maintain a relationship with the staff. He always has problems with his personnel and we are not allowed to relocate him…. Frequent changes of managers caused leaders and followers not to have a chance to know each other and this decreased the opportunity to plan and implement long-term educational and motivational programs.
When we are not sure how long we have this post, unconsciously we lose our motivation to have long-term plans…. Many managers mentioned that they were under direct or indirect pressure of their colleagues managers of other hierarchies and bosses in selecting their leadership style and motivational programs.
Thus, I have to follow my boss leadership style. When I see that another supervisor gives full bonus to his employee, who works less than my employee, I have no choice but to give my employee full bonus too.
Then, payments are not based on performance, and overtime they cannot be used as a motivational tool… P The findings revealed that time limits and busy managerial jobs caused managers not to have enough time for their leadership duties thesis on service quality in hospitals other administrative tasks.
Five major leadership challenges were found in hospitals including factors related to the context, work nature, thesis on service quality in hospitals, human resources, organizational structure, and leaders themselves. There is no comparable science of managing, as leadership is conditional thesis on service quality in hospitals specific situations and contexts
Healthcare Informatics: Analytics for Readmissions, Length of Stay, CMI, Core Measures, EBM
, time: 19:52Leadership challenges in health care organizations: The case of Iranian hospitals
Quality Reviews, working collaboratively with the American Nurses Credentialing Center (ANCC), created a crosswalk of Quality Reviews’ questions to the nine patient satisfaction categories (see below) delineated in and Magnet® Application Manuals. This crosswalk was approved by ANCC in November Cheap paper writing service provides high-quality essays for affordable prices. It might seem impossible to you that all custom-written essays, research papers, speeches, book reviews, and other custom task completed by our writers are both of high quality and cheap This thesis uses data from the Gallup Student Poll of over , students in grades 6 through 12 from U.S. public schools across all U.S. census regions to find that grade level is a stronger predictor of students’ emotional engagement with school than gender and race/ethnicity
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