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PubMed · 10268653

A career imperative.

Abstract

The hospital industry has experienced major change in its organizational, delivery, financial, and social schema. As a result, the role of the healthcare executive has also changed. The new professional administrator requirements have called for the lengthening of academic programs to meet the evolving challenges of the industry. The lack of a formal means of entry into the profession has left many confused because of the various professional development models available. Without proper advice, these do not hold significant distinction for the recent graduate. Academic programs have been lengthened from one to two years of academic coursework while the traditionally required residency has been virtually eliminated. Increased demands on both practitioners and professors of academic programs have caused a schism between theory and practice, adversely affecting the student preparing for the profession. The problem is compounded by the various professional development models available and the several opinions as to which is "best". The confusion for students, faculty, and practitioners which has resulted must be minimized through recognition of the problem, clarification of terminology, bridging the gap between academic and practice, and a rekindling of the mentor/protege relationship.

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J W Dalston, T A Denton. A career imperative.. https://pubmed.ncbi.nlm.nih.gov/10268653/

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BACKGROUND: Successful change processes in hospitals require leaders with strong competence and personal suitability, who can develop resource efficient and creative solutions. We have investigated how division leaders handle change processes and solve problems that arise in cross-disciplinary meeting activities. MATERIAL AND METHODS: Eight division leaders at two hospitals in the same region of Norway have gone through in-depth interviews about change leadership. RESULTS AND INTERPRETATIONS: Some of the division leaders were familiar with facilitating change processes and used a range of methods and tools, but the majority had limited insight into which methods would be most appropriate in the various phases of a change process. They signalised that the most difficult challenge was to handle interactions dominated by suspicion, negative interpretation, assumptions and hidden agendas. Such interplays were the most limiting factor in the development of a common understanding of demands, goals and commitment to change processes across departments and units.

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