2016
DOI: 10.1111/1467-8551.12164
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The Translational Role of Hybrid Nurse Middle Managers in Implementing Clinical Guidelines: Effect of, and upon, Professional and Managerial Hierarchies

Abstract: Our study uses qualitative and interpretative design to analyse what hybrid nurse middle managers do in their managerial practice, what affects this, and to what effect, focusing upon implementing policy‐driven guidelines on the clinical frontline. Examining two comparative hospital cases and drawing upon Scandinavian institutionalism, we conceive their role as one of ‘translation’. On the one hand, they exhibit strategic agency. On the other hand, their managerial role not only influences, but is influenced b… Show more

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Cited by 32 publications
(40 citation statements)
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References 64 publications
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“…Our empirical analysis suggests, first, variation in financial performance of the hospitals explains less sharing of leadership for diffusion of innovation. This is consistent with extant literature (Currie and Spyridonidis, 2015;Spyridonidis and Currie, 2016). In a situation of financial constraint for example, managers may prove to be preeminent actors, and so stymie the enactment of shared leadership necessary for diffusion of innovation.…”
Section: --Insert Figure One About Here: Configuration Of Leadershipsupporting
confidence: 89%
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“…Our empirical analysis suggests, first, variation in financial performance of the hospitals explains less sharing of leadership for diffusion of innovation. This is consistent with extant literature (Currie and Spyridonidis, 2015;Spyridonidis and Currie, 2016). In a situation of financial constraint for example, managers may prove to be preeminent actors, and so stymie the enactment of shared leadership necessary for diffusion of innovation.…”
Section: --Insert Figure One About Here: Configuration Of Leadershipsupporting
confidence: 89%
“…Finally, our study responds to calls for more contextualized understandings of leadership dynamics (Liden and Antonakis, 2009). Our study highlights the effect of organizational financial performance (Currie and Spyridonidis, 2015;Spyridonidis & Currie, 2016), enactment of hybrid leadership (Croft et al, 2015a;2015b), and existence of hierarchical or collaborative organization (Adler et al, 2015;Adler, Kwon and Heckscher, 2008;Heckscher and Adler, 2006;Irvine, 1999;Mitchell and Ream, 2015) upon shared leadership for diffusion of innovation.…”
Section: Resultsmentioning
confidence: 62%
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“…One outcome of the passage of Western MNCs to the region has been the transfer of their HR systems to their Middle Eastern operations (e.g., Dowling, Festing, & Engles, 2013). In this regard, scholars have regularly looked at the challenge of the application and successful transfer of Western MNCs' HR practices in the Middle Eastern context (e.g., Mellahi, Demirbag, Collings, Tatoglu, & Hughes, 2013;Nakhle, 2011;Spyridonidis & Currie, 2016). The patchy evidence emanating from the literature portrays a mixed picture, that is, the strong socio-cultural and institutional context of the region demands foreign firms to adapt their headquarter HR practices to suit the Middle Eastern set-up.…”
Section: Challenges For Hrm and Future Research Directionsmentioning
confidence: 99%
“…The concept of hybridity is a subject that has previously attracted some interest in relation to implementing evidence into nursing practice. For example, an English study examined nurse consultants as a form of hybrid role, proposing that it could combine a strategic translational focus with the ability to influence both professional and managerial hierarchies (43). It may also be useful to consider hybridity at the organisational level.…”
Section: Accepted Manuscriptmentioning
confidence: 99%