Understanding Hybrid Roles: The Role of Identity Processes Amongst Physicians

Spyridonidis, Dimitrios; Hendy, Jane; Barlow, James

doi:10.1111/padm.12114

Cited by 70 publications

(102 citation statements)

References 38 publications

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“…The extant literature tends to present variation in response as something to do with individual characteristics of hybrid managers (Korica and Molloy, ; Spyridonidis, Hendy and Barlow, ), whereas our study highlights situational constraints as key. In this light, our study warns that possibilities for strategic contributions by middle managers are only realized when middle managers’ practice aligns with interests of higher‐status actors; otherwise the latter are likely to enact power in a way that ‘bites back’ at the interests of the former.…”

Section: Discussionmentioning

confidence: 99%

The Translational Role of Hybrid Nurse Middle Managers in Implementing Clinical Guidelines: Effect of, and upon, Professional and Managerial Hierarchies

Spyridonidis

Currie

2016

British J of Management

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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 by, professional and managerial hierarchies. In both hospitals, in the short term we see how hybrid nurse middle managers are able to mediate professional and managerial hierarchies and implement clinical guidelines through translational work. However, in one case, they less effectively accommodate policy‐driven, managerial pressure towards compliance with government regulations and financial parsimony. In this case, the outcome of their translational work is not sustained in the longer term, as professional and managerial hierarchies reassert themselves. Drawing upon the example of their managerial role in healthcare, we highlight that hybrid middle managers enact a strategic translational role and outline situational constraints that impact this more strategic role.

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Section: Discussionmentioning

confidence: 99%

The Translational Role of Hybrid Nurse Middle Managers in Implementing Clinical Guidelines: Effect of, and upon, Professional and Managerial Hierarchies

Spyridonidis

Currie

2016

British J of Management

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“…), physicians (Spyridonidis et al. ), clinical and medical directors (McGivern et al. ), and medical doctors, practitioners, and assistants (Waring ).…”

Section: An Outline Of the Articlesmentioning

confidence: 99%

Understanding Hybridity in Public Organizations

Denis

Ferlie

Gestel

2015

Public Administration

247

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This article explores and extends the concept of hybridity to understand current changes in public services organizations, notably as seen from an organizational studies perspective. The notion of hybridity has become more important, given that the public sector increasingly blurs with other sectors and more social actors. Previous reliance on the use of ideal‐types in characterizing public services reforms has masked expanding heterogeneity. We here move beyond the (i) conventional focus on structural hybridity to consider (ii) institutional dynamics, (iii) social interactions, and (iv) new identities and roles in public services. Based on these four dimensions of hybridity, we review alternative theoretical frameworks. We suggest that bringing together work from the neighbouring disciplines of public administration and organization studies may improve our understanding of public services hybridity and outline a future research agenda.

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“…Second, the interaction between institutionalized knowledge brokering and other organizational arrangements, both formal and informal, requires more attention (Foss et al ). Finally, while hybrid roles are seen as an organizational panacea for reform in professionalized contexts (Croft et al ), it is useful to expand the exploration of their limitations beyond the micro‐processes of role and identity transition (Kippist and Fitzgerald ; Croft et al ; Spyridonidis et al ) by focusing on the potential negative consequences of actions undertaken by hybrids when discharging their professional duties.…”

Section: Challenges For Knowledge Brokering Professionals In Healthcarementioning

confidence: 99%

Professionals as Knowledge Brokers: The Limits of Authority in Healthcare Collaboration

Kislov

Hodgson

Boaden

2015

Public Administration

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Professionals with managerial responsibilities are often seen as natural boundary spanners, brokering knowledge between the professional and managerial domains. However, the tensions implicit in their knowledge brokering activities, especially when the latter are formalized, remain under‐researched. Using interviews and observational data, we examine the case of an inter‐organizational collaborative research partnership that deployed clinical professionals as designated knowledge brokers across multiple sites. We identify three strategies that such hybrid professionals utilized to surmount challenges associated with knowledge brokering in the fragmented healthcare context: (1) relying on additional boundary ‘bridges’; (2) conforming to existing ways of doing things; and (3) shifting from ‘facilitating’ to ‘doing’. An analysis of these strategies highlights the tensions between different dimensions of brokering reinforced by macro‐level institutional arrangements, the intertwining of formalized and emergent elements of brokering as a collectively enacted phenomenon, and the limitations of knowledge brokering professionals arising from their professional expertise and authority.

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Understanding Hybrid Roles: The Role of Identity Processes Amongst Physicians

Cited by 70 publications

References 38 publications

The Translational Role of Hybrid Nurse Middle Managers in Implementing Clinical Guidelines: Effect of, and upon, Professional and Managerial Hierarchies

The Translational Role of Hybrid Nurse Middle Managers in Implementing Clinical Guidelines: Effect of, and upon, Professional and Managerial Hierarchies

Understanding Hybridity in Public Organizations

Professionals as Knowledge Brokers: The Limits of Authority in Healthcare Collaboration

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