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Implementation of a participatory management model: analysis from a political perspective
Author(s) -
Bernardes Andrea,
G. Cummings Greta,
Gabriel Carmen Silvia,
Martinez Évora Yolanda Dora,
Gomes Maziero Vanessa,
ColemanMiller Glenda
Publication year - 2015
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12232
Subject(s) - participatory management , accountability , citizen journalism , public relations , nursing management , nursing , general partnership , business , knowledge management , process management , sociology , psychology , medicine , political science , computer science , social psychology , finance , law
Aim To analyse experiences of managers and nursing staff in the implementation of participatory management, specifically processes of decision‐making, communication and power in a C anadian hospital. Background Implementing a P articipatory M anagement M odel involves change because it is focused on the needs of patients and encourages decentralisation of power and shared decisions. Methods The study design is qualitative using observational sessions and content analysis for data analysis. We used Bolman and Deal's four‐frame theoretical framework to interpret our findings. Results Participatory management led to advances in care, because it allowed for more dialogue and shared decision making. However, the biggest challenge has been that all major changes are still being decided centrally by the provincial executive board. Conclusions Managers and directors are facing difficulties related to this change process, such as the resistance to change by some employees and limited input to decision‐making affecting their areas of responsibility; however, they and their teams are working to utilise the values and principles underlying participatory management in their daily work practices. Implications for nursing management Innovative management models encourage accountability, increased motivation and satisfaction of nursing staff, and improve the quality of care.