Regulating time commitments in healthcare organizations: Managers’ boundary approaches at work and in life

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MARC

Tengelin, EllinorGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine (author)

Regulating time commitments in healthcare organizations : Managers’ boundary approaches at work and in life

Article/chapterEnglish2011

Publisher, publication year, extent ...

Emerald,2011
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:kth-78182
https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-78182URI
https://doi.org/10.1108/14777261111161905DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-29541URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-8169URI
https://gup.ub.gu.se/publication/142432URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

QC 20120208
Purpose: The purpose of this paper is to explore managers' boundary setting in order to better understand their handling of time commitment to work activities, stress, and recovery during everyday work and at home. Design/methodology/approach: The paper has qualitatively-driven, mixed method design including observational data, individual interviews, and focus group discussions. Data were analyzed according to Charmaz' view on constructivist grounded theory. Findings: A first step in boundary setting was to recognize areas with conflicting expectations and inexhaustible needs. Second, strategies were formed through negotiating the handling of managerial time commitment, resulting in boundary-setting, but also boundary-dissolving, approaches. The continuous process of individual recognition and negotiation could work as a form of proactive coping, provided that it was acknowledged and questioned. Research limitations/implications: These findings suggest that recognition of perceived boundary challenges can affect stress and coping. It would therefore be interesting to more accurately assess stress, coping, and health status among managers by means of other methodologies (e.g. physiological assessments). Practical implications: In regulating managers' work assignments, work-related stress and recovery, it seems important to: acknowledge boundary work as an ever-present dilemma requiring continuous negotiation; and encourage individuals and organizations to recognize conflicting perspectives inherent in the leadership assignment, in order to decrease harmful negotiations between them. Such awareness would benefit more sustainable management of healthcare practice. Originality/value: This paper highlights how managers can handle ever-present boundary dilemmas in the healthcare sector by regulating their time commitments in various ways.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsmedicin och miljömedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Health and Environmental Health hsv//eng
SAMHÄLLSVETENSKAP Ekonomi och näringsliv Företagsekonomi hsv//swe
SOCIAL SCIENCES Economics and Business Business Administration hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
Boundary setting
Coping
Health care
Managers
Mixed method
Stress
Managerial work
stress
coping
health care management

Added entries (persons, corporate bodies, meetings, titles ...)

Arman, Rebecka,1976Gothenburg University,Göteborgs universitet,Företagsekonomiska institutionen, Management & Organisation,Department of Business Administration, Management & Organisation(Swepub:gu)xarmre (author)
Wikström, Ewa,1967Gothenburg University,Göteborgs universitet,Företagsekonomiska institutionen, Management & Organisation,Department of Business Administration, Management & Organisation(Swepub:gu)xwikew (author)
Dellve, LottaGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine(Swepub:gu)xdello (author)
Göteborgs universitetInstitutionen för medicin, avdelningen för samhällsmedicin och folkhälsa (creator_code:org_t)

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In:Journal of Health Organization & Management: Emerald25:5, s. 578-5991477-72661758-7247

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