Managing complex workplace stress in health care organizations: leaders' perceived legitimacy conflicts

Journal of Nursing Management
Lotta Dellve, Ewa Wikström

Abstract

To conceptualize how health care leaders' strategies to increase their influence in their psychosocial work environment are experienced and handled, and may be supported. The complex nature of the psychosocial work environment with increased stress creates significant challenges for leaders in today's health care organizations. Interviews with health care leaders (n = 39) were analysed in accordance with constructivist grounded theory. Compound identities, loyalty commitments and professional interests shape conditions for leaders' influence. Strategies to achieve legitimacy were either to retain clinical skills and a strong occupational identity or to take a full leadership role. Ethical stress was experienced when organizational procedural or consequential legitimacy norms were in conflict with the leaders' own values. Leadership support through socializing processes and strategic support structures may be complementary or counteractive. Support programmes need to have a clear message related to decision-making processes and should facilitate communication between top management, human resource departments and subordinate leaders. Ethical stress from conflicting legitimacy principles may be moderated by clear policies for dec...Continue Reading

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Citations

Aug 2, 2014·Journal of Health Organization and Management·C GrillE Wikström
Nov 2, 2014·International Journal of Qualitative Studies on Health and Well-being·Lise-Lotte JonassonMaria Nyström
Nov 3, 2011·Journal of Health Organization and Management·Ellinor TengelinLotta Dellve
Feb 8, 2013·Healthcare Management Forum·Dannie CurrieCarrie-Lynn Haines
Sep 22, 2011·Issues in Mental Health Nursing·Michelle ClearyDebra Jackson
Jul 9, 2011·Issues in Mental Health Nursing·Michelle ClearyMaureen Deacon
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Jul 25, 2012·Journal of Nursing Management·Mayuko NiitsumaChifumi Sato
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Jul 19, 2013·Journal of Nursing Management·Arne OrvikRuno Axelsson
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Jan 30, 2015·The Open Nursing Journal·Cecilia HåkansonJonas Sandberg
Dec 12, 2020·Frontiers in Public Health·Andrea Eriksson, Lotta Dellve

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