I've encountered a curious gap in the literature that I would love professional help to address! My Professors and I were discussing the need to identify American-based literature (if I can find any) on adversarial relationships and/or professional conflict between clinicians and their management in a healthcare organisation (such as a hospital). The issue is frequently discussed in other contexts (UK, Europe, Australia, New Zealand, etc) however, I've been searching high and low...I couldn't find much.
Is there genuinely little writing on this topic, or am I looking in the wrong places? Is there a term I'm missing? I would love your guidance.
Perhaps the term "clinicians" has another synonymous. Key words are important for "search strategy" while searching for gab and finding publication. There are plenty of systematic review papers, I recommend to look at their "search strategy" used and if you need further assistance please feel free to contact me. I will be delighted to help.
I've observed some strained relationships between the healthcare management science / operation research (MS/OR), system engineering specialists and hospitals administrators, not necessarily between clinicians & management. See detailed literature review of this issue in Section "Who is this book for?" in the book "Healthcare Management Engineering. What does this fancy term really mean?", Springer, NY, 2012.
For example,
"The report published by National Academy of Engineering and Institute of Medicine (Reid et al, 2005) states in an unusually blunt way, “In fact, relatively few health care professionals or administrators are equipped to think analytically about health care delivery as a system or to appreciate the relevance of engineering tools. Even fewer are equipped to work with engineers to apply these tools.”
Thus, it is often difficult for many administrators to appreciate the role of management engineering methodology in the health care delivery process analysis.
As Butler (1995) states, “…it is imperative for administrators to familiarize themselves with the array of quantitative decision techniques provided by management science/operations research (MS/OR).”
Carter (2002) in the article with the revealing title ‘Diagnosis: Mismanagement of Resources’ summarizes, “…Ailing health care system desperately needs a dose of operations research.” Fabri (2008) supports this assessment saying, “…fixing healthcare will require individuals who are ‘bilingual’ in healthcare and in systems engineering principles.”
Story (2009) states in his strongly articulated article, “Local hospital leadership must play a role, either becoming educated and passionate about systems [management] engineering or stepping aside to allow progress. …Leaders who remain unfamiliar with the concepts of system engineering often slow or even prevent change through a lack of passion, education and vision.”
Is there little writing on this topic, but there are some writing about adversarial relationship between clinicians and nurses
adversarial relationships and / or professional conflict between clinicians and their management in a healthcare organization (such as a hospital).
I think the research about power ralation is better.
When Team Conflicts Threaten Quality of Care: A Study of Health Care Professionals' Experiences and Perceptions ( Swiss )
POWER RELATIONS AND DECISION: CONFLICTS BETWEEN PHYSICIANS AND HOSPITAL MANAGERS (Brazil)
Hospital management conflict: the leadership role