Embedding organisational quality improvement through middle manager ownership
International Journal of Health Care Quality Assurance
ISSN: 0952-6862
Article publication date: 1 June 2005
Abstract
Purpose
To strengthen the middle manager role in a hospital quality improvement (QI) program, with a view to increasing and sustaining organisational QI implementation.
Design/methodology/approach
Case study based action research project, combining pre‐ and post‐action quantitative and qualitative data collection, relating to a QI program intervention in an Australian metropolitan specialist teaching hospital. A model for enhancing the middle manager role in QI was developed and then implemented as the action over a 12‐month period.
Findings
Middle manager understanding and ownership of the QI program and organisational QI implementation significantly increased, although their perceived enjoyment of being involved in QI decreased.
Research limitations/implications
This case‐study based action research project was limited to one organisation of a specific type – a large specialist metropolitan teaching hospital. The composition of the middle manager group, therefore, is necessarily limited to particular specialties. It is acknowledged that findings from case study and action research methodologies are limited in their generalisability, but assist in the development of knowledge and principles that can be adapted to different settings.
Practical implications
This QI implementation model can increase levels of organisational QI implementation by effecting a positive change in middle manager attitude to and involvement in QI.
Originality/value
There are many theories regarding the importance of the middle manager role in QI, but little empirical research into exactly what this role may be and how it may be strengthened. This research adds to the knowledge base, and provides clear steps for achieving increased staff involvement and QI implementation.
Keywords
Citation
Balding, C. (2005), "Embedding organisational quality improvement through middle manager ownership", International Journal of Health Care Quality Assurance, Vol. 18 No. 4, pp. 271-288. https://doi.org/10.1108/09526860510602541
Publisher
:Emerald Group Publishing Limited
Copyright © 2005, Emerald Group Publishing Limited