Designing a Model for Overcoming Social Undermining in Clinical Wards Authorities of Isfahan’s Hospitals (Qualitative Research)

Subject Areas : medical documents

Fatemeh Nasresfahani ¹ , Fariba Karimi ² , Mohammad ali Nadi ³

1 - PhD Student in Educational Management, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran
2 - Associate Professor, Faculty of Educational Sciences and Psychology, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran
3 - Associate Professor, Faculty of Educational Sciences and Psychology, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran

Received: 2020-03-16 Accepted : 2020-11-12 Published : 2020-09-22

Keywords: Hospital, Social undermining, clinical authorities,

Abstract :

Introduction: Social undermining affects the proper performance of authorities of clinical wards. This study seeks to a model to overcome social undermining on the authorities of clinical wards in Isfahan hospitals. Methods: The present research is an applied research in purpose and in terms of data gathering is a qualitative research based on grounded theory. In this study, the data obtained from semi-structured interviews with 16 authorities of clinical wards of Isfahan hospitals. In qualitative data analysis with open axial and selective coding, 16 main categories, 39 sub-categories and 79 concepts were obtained. Content validity and validation of the model were confirmed by experts and calculating the Lawshe index. Results: The phenomenon of social undermining of clinical authorities is caused by factors such as lack of mental health needs of employees, organizational jealousy, perception of organizational injustice, accountability. Strategies such as creating a learning organization, promoting justice-oriented thinking, facilitating organizational interactions, platforming of individual organizational citizenship behavior and hospital’s autonomy are effective in overcoming social undermining and organizational health and human resources productivity. Personality factors, economic conditions, social factors, extra-organizational laws and organizational factors affect the implementation of strategies. Conclusion: The relationship between clinical wards authorities’ social undermining factors, overcoming strategies and its implementation outcomes was presented in a paradigm model based on grounded theory.

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