Power Acquisition in Health Care Settings

Subject: Healthcare Institution
Pages: 5
Words: 1766
Reading time:
7 min

Bruce, F. (1989). Power Acquisition in Health Care Setting: An Application of Strategic Contingencies Theory Human Relations, 41(12), 915-927.

In this article, the author has put emphasis on Substitute Tactical contingency theories suggesting the uncertainty managing, non-changeability and centrality predict intra-managerial grouping power. The theory was put to test in twenty different ambulatory health care scenarios. General practitioners, nurses, and managerial power and duties were scrutinized. Hypothetical hold up was highest in nurses, although less significant for general practitioners and managerial employees, whose duties in the healthcare clinics were obviously set , determined, and prejudiced to a lesser significant amount by power improving dynamics.

Inferences are argued of the significance and convenience of the contingencies theory and added theories of systematization in health-services organizations. This article is import in the research topic because it will allow the researchers to come up with solutions that are sustainable. This research was meant to enhance our familiarity on the issue of attainment of power in health/medical services organizations via an observed function of strategic contingencies theory.

The most relevant point to consider in relation to this research topic is that, this theory focuses on intra-organizational power, suggesting that acquirement of power, is entirely the purpose of an individual’s centrality to the functions of the organization.

In general, this article contains information on heightening awareness on the constraints of organizational theory applications in health care services organizations devoid of the consideration of the sole qualities of the mentioned organizations. Therefore, heightened awareness is relevant to the research topic (Bruce, 1989).

The article does not just lay emphasis on heightened awareness, but also displays the specific doctors responsibilities and qualities that could possibly amend relationships demanded by the theory. The materialization of exclusive theories in the prediction of the doctors’ qualities as dedication and satisfaction is what is relevant to the research topic. This is because it points towards the acknowledgment of the exclusive roles the healthcare practitioners have assumed in their respective healthcare service organizations.

Begun, et al. (2005). An Exploratory Study of Health Care Strategic Planning in Two Metropolitan Areas. Journal of Healthcare Management, 50 (4), 264-286.

The authors of this article, gives an insight on an investigative research on health/medical care strategic planning of San Antonio metropolitan areas and the Twin cities. To be precise, this article argues that, there is very little acknowledged about experiential disparity in the extent to which organizations dealing with healthcare services perform formal tactical planning or the degree to which strategically conducted plans affect performance. The most important issue in the article that is relevant to this research topic, lies in the structural unforeseen events and intricacy science theory offering conflicting explanations of the value organizations fit in changing settings while seeing strategic planning as ways of charting the organizations chart.

The article shows the need of continuous update of strategic planning which involves healthcare practitioners and governing boards, and the integration of strategic planning with extra organization planning. This is quite relevant to the research topic because “strategic-planning contributes to organizational focus, fosters stakeholder participation, commitment, and leads to achievement of strategic goals. Because the widespread belief in strategic-planning is based largely on experience, intuition, and faith, recommendations for developing an evidence-base for healthcare strategic-planning are presented” (Begun et al, 2005).

This article is therefore relevant because it carried out an effective research on leaders in over twenty healthcare service organizations in urban areas. This was in Minneapolis, Texas and San Antonio where it revealed that this kind of planning is widespread and appreciated in health care organizations.

Anecdotally, this article shows that, there is a broad difference in how these organizations do their planning strategically. “Some integrate the strategic planning function with marketing, others assign the responsibility to a planner, and others diffuse responsibility for strategic planning among the whole top management team” (Begun et al, 2005). There is a diminutive consistency in ways that these organizations do plan, and it is indistinct whether strategic-planning gives way to benefits in performance. As for a lot of management applications, proof of the efficiency or importance of this kind of planning is absent. As is relevant to the research topic, the research was conducted in two unlike urban areas to decide whether or how strategic plan is conducted together with the apparent effect of planning on performance.

In a synopsis this research gave out a discriminating profile of healthcare arrangement and clinical strategic planning n urban areas. In relation to the research topic, this research established a number of distinctions in the development across the trial organizations. Then again respondents tremendously concurred to the fact, that strategic planning is an essential and vital process for organizational healthcare structure. on the other hand more research on processes of strategic plans and implementation of approaches and other results of the developments will give way to an evidence base for its application in routine managing and leadership functions most favorably.

Covaleski, M. (2005) The changing nature of the measurement of the economic impact of nursing care on health care organizations. Nursing outlook, 53, 305-315.

This article highlights on the perception of organizational possibility theory to deem the varying nature of how financial impact on nursing-care effects upon which health-care organizations is considered. The article is particularly important in relation to the research topic because it shows that, useful procedures of the economic effects of nursing-care are a task of environmental, managerial, and technical circumstances.

The growing and assorted stipulation of health-care users, the remarkable restructuring and re-engineering of the health care delivery system (organizational), and recent expansion in the aptitude of and insight from data measurement practices, have all made available prospects for more significant dimension of the involvement of nursing-care to the financial well-being of these organizations.

The approach mentioned in this article is what can be considered relevant to the research topic. The displays the adaptation of a contingency theory perception of organizations that characterize dimension and management of work as functions of environmental and scientific services. It also details on the approach wherein changes in the services have brought forth opportunities to reassess the dimension and appearance of the contribution of nursing-care to the financial comfort in health-care organization.

The relevance of this article in relation to the research topic is such that, the structure contingency of organization theory is meaningful in considering the multifaceted concerns pertaining to measuring and expressing the effect of nurse-care. This is because of its precise acknowledgment of the significant function of the main forces on the performance of an organization.

As shown by Covaleski (2005), “the significance of the interrelationship between the measurement of the economic impact of nursing services and broader social, organizational, and technological imperatives has become increasingly important as we have witnessed dramatic changes in the health care industry”. The theory of contingency broadens initial decision making representations of organizations which stressed the significance of recognized organizational framework, processes and schedules which serve to improve the decision making of organizations.

The element in the paper to be given much consideration in relation to the research topic is the issue of the contingency theories argument that an organization can optimize the making of decisions when its official framework and processes are fit in three contingency groupings. These are “environment, organizational characteristics and technology. Because organizations differ in their propensities to conform to these contingencies, the degrees to which organizations are able to comply with external social demands, source of variation in their ability to succeed broader organizational demands” (Covaleski, 2005). This can also entail alteration in expertise viewed as significant.

In general this article shows an enhanced a very important issue that medical care providers work out small term performance measures which are reliable with an organization’s policy. Again the approach of health-care organization must reproduce the insightful changes being determined by aggressive weight together with consumer determined schemes which try to lessen cost, increase qualities, and augment access.

Wagner, et al. (2001). Improving Chronic Illness Care: Translating Evidence into Action. Health care Affairs, 20 (6), 65-77.

This article focuses on the involvements encouraging people to attain self managing skills necessary for chronic ailments. This article brings on board the role of health care organizations in effectual health care management, psychosomatic sustenance, and information. The article is therefore important in relation to the research in that it gives the researchers a platform to identify efficient clinical care, psychological hold up and management of information.

Of relevance to the research topic is the approach to that, “the primary reason for the mentioned issue, may be the mismatch between their needs and care delivery systems largely designed for acute illness. Evidence of effective system changes that improve chronic care is mounting” (Wagner et al, 2001). This is particularly true considering the change in approach to people with chronic diseases.

For a purposeful result in this research topic, these elements should be given great consideration because it is from this that the practitioners will be able to identify how they will work with the mismatch between these patient’s needs and healthcare deliverance in organizations. This research has shown significant evidence based summary by a chronic care model acting as a guide on quality enhancement. Any practices that would help improve the wellbeing of chronic health care management are therefore welcome.

Wan, T., Ma, Allen., & Lin, Blossom. (2001).Integration and the performance of health care networks: Do integration services increase efficiency, profitability and image? International Journal of integrated care, 1, (1), 1-7.

Wan, Ma & Lin in their article portray the significance of healthcare organizational theory by examining the incorporation of outcomes on competence and economic feasibility of the best one hundred health-care networks in America.

The article is important in terms of the research topic because it allows the researcher to identify the contingency tactical theory employed in the connection of integrated healthcare networks’ performance to their framework, outfitted characteristics and additional strategies. There are no optimistic relationships found between incorporation and network execution in a good organization’s longitudinal information required, to research on the impacts of integration on health-care networks’ economic execution.

In a synopsis the arguments in the articles above tend to drive towards a similar direction. They argue that, addressing the issues of applicable theories in health care organizations, a number of theoretical perceptions have been coined appropriate to this level. The contingency theory being the most accepted standpoint, suggests that organizations executing it are successful in adapting their frameworks to suit their environments. By putting in use these theories, multidirectional approach will be used to provide a solution that is practical and sustainable.


Begun, et al. (2005). An Exploratory Study of Health Care Strategic Planning in Two Metropolitan Areas. Journal of Healthcare Management, 50 (4), 264-286.

Bruce, F. (1989). Power Acquisition in Health Care Setting: An Application of Strategic Contingencies Theory Human Relations, 41(12), 915-927.

Covaleski, M. (2005) The changing nature of the measurement of the economic impact of nursing care on health care organizations. Nursing outlook, 53, 305-315.

Wagner, et al. (2001). Improving Chronic Illness Care: Translating Evidence Into Action. Health care Affairs, 20 (6), 65-77.

Wan, T., Ma, Allen., & Lin, Blossom. (2001).Integration and the performance of health care networks: Do integration services increase efficiency, profitability and image? International Journal of integrated care, 1, (1), 1-7.