Purpose – The purpose of this paper is to examine organizational leadership and its relationship to regional health authority actions to promote health. Design/methodology/approach – Through use of four previously developed measures of Perceived Organizational Leadership for Health...

Purpose – In a previous study, based on a survey to all clinical department and primary care center managers in Sweden, it was concluded that the prevailing general improvement strategy is characterized by: drivers for improvement are staff needs; patients and data are not as important;...

Purpose – The purpose of this paper is to demonstrate that, if teams in healthcare focus on the patient using the framework of a care pathway, change can occur without the overt need to “manage” it directly. Design/methodology/approach – In this paper the relevant literature is reviewed...

Purpose – The purpose of the paper is to explore the insights of experienced nurses regarding initiatives they believe would effectively retain nurses like themselves in the nursing profession. Design/methodology/approach – As part of a qualitative investigation into the perceptions of...

Purpose – The purpose to clarify what kind of managerial challenges employees experience regarding organisational justice in hospitals. Design/methodology/approach – This exploratory study of 8,971 employees working in 14 hospitals and examines the concept of organisational justice in...

Purpose – The UK National Clinical Assessment Service (NCAS) provides local NHS bodies with advice and support in relation to concerns about individual doctors and dentists and in some cases also conducts a detailed assessment of practitioner performance. The purpose of this paper is to...

Purpose – The purpose of the paper is to examine the deep conceptual underpinnings of trust and communication breakdowns via selected health inquiries into things that go wrong using evolutionary psychology. Design/methodology/approach – This paper explains how this is carried out, and...

Purpose – The purpose of this paper is to investigate the impact of accounting on clinical practices. Design/methodology/approach – This paper reviews existing studies of clinical budgeting; analyses publicly available data on cost‐effectiveness recommendations for the NHS; analyses...

Purpose – This paper seeks to present findings from a longitudinal action research study aimed at exploring one such innovation. Little is known about the micro‐level impact of health service innovations over time. Design/methodology/approach – The paper shows that action research is a...

Purpose – The purpose of this paper is to show that networks are emerging as a new, innovative organisational form in the UK public sector. The emergence of more network‐based modes of organisation is apparent across many public services in the UK but has been particularly evident in the...