Sustainable Human Resource Practices for Managerial Transitions in the National Health System: Evidence from Shiraz University of Medical Sciences

Document Type : Original Article

Authors

1 PH,D Candidate, Department Of Management, Islamic Azad University, Yasouj, Iran

2 Associate Professor, Department Of Management, Islamic Azad University, Gheshm, Iran

3 Associate Professor, Department Of Management, Islamic Azad University, Yasouj, Iran

Abstract

Introduction: Transitions in the national health system. By focusing on long-term
environmental, social, and governance (ESG) impacts, the research addresses key issues
related to leadership selection and exit This study aims to develop a sustainable human
resource model for managing managerial processes.
Methods: The study employs a qualitative, exploratory design using the grounded theory
approach. Data were collected through 22 semi-structured interviews with human resource
experts and senior officials from the Ministry of Health, selected via snowball sampling Data
coding and analysis were conducted using MAXQDA 2020 software.
Results:Findings reveal six core components influencing sustainable HRM in managerial
transitions: sustainable recruitment and development, performance management, a culture
of sustainability, succession planning, and challenges related to transparency and political
interference. A paradigmatic model was developed based on these themes.
Conclusion: The proposed model provides a structured framework for selecting and
removing managers based on sustainability principles. It offers practical implications for
health sector policymakers by promoting merit-based, transparent, and future-oriented HR
practices that enhance organizational stability and service quality.

Highlights

Seyed Kousha Mirmasoudi (Google Scholar)

Serajeddin Mohebi (Google Scholar)

Keywords

Main Subjects


1.  World Health Organization. Health systems governance for universal health coverage: action plan 2014–2019. Geneva: World Health Organization; 2014.
2.  Frenk J, Moon S. Governance challenges in global health. New England Journal of Medicine. 2013;368(10):936–42. doi: 10.1056/NEJMra1109339.
3.  Dodek PM, Wong H, Norena M, Ayas N, Reynolds SC, Keenan SP, et al. Moral distress in intensive care unit professionals is associated with profession, age, and years of experience. Journal of Critical Care. 2016;31(1):178–82. doi: 10.1016/j.jcrc.2015.10.011.
4.  Kreindler SA. Policy learning and performance measurement as management interventions. Health Serv Manage Res. 2018;31(2):77–83.
5.  Mikkelsen B, Williams J, Rakovac I, Wickramasinghe K, Hennis A, Shin HR, et al. Life course approach to prevention and control of non-communicable diseases. BMJ. 2019;364:1257. doi: 10.1136/bmj.1257.
6.  Liang Z, Howard PF, Leggat S, Murphy G. A framework to improve health service managerial capacity. J Health Organ Manag. 2011;25(2):183–97.
7.  Drolet BC, Lorenzi NM. Translating research into practice: leadership challenges and opportunities. Acad Med. 2011;86(10):1222–6.
8.  Clark J. Medical leadership and engagement: no longer an optional extra. J Health Organ Manag. 2012;26(4–5):437–43. doi: 10.1108/14777261211251517.
9.  Mikkelsen A, Jacobsen DI. Managing organizational change: the role of leaders’ self-efficacy. J Organ Change Manag. 2015;28(5):653–69.
10. Resnick B. Building leadership capacity for quality care. J Nurs Adm. 2017;47(1):1–2.
11. Shaw J, Taylor R, Dix K, et al. Enhancing healthcare leadership: the responsibility of nursing management. J Nurs Manag. 2020;28(5):1005–10.
12. Beer M, Dwight D, Schrader M, Nanda A. Leadership that gets results. Harvard Bus Rev. 2017;95(3):70–82.
13. Fennell ML, Alexander JA. Governing boards and organizational performance: the accountability paradox. Health Serv Res. 1987;22(3):291–303.
14. Denis JL, van Gestel N. Medical managers: careers and leadership in healthcare. New York: Springer Nature; 2016.
15. Storey J, Holti R. Towards a New Model of Leadership for the NHS. Leeds: NHS Leadership Academy; 2013.
16. Bohmer RM. Leading clinicians and clinicians leading. N Engl J Med. 2013;368(16):1468–70. doi: 10.1056/NEJMp1301814.
17. Øvretveit J. Leading improvement effectively: review of research. London: Health Foundation; 2012.
18. O’Reilly CA, Caldwell DF, Chatman JA, Lapiz M, Self W. How leadership matters: The effects of leaders’ alignment on strategy implementation. The Leadership Quarterly. 2010;21(1):104–13. doi: 10.1016/j.leaqua.2009.10.008.
19. Yuki G. Leadership in organizations. 8th ed. London: Pearson; 2013.
20. Day DV, Fleenor JW, Atwater LE, Sturm RE, McKee RA. Advances in leader and leadership development: A review of 25years of research and theory. The Leadership Quarterly. 2014;25(1):63–82. doi: 10.1016/j.leaqua.2013.11.004.
21. Northouse PG. Leadership: theory and practice. 8th ed. Thousand Oaks (CA): Sage Publications; 2019.
22. Goleman D. What makes a leader? Harvard Bus Rev. 2004;82(1):82–91.
23. Zhang Y, LePine JA, Buckman BR, Wei F. It’s not fair… or is it? The role of justice and leadership in explaining work stressors—job performance relationships. Academy of Management Journal. 2014;57(3):675–97. doi: 10.5465/amj.2011.1110.
24. Avolio BJ, Walumbwa FO, Weber TJ. Leadership: current theories, research, and future directions. Annu Rev Psychol. 2009;60:421–49. doi: 10.1146/annurev.psych.60.110707.163621.
25. Bass BM, Avolio BJ. Transformational leadership and organizational culture. Public administration quarterly. 1993:112-21.
26. Stefanovic S, Jovanovic A, Djordjevic M. Leadership models in healthcare organizations. Serbian J Manag. 2018;13(2):281–93.
27. Jiang L, Shalley CE. Creativity in the workplace: a new perspective on managing innovation. Acad Manag Ann. 2014;8(1):1-34.
28. Collins DB, Holton III EF. The effectiveness of managerial leadership development programs: A meta-analysis of studies from 1982 to 2001. Human Resource Development Quarterly. 2004;15(2):217-48.doi: 10.1002/hrdq.1099.
29. Chamakiotis P, Dekoninck E, Panteli N. Factors influencing creativity in virtual teams: an integrative literature review. Comput Hum Behav. 2013;29(3):701-8.
30. Andersen JA. Distributed leadership and organizational design. Eur Manag Rev. 2008;5(3):197-208.
31. Mikalef P, Krogstie J, Pappas IO, Pavlou P. Exploring the relationship between big data analytics capability and competitive performance: The mediating roles of dynamic and operational capabilities. Information & management. 2020;57(2):103169. doi: 10.1016/j.im.2019.05.004.
32. Bhattacharya S, Jha MK, Mukherjee A. Artificial intelligence and human resource modeling: a strategic framework. J Bus Res. 2021;129:239–52.