Alignment and variation in managerial and professional perceptions of purpose, leadership roles and outcomes in a healthcare organisation’s change programme

Abstract

The aim of this paper is to clarify determinants of leadership effectiveness by examining key points of agreement and difference in managers’ and professionals’ expectations and experiences of organisational change in a healthcare organisation. This is a reflexive qualitative case study carried out by an insider. A pluralist approach to methods (including interviews and records of meetings), and to managerial and professional levels and service settings, is used. Textual data is analysed using a modified grounded theory approach. Six data groups, comprising 24 data sets, are processed through a short version paradigmatic analysis to yield an analytic text from the coded data to provide a narrative based on participants’ observations and responses. While there is agreement on positive organisational and service outcomes that reflect the leadership style and the approach to change, management and professional domains have different views regarding quality, actions, leadership constructs definitions and prot...