Challenges of midwifery staff at Tehran hospitals: A qualitative study from the midwifery managers perspective

Rad, Mahsa Khoshnam; Khosravi, Shahla; Mosadeghrad, Ali Mohammad; Elham, Ehsani-Chimeh; Mirmolaei, Seyedeh Tahereh

doi:10.1002/nop2.1778

Cited by 2 publications

(1 citation statement)

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“…Industrial action frequently disrupts health care in Nigeria, the cause often conflict between different professional groups as much as renumeration ( Suleiman and Stewart, 2020 ). In Iran, industrial action has been prompted by a range of problems (poor training, unclear job boundaries and unpleasant working environments) ( Mahsa et al ., 2023 ). In China, due to authoritarian management and compliant trade unions, conflict can't be managed through collective channels, but is often channelled through informal, individual activities ( Cao, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Managing under austerity: a qualitative study of management–union relations during attempts to cut labour costs in three South African public hospitals

Fana,

Goudge

2024

JHOM

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PurposeIn this paper, the authors examine the strategies used to reduce labour costs in three public hospitals in South Africa, which were effective and why. In the democratic era, after the revelations of large-scale corruption, the authors ask whether their case studies provide lessons for how public service institutions might re-make themselves, under circumstances of austerity.Design/methodology/approachA comparative qualitative case study approach, collecting data using a combination of interviews with managers, focus group discussions and interviews with shop stewards and staff was used.FindingsManagement in two hospitals relied on their financial power, divisions between unions and employees' loyalty. They lacked the insight to manage different actors, and their efforts to outsource services and draw on the Extended Public Works Program failed. They failed to support staff when working beyond their scope of practice, reducing employees' willingness to take on extra responsibilities. In the remaining hospital, while previous management had been removed due to protests by the unions, the new CEO provided stability and union–management relations were collaborative. Her legitimate power enabled unions and management to agree on appropriate cost cutting strategies.Originality/valueFinding an appropriate balance between the new reality of reduced financial resources and the needs of staff and patients, requires competent unions and management, transparency and trust to develop legitimate power; managing in an authoritarian manner, without legitimate power, reduces organisational capacity. Ensuring a fair and orderly process to replace ineffective management is key, while South Africa grows cohorts of competent managers and builds managerial experience.

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Section: Discussionmentioning

confidence: 99%

Managing under austerity: a qualitative study of management–union relations during attempts to cut labour costs in three South African public hospitals

Fana,

Goudge

2024

JHOM

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Challenges of midwifery staff at Tehran hospitals: A qualitative study from the midwifery managers perspective

et al. 2023

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Midwives are a vital group in the health workforce. The skilled midwifery workforce has an accepted role in providing high-quality health care. According to globally available statistics, the participation of midwives in the provision of services can substantially reduce maternal and newborn deaths and complications, particularly in low-income countries (Nove et al., 2021). The importance of midwives' role to achieve universal health goals is caused more emphasis on the need to support midwives (Ten Hoope Bender et al., 2014). Some global concerns have been raised about the midwifery workforce state in the world. Studies have shown currently midwives face some obstacles in their workplace that cause them to cannot apply the full of their capacity to provide high-quality care.

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Challenges of midwifery staff at Tehran hospitals: A qualitative study from the midwifery managers perspective

Cited by 2 publications

References 40 publications

Managing under austerity: a qualitative study of management–union relations during attempts to cut labour costs in three South African public hospitals

Managing under austerity: a qualitative study of management–union relations during attempts to cut labour costs in three South African public hospitals

Challenges of midwifery staff at Tehran hospitals: A qualitative study from the midwifery managers perspective

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