Utilizing a Mixed Approach to Design a Model of Managerial Competencies Based on Organizational Health

پژوهش نامه مدیریت تحول

Article 9, Volume 15, Spring & summer 2023 - Serial Number 29, September 2023, Pages 268-300   

Document Type: Original Article

DOI: 10.22067/tmj.2023.76755.1306

Authors

Sara Javanbakht¹; Mohammad Mohammadi^{* 2}; Hamid Rezaiefar²

¹Ph. D student in Public Administration, Human Resources Major, Islamic Azad University, Birjand, Iran.

²Assistant Professor, Faculty of Management, Islamic Azad University, Birjand, Iran.

Abstract

 
1- INTRODUCTION
Globally, medical sciences universities are increasingly witnessing sophisticated guests with heightened expectations, high workforce diversity, constant emergence of new technologies, and unyielding cost pressures in the wake of intense competition. Thus, the role of managers is exceedingly becoming dynamic and highly complex. These university players should grapple with rapid change and the challenges of surviving in an information-based, knowledge-intensive, and service-driven economy. Such challenges have brought about a dramatic shift in the strategic imperatives of medical sciences universities and thrown up a new set of role demands and professional challenges for senior managers and leaders in the industry. These universities, therefore, must develop leaders with competencies that correspond with and are specific to their distinct business challenges and goals to better their organizational health. This study aims to design a model of managerial competencies based on organizational health using a mixed approach. Considering the importance of health issues in organizations and the need to promote them in medical sciences universities, this research may enrich the literature on organizational health in addition to providing practical implications for the population under study.
 
2- THEORETICAL FRAMEWORK
The origins of the meritocracy movement can be traced back to Katz's work in the 1950s. Although he did not use the terms competence or competence, he introduced three categories of technical, human, and administrative skills, which provided a framework for distinguishing the performance of effective managers according to skills, which had a significant contribution to the foundation of the competence approach. After that, Selznick and his successor, McClelland, used the term competence to indicate a substantial factor that affects individual learning. In 1991, Woodruff proposed competence in the form of behavioral dimensions and a combination of motivation, trait, skill, self-concept, and social role. By combining their knowledge, skills, and abilities, competent managers can perform their duties and responsibilities in a way compatible with the organization's strategic goals. Organizational health, as the primary indicator of organizational effectiveness, refers to the organization's ability to continue its life so that it confronts the external destructive forces and directs them toward its main goals and objectives. According to Parsons' (1961) organizational genealogy, which is derived from his general theory of social systems, any organization must have four characteristics for its survival and continuous growth: 1) adaption: acquiring sufficient resources and compatibility with its environment; 2) goal achievement: setting goals and implementing them; 3) Unity: maintaining the integrity and internal coherence of the organization; 4) Invisibility: creating and maintaining the specific values of the organization.
 
3- METHODOLOGY
The research is "applied" in terms of its purpose, which was carried out within the framework of the pragmatism paradigm and the mixed-exploratory (qualitative-quantitative) approach. Based on this, first, the foundation's qualitative data research method was used, and managerial competencies were identified based on the participants' point of view. Accordingly, the sampling method was purposeful and judgmental. Based on this, 22 faculty members and administrators of medical sciences universities with managerial experience were selected. The interviewees included nine academic faculty members and nine executive directors of the university. We used semi-structured interviews to study participants and a three-stage process with open, central, and selective coding to analyze the data. In the quantitative phase, we conducted a structural equation modeling in SmartPLS v.3 to validate the proposed model. The data collection tool in the quantitative phase was a questionnaire designed based on qualitative results. The quantitative sample included 800 presidents, vice presidents, and senior managers in medical sciences universities selected by stratified random sampling.
 
4- RESULTS & DISCUSSION
The results indicated that the competencies of organizational health management include cognitive, social, functional, strategic, and ethical. Causal factors affecting organizational health management competencies include organizational and individual. Influential background factors include organizational values, cooperative culture, inter-individual trust, honesty and transparency in the workplace, and institutional requirements of the external environment. Intervening factors include the characteristics of employees such as job satisfaction, loyalty, organizational commitment, adherence, and belongingness. Individual strengthening strategies include empowering human resources, cultivating employees' professional ethics, and managing employees' attitudes and behaviors. Organizational strategies include reward systems and culture and change management.
 
5- CONCLUSIONS & SUGGESTIONS
Since few studies exist on competencies of organizational health management, the current research helps strengthen the existing knowledge in the field. This issue reveals the contribution of the present research by developing a competency model. It can be an important starting point for further studies on promoting organizational health through managers' competencies.

Keywords

Organizational health; managerial competencies; universities of medical sciences

References

 

 

Alipour, F.; Rahimi, M., & Asabat Tabari, E. (2023). The Effective Factors on Organizational Health of Schools; the Role of Leadership and Organizational Trust. Educational And Scholastic Studies, 11(4), 56-31.

Bakhtazma, Najmeh.; Hooshmand, Elaheh.; Vafaee-Najar, Ali. & Boshrouei Shargh, Bahare. (2020). Designing an Organizational Health Model for Iranian Hospitals, Navid No, 23(75),13-28. (in Persian)

Bartram, D.  (2005).  The Great Eight competencies: a criterion-centric approach to validation. Journal of Applied Psychology, 90(6), 1185-1203.

Bharwani, S.; Talib, P., & Talib P. (2017). Competencies of hotel general managers: a conceptual framework. International Journal of Contemporary Hospitality Management, 29(1):393- 418.

Biglar, M.; Bastani, P., & Vatan khah S. (2013). The Challenges of stewardship in medical education system: a qualitative approach. Payavard. 7(4): 299-311. (in Persian)

Birknerova, Z., & Uher, I. (2021). Assessment of management competencies according to coherence with managers’ personalities. Sustainability, 14(1), 170.

Bisbey, T. M.; Wooten, K. C.; Campo, M. S.; Lant, T. K., & Salas, E. (2021). Implementing an evidence-based competency model for science team training and evaluation: Team MAPPS. Journal of Clinical and Translational Science, 5(1).

Boyatzis, R.  E.  (1982).  The Competent Manager:  A Model for Effective Performance. Wiley.

Boyatzis, R. E., & Ratti, F. (2009). Emotional, social and cognitive competencies: distinguishing effective Italian managers and leaders in a private company and cooperatives, Journal of Management Development. 28(9):821-833.

Carlsson, M. (2016). Conceptualizations of professional competencies in school health promotion. Health Education. 116 (5):489-509.

Chong, E.  (2013).  Managerial competencies and career advancement:  A comparative study of managers in two countries. Journal of Business Research, 66 (3), 345- 353.

Davari, Ali., & Rezazadeh, Arash. (2014). Structural equation modeling with PLS software, second edition. Tehran. Academic Jihad Publishing Organization. (in Persian)

Dianat, M.; Seyedjavadin, S. R., & Shahhoseini, M. A. (2018). Designing competency model for project managers in petroleum industry. Strategic Studies in the Oil and Energy Industry. 9(36), 3-40. (in Persian)

Dzwigol, H.; Dzwigol-Barosz, M.; Miśkiewicz, R., & Kwilinski, A. (2020). Manager competency assessment model in the conditions of industry. Entrepreneurship And Sustainability Issues, 7(4), 2630.

Farmanova, E.; Bonneville, L., & Bouchard, L. (2018). Organizational health literacy: review of theories, frameworks, guides, and implementation issues. Journal Of Health Care Organization, Provision, and Financing, 55, 0046958018757848.

Fattahpour Marandi, M.; Kashef, S.; Seyed Ameri, M., & Shajie, R. (2017). Codification of sports administrator’s job competency model (case study: administrative director of youth and sports provinces. Sport Management Studies. 9(42), 163-184. (in Persian)

Fisher, P. (2009). Organizational Effectiveness and Capacity: The Critical Role of Organizational Health. Victoria (BC): Fisher & Associates Solutions Inc.

Ghodsi, G.; Aram, M.; Ghasemi, M., & Khaleghi, M. (2017). a. Modern Urban Management, 5(17), 75-90. (in Persian)

Gohari, M.; Tabibi, S. J.; Nasiripour, A., & Mahboubi, M. (2012). Seven Dimensions of Accountability in Iran's Teaching Hospitals: a national study. Payavard. 6(4): 255-264. (in Persian)

Gonzalez-Garcia, A.; Pinto-Carral, A.; Villorejo, J. S., & Marqués-Sánchez, P. (2021). Competency model for the middle nurse manager (MCGE-Logistic Level). International Journal of Environmental Research and Public Health, 18(8), 3898.

Gowie, M.; Wilson, D.; Gregory, S., & Clark, L. L. (2020). Development of a core competency framework for clinical research staff. Journal of Interprofessional Education & Practice, 18, 100301.

Gunawan, J.; Aungsuroch, Y.; Fisher, M. L., & McDaniel, A. M. (2020). Comparison of managerial competence of Indonesian first-line nurse managers: a two-generational analysis. Journal of Research in Nursing, 25(1), 5-19.

Habibi Banafti, A.; Khatirpasha, K.; Gholipour Kanani, Y., & Bagherzadeh, M. (2022). Providing organizational health model in government offices. The Journal of Modern Thoughts in Education, 18(2), 30-43. (in Persian)

Haghighatjoo, Z., & Naazem, F. (2008). Relationship between managers` creativity and organizational health with employee’s efficiency in medical sciences universities of Iran. Health Information Management, 4(1), 143-151. (in Persian)

Hawi, R. O.; Alkhodary, D., & Hashem, T. (2015). Managerial competencies and organizations performance. International Journal of Management Sciences, 5(11), 723-735.

Hayran, O., & Özer, O. (2018). Organizational health literacy as a determinant of patient satisfaction. Public health, 163, 20-26.

Heidari Kamarrodi, R.; Khodaverdi, Y.; Doroudi, H., & Farahmandian, A. (2016). A Survey on employees’ point of view on organizational health of educational system based on the organizational health inventory (OHI) at Zanjan University of Medical Sciences. Journal Of Medical Education Development, 9(22), 27-33. (in Persian)

Howard, P. F.; Liang, Z.; Leggat, S., & Karimi, L. (2018).Validation of a management competency assessment tool for health service managers, Journal of Health Organization and Management, 32(1),113-134.

Hoy, W. K., & Feldman, J. A. (1987). Organizational health: the concept and its measure, Journal of Research and Development in Education, 20: 30-37.

Huang, S., & Ramey, G. W. (2008). Organizational health assessment: a Romania firm case study. Review of Economic and Business Studies, 1(1), 148-157.

Humber, W. J. (1960). Psychologists In Administration (A symposium): II. Major Factors Affecting Organizational Health. Personnel Psychology.

Javadifard, F.; Amirkabiri, A., & Dehgan, M. (2021). Desining and explaning competency model of tehran municipal managers. Journal of Human Resource Management, 11(1), 102-126. (in Persian)

Kaluza, A. J.; Schuh, S. C.; Kern, M.; Xin, K., & Van Dick, R. (2020). How do leaders' perceptions of organizational health climate shape employee exhaustion and engagement? Toward a cascading‐effects model. Human Resource Management, 59(4), 359-377.

Keykha, A. (2020). Provide a model for the competency of managers at the university of medical sciences based on the theme analysis. Journal of Medicine and Cultivation, 29(1), 24-36. (in Persian)

Lopes, A. G.; Narattharaksa, K.; Siripornpibul, T., & Briggs, D. (2020). An assessment of management competencies for primary health care managers in Timor‐Leste. The International Journal of Health Planning and Management, 35(2), 520-531.

Lynden, K., & Klingle, P. (2000). The development of an instrument to measure organizational trust. Annual meeting of the american educational research association in new orleans. (12): 3 5.

Manxhari, M.; Veliu, L., & Jashari, J. (2017). Developing models of managerial competencies of managers: a review. International Journal of Economics, Commerce and Management, 5(4), 186-200.

Marcus, R.; Monga Nakra, N., & Pollack Porter, K. M. (2023). Characterizing organizational health equity capacity assessments for public health organizations: a scoping review. Public Health Reports, 00333549231151889.

Mikusova, M., & Copikova, A. (2016). What business owners expect from a crisis manager? a competency model: survey results from czech businesses. Journal of Contingencies and Crisis Management. 24(3):162-80.

Moradi, S.; Kähkönen, K.; Klakegg, O. J., & Aaltonen, K. (2020). A competency model for the selection and performance improvement of project managers in collaborative construction projects: Behavioral studies in Norway and Finland. Buildings, 11(1), 4.

Nowacka, A., & Rzemieniak, M. (2021). The Impact of the VUCA environment on the digital competences of managers in the power industry. Energies, 15(1), 185.

Paarima, Y.; Kwashie, A. A.; Asamani, J. A., & Ofei, A. M. A. (2022). Leadership competencies of first-line nurse managers: a quantitative study. Leadership in Health Services. 45(7),130-143.

Panahifar, S.; Farhang, S., & Safari, S. (2023). The Effectiveness of organizational intelligence training program on Responsibility and organizational health of military personnel. Journal of Research on Management of Teaching in Marine Sciences1, (4), 20-33.

doi:10.22034/rmt.2023.543954.2126

Parsons, T. (1951). The Social System. Glencoe, IL: Free Press.

Qiao, J.  X., & Wang, W.  (2009).  Managerial competencies for middle managers: some empirical findings from China. Journal of European Industrial Training, 33(1), 69-80.

Rashidpour, A.; Akbari, M., & Mahdian, S. (2020). Managers’ views regarding the implementation of the succession system using a competency approach among the managers of hospitals affiliated to isfahan university of medical sciences, Isfahan, Iran. Health Information Management, 17(2), 60-63. doi: 10.22122/him. v17i2.4069

Safian, Mehdi.; Hassanpour, Maryam.; Bahmani, Akbar., & Mousavi-Davoudi, Seyed Mehdi. (2021). The Relationship between spiritual health and organizational health among the staff of Qom University of Medical Sciences, Journal of Pizhuhish Dar Din Va Salamat, 7(4), 7-18. (in Persian)

Samantaray, S. K. (2017). Creating healthy and learning organisations: a handbook for practitioners. Red'shine Publication. Pvt. Ltd...

Schroder, K. E. (2004). Coping competence as predictor and moderator of depression among chronic disease patients. Journal of Behavioral Medicine, 27(2), 123-145.

Seyedin, S. H.; Mohseni, M.; Hossaini, A. F.; Gharasi Manshadi, M., & Asadi, H. (2015). Situation analysis of performance accountability in teaching hospitals affiliated to Tehran university of medical sciences. jhosp. 14(2):95-100. (in Persian)

Singh, A., & Jha, S. (2018). Exploration of people centric organizational health dimensions: a study of Indian R&D organization, Industrial and Commercial Training, 50(7/8), 393-408.

Singh, A., & Jha, S. (2017). Scale development of organizational health construct. Global Business Review, 19(2), 357-375.

Skorkova, Z. (2016). Competency models in public sector, Social and Behavioral Sciences, 230, 226 – 234.

Smolinski, R., & Xiong, Y. (2020). In search of master negotiators: a negotiation competency model. Negotiation Journal, 36(3), 365-388.

Soltangholi, F.; Ardalan, M., & Abdolmaleki, J. (2021). The Effect of managers' ethical leadership on organizational health mediated by organizational justice in the schools of Qorveh City. Iranian Journal of Educational Society, 14(1), 133-143. (in Persian)

Spencer, L. M., & Spencer, P. S. M. (2008). Competence At Work Models for Superior Performance. John Wiley & Sons.

Stanisic, N., & Cerovic, S. (2020). Competency model and multi-criteria decision making in tourism and hotel industry in serbia. Teme: Casopisza Drustvene Nauke, 44(2).549-564.

Strauss, A., & Corbin, J. (1998). Basics Of Qualitative Research Techniques. Sage Publications, Inc.

Swanson, E.; Kim, S.; Lee, S. M.; Yang, J. J., & Lee, Y. K. (2020). The effect of leader competencies on knowledge sharing and job performance: Social capital theory. Journal of Hospitality and Tourism Management, 42, 88-96.

Taghi Asar, M., & Saedi, A. (2021). Designing a strategic competencies model for NAJA managers. quarterly of order & security guards, 14(3), 117-146. (in Persian)

Tofighi, S.; Chaghary, M.; Amerioun, A., & Karimi Zarchi, A. A. (2011). Effect of organizational changes on organizational health indicators and its relationship with organizational effectiveness. Journal of Military Medicine, 13(3), 173-179.

Torkzadeh, J.; Basiri, S., & Aghili, R. (2018). Organizational health modeling: a case study of fars provincial teaching and training organization. Public Policy in Administration, 8(4), 45-63. (in Persian)

Torres, P., & Augusto, M. (2017). The impact of experiential learning on managers’ strategic competencies and decision style. Journal of Innovation & Knowledge, 2(1), 10-14.

Tyranska, M. (2016). Managerial competencies for various management levels. Zeszyty Naukowe Uniwersytetu Ekonomicznego W Krakowie, 959(11), 21-38.