Professional Documents
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Human Resource Management in Health
Human Resource Management in Health
Human Resource Management in Health
DEVELOPMENT
Nursing is a dynamic profession that is subject to
constant changes and this necessitates that
development strategies be in place to ensure that
nurses provide the best possible individualized care
based on the most recent research findings.
Development strategies will provide nurses the
opportunities to learn and grow which is one of the
strongest motivating factors along with the
opportunity to do interesting and challenging work (Jr
& Mcconnell, 2007, pp. 187–189).
Development strategies require a substantial
investment from the organization. While this
investment is primarily focused on the employees
allowing nurses to meet their obligation to society to
provide care that is constantly reviewed, researched
and validated (ICN, 2012), it provides the
organization a competitive advantage over its
competitors. Highly motivated nurses with up to date
knowledge and skills will increase the quality of care
rendered to clients in the organization which
increases the likelihood of the public using its
services thereby increasing its profitability.
2
HUMAN RESOURCE MANAGEMENT IN HEALTH
Master of Arts in Nursing
HRM: Philosophy behind its evolution & 2. Complementing Organizational and Human
Leadership Styles Resource Strategies
Organizational Strategies are designed to guide the
Over the years, Human Resource Management has organization towards the realization of its goals while
evolved from a family-level where the head of Human Resource Management stirs the members of
households would manage all resources at their the organization to effectively work towards those
disposal including the family members who they train goals. It is important that these two complements
to take on different roles and responsibilities to meet each other, otherwise conflict may arise.
the goals of the household to a more sophisticated
and complex process that organizations today If a healthcare organization aims to be the best
implement to realized their goals. healthcare facility in the area, its organizational
According to Armstrong (2006), Human Resource strategies are designed to realize this goal. It may
Management is a strategic and coherent approach to involve the acquisition of new equipment and building
the management of an organization’s most valued facilities. HR Management strategies must
assets – the people working there who individually complement these organizational strategies by hiring
and collectively contribute to the achievement of its and retaining competent nursing staff, supporting
objectives. Spending 32.97% of their time in the unit their professional development, and putting in
at client’s rooms (Westbrook et al., 2011), and measures that will increase the quality of care in the
accounting for the biggest portion of care time organization.
compared with other members of the healthcare team
(Butler et al., 2018), nurses serve as one of the vital 3. Considering Employees as assets rather than
core elements of any healthcare organization. liabilities
A healthcare organization is a dynamic workplace
HUMAN RESOURCE MANAGEMENT that constantly changes along with time. Healthcare
PHILOSOPHY needs changes and technological and medical
The philosophy behind the evolution of Human advances cope or try to be at the forefront of these
Resource Management plays a vital role in changes. This requires nurses to be on top of these
safeguarding the welfare of the Nursing Staff as an changes to ensure the quality of care. By considering
important core element of an organization. While nurses as the organization’s assets, it opens
different organizations develop and implement opportunities to support the career growth and
Human Resource Management Practices specific to development of nurses. They can function based on
their organization (Farndale & Sanders, 2016), these the latest research findings. It improves the
HRM Processes always has an underlying competencies of nurses and a proper skills mix is
philosophy. achieved which ultimately promotes an increase in
the quality of care. By having highly competent
1. Ownership nurses, the risk for liabilities of the organization
The philosophy of ownership states that Human decreases.
Resource Management is and has to be owned and
driven by the top management in the interest of the LEADERSHIP STYLES IN CREATING A
key stakeholders. While it may look like a one-sided PRODUCTIVE WORK TEAM
approach favoring only the top management of an Existing literature suggests that the most common
organization, this ensures there is accountability in an leadership styles are Transactional, Charismatic,
organization. This requires that the key stakeholders Transformational, and Servant Leadership. While
set goals, make plans and decisions to effectively these are commonly used, it is important to note that
manage all resources including all members of the no single leadership style is effective for every
organization to individually and collectively contribute situation thus leadership effectiveness does not
to the realization of the organizational goals. solely rely on a single leadership style but on one’s
ability to effectively identify the type of leadership
Healthcare organizations are complex in nature. style to use in a situation.
Nurses have to perform their independent functions
while also working hand-in-hand with the other Transactional Leadership
members of the healthcare team. Having the HR This leadership style utilizes the relationship between
Management owned by the major stakeholders and the leader of a work team and its members. Since this
decision-makers will allow for a clear direction for style primarily relies on exchange relationships, the
nurses to follow and ensure that their work aligns with leader must know the members of the team
expected outcomes. This will also allow the especially their interests and values in order to be
management to see determine where are the able to appeal to their own self-interest to meet the
members of the organization in their strategic plan. team’s goals.
they will get upon meeting the set objectives and simply, a team that is well-taken care of will have the
expectations. Leaders are also required to actively reason and the ability to take good care of the
monitor both the individual and collective progress organization.
and to take necessary corrective actions if needed.
References:
While it has been proven to be effective and making • Antonakis, J., Bastardoz, N., Jacquart, P., &
effective decisions aimed at increasing productivity, Shamir, B. (2016). Charisma: An Ill-Defined
leaders must also be careful not to overuse this and Ill-Measured Gift. Annual Review of
leadership style as over-emphasis on the attainment Organizational Psychology and
of the team’s goals has the tendency to overlook Organizational Behavior, 3(1), 293–
opportunities to hear inputs from the team members, 319. https://doi.org/10.1146/annurev-
leading to the creation of an environment permeated orgpsych-041015-062305
by position, power, perks, and politics. • Antonakis, J., Fenley, M., & Liechti, S.
(2011). Can Charisma Be Taught? Tests of
Charismatic Leadership Two Interventions. Academy of Management
This leadership style helps create a productive work Learning & Education, 10(3), 374–
team by inspiring team members to make the goals 396. https://doi.org/10.5465/amle.2010.0012
of the team the center of their work. In a nursing team, • Armstrong, M. (2006). A handbook of human
the leader can appeal to the team member’s core resource management practice (10th ed.).
values to get their active cooperation and Kogan Page. (Original work published 1977)
participation. It can also be used as a highly effective • Butler, R., Monsalve, M., Thomas, G. W.,
motivational tool (Meslec et al., 2020). It is important Herman, T., Segre, A. M., Polgreen, P. M., &
to note however that the effectiveness of this Suneja, M. (2018). Estimating Time
leadership style relies on the connection between the Physicians and Other Health Care Workers
leader and the team member. It is important that the Spend with Patients in an Intensive Care Unit
followers accept their leader and this acceptance is Using a Sensor Network. The American
accomplished through communicating values and a Journal of Medicine, 131(8), 972.e9–
mission that is relevant for the followers (Antonakis et 972.e15. https://doi.org/10.1016/j.amjmed.2
al., 2011; Antonakis et al., 2016). 018.03.015
• Farndale, E., & Sanders, K. (2016).
Transformational Leadership Conceptualizing HRM system strength
According to Doody & Doody (2013), through a cross-cultural lens. The
Transformational Leadership is the most favored and International Journal of Human Resource
desired leadership style within nursing and other Management, 28(1), 132–
disciplines primarily presumably due to their 148. https://doi.org/10.1080/09585192.2016.
emphasis on relationships as the foundation for 1239124
effecting positive change or outcomes (Hibberd & • Hibberd, J. M., & Donna Lynn Smith. (2006).
Donna Lynn Smith, 2006) Nursing leadership and management in
Canada (3rd ed., pp. 369–394). Elsevier
With both the leader and team members sharing a Mosby.
common belief and goals there is a high possibility • Kiwanuka, F., Nanyonga, R. C., Sak‐
that the team will work together and exceed the Dankosky, N., Muwanguzi, P. A., & Kvist, T.
expected outcomes. Effective transformational (2020). Nursing leadership styles and their
leadership is linked to reduced adverse patient impact on intensive care unit quality
events, enhanced patient satisfaction (Wong et al., measures: An integrative review. Journal of
2013), and guaranteed higher quality of nursing care Nursing Management,
(Kiwanuka et al., 2020). 29(2). https://doi.org/10.1111/jonm.13151
• Meslec, N., Curseu, P. L., Fodor, O. C., &
Servant Leadership
Kenda, R. (2020). Effects of charismatic
In servant leadership, the primary goal of the leader
leadership and rewards on individual
is to serve the team members not by doing the team
performance. The Leadership Quarterly,
member’s jobs for them but by ensuring that the team
101423. https://doi.org/10.1016/j.leaqua.202
members are growing in all areas — their profession,
0.101423
knowledge, autonomy, and even their health and
physical development.
HRM in Health Course Integration Literature asserts that ideas and practices on
managing employees evolved with time. From early
Existing literature presents different definitions of idea of absolute superiority and divine rights of
Human Resource Management from different masters over their conscripts to the management of
authors, management thinkers and various employees in a hierarchical authoritarian way during
institutions. However, all these definitions boil down the Industrial Revolution which is deeply rooted on a
to the same theme which is “Human Resource set of assumptions that owners have particular
Management (HRM) is a systematic way of managing qualities that gave them their place in society which
people working in an organization and resources to workers do not have therefore they needed to be
meet both the employees and the organization’s strictly managed. Late on the idea of Taylorism came
goals.” Literature also asserts the presence of which viewed workers are viewed as motivated by
confusion between the terms “Human Resource money and are willing to work to get it but they want
Management” and “Personnel Management”. Some to do it in the most efficient way. This led to breaking
claims that the two are entirely different things while down complex jobs to smaller repetitive jobs that can
some says its just the same; some also claims that be done by any unskilled worker and the one who
Human Resource Management is the modern version determines how to breakdown a job and who and
of Personnel Management. what to work on is the manager. Most recent idea is
the Psychology and Human Relations wherein
In this paper I will try to comprehensive discuss humans are viewed to have different psychological
Human Resource Management and Personnel needs, skills and abilities and it is important to have
Management, its similarities and differences as well engaging human relations at the workplace (Budd,
as its views on the organization itself, the people 2016).
working for it and different management strategies.
These evolution of ideas and practices in managing
Personnel Management & Human Resource the people working in an organization ultimately
Management Historical Background paved the way for what we now know as Human
Back in the early days, head of households assigns Resource Management where people are now
tasks to every member based on what they are good viewed as one of the most important assets an
and while the term does not exist yet by that time, it organization has and must be developed and
is believed to be the origin of talent management empowered. It also provided for the creation of new
which simply means “putting the right people in the roles for HR Managers. The days of simply
right roles.” This has proven to be very effective as it maintaining personnel files and advising on hiring,
helped people to sustain the needs of their firing, and compensation or long gone for HR
households. The same practice also aids in professionals. Today, they fulfill a variety of roles that
household production wherein households create require knowledge and competencies in areas that
products they can sell or exchange with other were foreign to them in the past (Salvatore et al.,
products from different households (Cottage 2005).
Industry).
Personnel Management & Human Resource
The Industrial Revolution (1800s) caused a massive Management Differentiation
shift from household production to large-scale The stark contrast between Personnel Management
production in factories. The shift required a large and Human Resource Management is the how the
workforce which are mostly composed of people who people working in an organization is viewed and
has no prior experience working for someone else. managed. The most notable definition of Human
For this reason, industrialist believed that the Resource Management is by Edwin Flippo when he
workforce needs strict supervision to function well stated that Human Resource Management is
and meet the production goals. To do this,
industrialists appointed supervisors who has an “…is the planning, organizing, compensation,
unquestioned authority to hire, to fire, to discipline, to integration, and maintenance of people for the
assign work, and to motivate workers. Motivation purpose of contributing to organizational,
techniques usually comes in the form of cajoling or individual and societal goals.”
threats of getting fired and replaced.
Working on this definition, we can identify key words
In the early 1900s, the increasing production which address the key concepts are vital to the
demands has significantly increased workforce size success of an organization. The key words are as
necessitating the need for a dedicated department in follows:
an organization to manage employees. It is believed
to have paved for the creation of Personnel 1. Planning – planning focuses on finding the
Management which are primarily responsible and right people at the right time for the right
handling administrative tasks related to employees position. In Personnel Management this is a
such as hiring, firing, and handling compensation of one-way process that includes the
employees. determination of the need for an employee,
5
HUMAN RESOURCE MANAGEMENT IN HEALTH
Master of Arts in Nursing
The Core Elements of Human Resource traditional forms of compensation may not be enough
Management to keep healthcare workers from leaving. HR
The core elements of Human Resource Management Managers together with major stakeholders of
are the Organization, the People working within the organizations must find other intangible benefits to
Organization and the Management of the people. maintain and sustain the needed workforce for the
Every organization is unique and has its own healthcare industry.
philosophies, culture and goals. The organizational
goal is the reason for its entire existence and to Conclusion
realize those goals, manpower is needed. People has People are at the heart of any healthcare
to work towards those goals. However, it is not as organization, whether that organization is
simple as getting people and putting them to work. It government- or privately run, or in the city center or a
is vital that the organization’s need for manpower is small health facility in the rural areas. There is a
carefully evaluated to determine the number of perception that the best health facilities are the ones
people it need, their qualities and qualifications that with high-tech equipment and facilities or those
will contribute to the realization of those goals. It is offering large number of health services. Oftentimes,
also important to note that organizations has both the attention is primarily focused on these and
short and long term goals. In order to meet those patients and little attention is placed on the welfare of
long-term goals, ways to retain workers must be the healthcare workers.
identified and implemented. This is where the
element of management comes in. The organization We must always take note that it is the healthcare
has already set the destination it wants to pursue and workers who are behind the technology, treatment
the management element will guide the way for the protocols, and services of the organization who will
people working for the organization towards that ensure the quality of care and how the healthcare
destination. A failure on any of these elements will organizations manage and invest on them will impact
result in the failure of any organization thus it is vital the quality of care and services being provided on
that every element works in perfect unison. that organization.
Future Organizational Management Challenges in As the healthcare industry is subject to rapid change
the Human Resource Field within the Healthcare and predicting these changes are very difficult. HR
Industry Managers and stakeholders in organization must take
As with all other industries, the Healthcare Industry is active steps to identify and understand current trends
very dynamic and is subject to change based on the healthcare industry and human resource
primarily on healthcare needs and technological management to come up with strategic plans that will
advancement in medicine. What sets it apart with ensure that the organization has adequate manpower
other industries is that it is harder to identify the exact to meet the everchanging health care needs of the
direction of change, its extent and the type of change. people.