Menedžerske kompetence pri vodilnih v zdravstvu – eksplorativna raziskava v izbranih zdravstvenih organizacijah

Avtorji

DOI:

https://doi.org/10.55707/jhs.v12i2.181

Ključne besede:

menedžment, vodenje, upravljanje, kompetence, veščine

Povzetek

V raziskavi smo preučevali, kako vodilni kadri v zdravstvu ocenjujejo pomembnost menedžerskih kompetenc, lastne upravljavske veščine ter njihovo usklajenost. Preučevali smo tudi vpliv predhodnega izobraževanja na tem področju in pripravljenost za nadaljnje usposabljanje. Identificirali smo šest ključnih področij kompetenc (komuniciranje, vodenje zaposlenih, načrtovanje, finančno upravljanje, reševanje problemov in upravljanje ustanove) ter razvili vprašalnik, prilagojen slovenskemu kontekstu. V raziskavi je sodelovalo 134 anketirancev iz 15 zdravstvenih ustanov, kar predstavlja 31,46-odstotno odzivnost. Povprečne ocene pomembnosti kompetenc so se na petstopenjski lestvici gibale med 4,6 in 4,7, kar kaže na njihovo visoko zaznano vrednost, medtem ko so bile samoocene lastnih veščin nižje, in sicer med 3,5 in 3,9. Največja usklajenost je bila ugotovljena pri vodenju zaposlenih, največji razkorak pa pri finančnem upravljanju. Statistična analiza je pokazala pomembne razlike med zaznano pomembnostjo in samooceno (p < 0,001) ter med skupinami z in brez izobraževalnih izkušenj. Ugotovitve kažejo na visoko ozaveščenost o pomenu kompetenc ter na potrebo po ciljno usmerjenih izobraževanjih. 

Literatura

1. Aggarwal, R. in Swanwick, T. (2015). Clinical leadership development in postgraduate medical education and training: Policy, strategy, and delivery in the UK National Health Service. Journal of Healthcare Leadership, 7, 109–122. https://doi.org/10.2147/JHL.S69330

2. Belghiti Alaoui, A., De Brouwere, V., Meessen, B. in Bigdeli, M. (2020). Decision-making and health system strengthening: Bringing time frames into perspective. Health Policy and Planning, 35(9), 1254–1261. https://doi.org/10.1093/heapol/czaa086

3. Careau, E., Biba, G., Brander, R., Van Dijk, J. P., Verma, S., Paterson, M. in Tassone, M. (2014). Health leadership education programs, best practices, and impact on learners’ knowledge, skills, attitudes, and behaviors and system change: A literature review. Journal of Healthcare Leadership, 6, 39–49. https://doi.org/10.2147/JHL.S61127

4. Daouk‐Öyry, L., Sahakian, T. in Vijver, F. (2020). Evidence‐based management competency model for managers in hospital settings. British Journal of Management, 32(4), 1384–1403. https://doi.org/10.1111/1467-8551.12434

5. Dikić, M., Nikolić, D., Todorović, J., TerzićSupić, Z., Kostadinović, M., Babić, U., Gačević, M. in SantrićMilićević, M. (2019). Alignment of perceived competencies and perceived job tasks among primary care managers. Healthcare, 8(1), članek 9. https://doi.org/10.3390/healthcare8010009

6. Fanelli, S., Lanza, G., Enna, C. in Zangrandi, A. (2020). Managerial competences in public organisations: The healthcare professionals’ perspective. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05179-5

7. Figueroa, C. A., Harrison, R., Chauhan, A. in Meyer, L. (2019). Priorities and challenges for health leadership and workforce management globally: A rapid review. BMC Health Services Research, 19(1), članek 239. https://doi.org/10.1186/s12913-019-4080-7

8. Hahn, C. A. in Gil Lapetra, M. (2019). Development and use of the leadership competencies for healthcare services managers assessment. Frontiers in Public Health, 7, članek 34. https://doi.org/10.3389/fpubh.2019.00034

9. Jankelová, N., Joniaková, Z. in Romanová, A. (2021). The need for management education of healthcare management employees. The International Journal of Health Planning and Management, 37(1). https://doi.org/10.1002/hpm.3325

10. Kakemam, E., Liang, Z., Janati, A., Arab-Zozani, M., Mohaghegh, B. in Gholizadeh, M. (2020). Leadership and management competencies for hospital managers: A systematic review and best-fit framework synthesis. Journal of Healthcare Leadership, 12(2), 59–68. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7383104/

11. Kramar Zupan, M. in Erjavec, K. (2020). Kompetence in potrebe po izobraževanju direktorjev slovenskih bolnišnic. Pedagoška obzorja, 35(1), 114–131. https://www.dspo.si/index.php/dspo/article/view/16

12. Loureiro, R., Ferreira, J. J. in Simões, J. (2021). Understanding healthcare sector organizations from a dynamic capabilities perspective. European Journal of Innovation Management. Advance online publication. https://doi.org/10.1108/EJIM-02-2021-0085

13. Malik, N., Dhar, R. L. in Handa, S. C. (2016). Authentic leadership and its impact on creativity of nursing staff: A cross-sectional questionnaire survey of Indian nurses and their supervisors. International Journal of Nursing Studies, 63, 28–36. https://doi.org/10.1016/j.ijnurstu.2016.08.004

14. Nacionalni inštitut za javno zdravje. (2025). RIZDDZ – Register izvajalcev zdravstvene dejavnosti in delavcev v zdravstvu. https://nijz.si/informatika-v-zdravstvu/rizddz-register-izvajalcev-zdravstvene-dejavnosti-in-delavcev-v-zdravstvu/

15. Rahman, M. H., Dey, T. in Al-Amin, M. (2019). Relationship between organizational strategy and leadership style in performance efficiency. Asian Business Review, 9(1), 17–22. https://doi.org/10.18034/abr.v9i1.221

16. Republika Slovenija. (2025). Zakon o zdravstveni dejavnosti (ZZDej-N). Uradni list RS, št. 23/05. https://pisrs.si/pregledPredpisa?id=ZAKO214

17. Rogers, R. (2012). Leadership communication styles: A descriptive analysis of health care professionals. Journal of Healthcare Leadership, 4, 47–57. https://doi.org/10.2147/JHL.S30795

18. Santrić Milicevic, M. M., Bjegovic-Mikanovic, V. M., Terzic-Supić, Z. J. in Vasic, V. (2010). Competencies gap of management teams in primary health care. European Journal of Public Health, 21(2), 247–253. https://doi.org/10.1093/eurpub/ckq010

19. Skela-Savič, B., Albreht, T., Sermeus, W., Lobe, B., Bahun, M. in Dello, S. (2023). Patient outcomes and hospital nurses’ workload: A cross-sectional observational study in Slovenian hospitals using the RN4CAST survey. Zdravstveno varstvo, 62(2), 59–66. https://doi.org/10.2478/sjph-2023-0009

20. Sonnino, R. (2016). Health care leadership development and training: Progress and pitfalls. Journal of Healthcare Leadership, 8, 19–29. https://doi.org/10.2147/JHL.S68068

21. Stoller, J. K. (2013). Commentary: Recommendations and remaining questions for health care leadership training programs. Academic Medicine, 88(1), 12–15. https://doi.org/10.1097/ACM.0b013e318276bff1

22. Stoller, J. K. (2020). A perspective on the educational “SWOT” of the coronavirus pandemic. Chest, 159(2). https://doi.org/10.1016/j.chest.2020.09.087

23. Svetovna zdravstvena organizacija. (2019). Health systems governance. https://www.who.int/health-topics/universal-health-coverage/health-systems-governance#tab=tab_1

24. Svetovna zdravstvena organizacija. (2020). WHO guideline on health workforce development, attraction, recruitment and retention in rural and remote areas. https://www.who.int/publications/i/item/9789240024229

25. White, B. A. A., White, H. D., Bledsoe, C., Hendricks, R. in Arroliga, A. C. (2020). Conflict management education in the intensive care unit. American Journal of Critical Care, 29(6), e135–e138. https://doi.org/10.4037/ajcc2020886

Prenosi

Objavljeno

2025-12-22

Kako citirati

Terseglav, S., Kušar, B., & Skela Savič, B. (2025). Menedžerske kompetence pri vodilnih v zdravstvu – eksplorativna raziskava v izbranih zdravstvenih organizacijah. Revija Za Zdravstvene Vede, 12(2), 76–93. https://doi.org/10.55707/jhs.v12i2.181

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