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Performance management in healthcare: a critical analysis
Sarah J Hewko1, Greta G Cummings
1Faculty of Nursing, University of Alberta, Edmonton, Canada.
Leadership in Health Services (Bradford, England)
|January 15, 2016
Summary
Critical theory analysis of healthcare performance management and evaluation (PME) reveals potential for workforce passivity and reinforced inequalities. Innovative PME approaches are needed to encourage peak performance in healthcare professionals.
Area of Science:
- Healthcare Management
- Organizational Behavior
- Critical Theory
Background:
- Performance management and evaluation (PME) is crucial for aligning employee output with organizational goals in healthcare.
- Current micro-level PME practices in healthcare warrant critical examination of their theoretical underpinnings.
- Healthcare organizations face increasing pressure to deliver high-quality services efficiently.
Purpose of the Study:
- To explore the theoretical assumptions and implications of current micro-level PME practices in healthcare organizations.
- To critically analyze PME within healthcare using Habermas' theory of communicative action.
- To define key theoretical concepts related to performance management through hermeneutic semantic analysis.
Main Methods:
- Analysis of micro-level performance management and evaluation (PME) practices through the lens of critical theory.
- Application of Habermas' theory of communicative action to PME in healthcare.
- Exploratory hermeneutic semantic analysis of 'performance,' 'management,' and 'performance management.'
Main Results:
- Existing micro-level PME systems may foster a compliant, dependent, and passive healthcare workforce.
- Current PME practices can perpetuate inequalities and power imbalances within healthcare systems.
- The theoretical assumptions of current PME may not align with the goal of encouraging peak performance.
Conclusions:
- Healthcare leaders and human resource specialists should critically assess current PME practices.
- There is a need to investigate and implement innovative, sector-specific PME approaches in healthcare.
- Rethinking PME is essential for fostering a more dynamic and equitable healthcare workforce and system.
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