Search research articles

Search research articles

Related Experiment Videos

Sociotechnical Systems and Middle Manager Practices: Improving Policy and Strategy Implementation.

Michael Morrison¹

¹Faculty of Management, Royal Roads University, Victoria, British Columbia, Canada.

Healthcare Management Forum

|March 4, 2026

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same journal

Supporting Physician Well-being and Mental Health Clinical Skill Development: Evaluation of Mental Health Skills Groups for Physicians.

Healthcare management forum·2026

Same journal

A CanMEDS-Based Approach to Physician Evaluation and Performance Assessment.

Healthcare management forum·2026

Same journal

Designing Rupture Discs in Healthcare Systems: A Practical Framework for Risk-Focused Leadership.

Healthcare management forum·2026

Same journal

The Cost of Homecare Personal Support Worker Turnover.

Healthcare management forum·2026

Same journal

A Multi-Level Approach to Health Promotion for Long-Haul Truck Drivers.

Healthcare management forum·2026

Same journal

Walking Together: Advancing Culturally Grounded Diabetes Care in Indigenous Communities.

Healthcare management forum·2026

See all related articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Healthcare middle managers strategically adapt sociotechnical systems, integrating policy formulation, implementation, and evaluation. Understanding the coevolution of management practices and systems is key for effective strategy execution and improved outcomes.

Area of Science:

Healthcare Management
Strategy-as-Practice
Sociotechnical Systems Theory

Background:

Policy and strategy are not linear processes but interconnected, involving formulation, implementation, and monitoring.
Middle managers play a crucial role in translating strategic objectives into actionable practices within healthcare settings.
Sociotechnical systems influence and are influenced by management practices, leading to alignment or misalignment.

Purpose of the Study:

To explore how healthcare middle managers interpret, contextualize, and adapt sociotechnical systems.
To understand the entanglement of policy formulation, implementation, and monitoring/evaluation.
To provide recommendations for enhancing middle manager practices in strategy implementation.

Main Methods:

Related Experiment Videos

The study is situated within the strategy-as-practice field.

It examines the interplay between middle manager practices and sociotechnical systems.

Analysis focuses on how managers navigate and adapt these systems to achieve strategic goals.

Main Results:

Policy and strategy processes are entangled, not sequential steps.
Middle manager practices and sociotechnical systems coevolve, impacting alignment.
Managers actively interpret and adapt systems to meet strategic objectives.

Conclusions:

Middle managers are central to effective strategy implementation in healthcare.
The coevolution of practices and systems requires careful management for alignment.
Four recommendations are proposed to improve middle manager contributions to policy and strategy execution.