Power Acquisition in a Health Care Setting: An Application of Strategic Contingencies Theory
研究在20家门诊诊所中检验战略权变理论，发现不确定性应对、不可替代性和中心性可预测组织内群体权力，其中对护士的支持最强，对医生和行政人员较弱。
Strategic contingencies theory suggests that uncertainty coping, nonsubstitutability, and centrality predict intra-organizational group power. This theory was tested in 20 ambulatory care clinic settings. Physician, nurse, and administrator power and roles were examined. Theoretical support was greatest among nurses, but less conclusive for physicians and administrative personnel, whose roles in the clinics were more clearly prescribed and determined, and influenced to a lesser degree by power-enhancing dynamics. Implications are discussed of the relevance and usefulness of strategic contingencies theory and other theories of organization in health services organizations.