HYBRID MANAGER-PROFESSIONALS' IDENTITY WORK: THE MAINTENANCE AND HYBRIDIZATION OF MEDICAL PROFESSIONALISM IN MANAGERIAL CONTEXTS

We examine the ‘identity work’ of manager–professional ‘hybrids’, specifically medical professionals in managerial roles in the British National Health Service, to maintain and hybridize their professional identity and wider professionalism in organizational and policy contexts affected by manageria...

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Bibliographic Details
Published in:Public administration (London) 2015-06, Vol.93 (2), p.412-432
Main Authors: MCGIVERN, GERRY, CURRIE, GRAEME, FERLIE, EWAN, FITZGERALD, LOUISE, WARING, JUSTIN
Format: Article
Language:English
Subjects:
Auditing
Elite
Great Britain National health service
Identity
Institutionalization
Management theory
Managers
Medical personnel
Occupational Roles
Organizational behavior
Professional identity
Professionalism
Professionals
Professions
Roles
Social Identity
Socialized Medicine
Studies
United Kingdom
Violence
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Summary:We examine the ‘identity work’ of manager–professional ‘hybrids’, specifically medical professionals in managerial roles in the British National Health Service, to maintain and hybridize their professional identity and wider professionalism in organizational and policy contexts affected by managerialist ideas. Empirically, we differentiate between ‘incidental hybrids’, who represent and protect traditional institutionalized professionalism while temporarily in hybrid roles, and ‘willing hybrids’, who developed hybrid professional–managerial identities during formative identity work or later in reaction to potential professional identity violations. Questions about willing hybrids' professional identities led them to challenge and disrupt institutionalized professionalism, and use and integrate professionalism and managerialism, creating more legitimate hybrid professionalism in their managerial context. By aligning professionalism with their personal identity, and regulating and auditing other professionals, willing hybrids also position hybrids collectively as elite within their profession.
ISSN:0033-3298
1467-9299
DOI:10.1111/padm.12119