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Table 2 Examples of the variation in influence strategies used by managers in our study, and how they relate to different bases of power [28]

From: Clinicians in management: a qualitative study of managers’ use of influence strategies in hospitals

Influence strategy

Type of power

Upwards in the hierarchy

 

Advance professional considerations/concerns

Expert

Use a doctor as one’s agent to increase argumentative strength

Expert

Use different titles strategically

Expert

“Whine”/argue that “everybody else gets more resources”

Informational

Avoid shouting “wolf” too often

Informational

Sabotage

Coercive

Downwards in the hierarchy

 

- Be a professional role model (e.g. performing surgery)

Expert

- Challenge arguments (e.g. “I have done this procedure before”)

Expert

- Be a general role model (e.g. arriving early to work)

Referent

- Be a facilitator (e.g. doing the “crappy” work)

Referent

- Rephrase and redefine language

Informational