Delegation research has traditionally focused on delegation as a whole—how much or how little a leader or supervisor is willing to allocate tasks to their subordinates. Although past research has indicated the importance of delegation for team performance, it has often overlooked one of the main aspects touted by practitioners, choosing the right person for the job. In an effort to provide a more nuanced view of delegation and if the right person is being chosen for the job, this dissertation integrates the theory of work design with delegation while introducing the concept of matched delegation: delegating a task to the individual whose abilities most closely match the demands of the task where individuals receive decision-making authority for tasks that neither exceeds nor discounts their abilities, but rather most closely matches the extent of their abilities. With this, I propose a model whereby two work characteristics (i.e., physical propinquity and psychological safety) influence matched delegation decisions of team leaders and where matched delegation positively impacts team performance. Hypotheses were tested using a sample of 519 primary care professionals (PCPs) and their surrounding team members (i.e., a registered nurse, a licensed practical nurse, and an administrative associate) from patient centered medical homes from the Veteran’s Health Administration (VHA). Results showed that neither physical propinquity nor PCP psychological safety significantly influenced matched delegation of tasks to any of the three team members; however, team performance was significantly enhanced by matched delegation to some roles. Although these results provide some indication as to the importance of matched delegation, the mixed results might be due to the unwillingness of PCPs to give up control of tasks. I discuss the theoretical and practical implications, as well as the limitations and directions for future research within the VHA as well as for research studying delegators’ decisions and team processes and performance.
Matched delegation: linking work design characteristics, team roles, and demands of work
Abstract
Details
- Title: Subtitle
- Matched delegation: linking work design characteristics, team roles, and demands of work
- Creators
- Kameron M. Carter - University of Iowa
- Contributors
- Greg L. Stewart (Advisor)Michael K. Mount (Committee Member)Amy E. Colbert (Committee Member)Eean R. Crawford (Committee Member)Ernest H. O'Boyle (Committee Member)
- Resource Type
- Dissertation
- Degree Awarded
- Doctor of Philosophy (PhD), University of Iowa
- Degree in
- Business Administration
- Date degree season
- Summer 2018
- DOI
- 10.17077/etd.nwmgejpq
- Publisher
- University of Iowa
- Number of pages
- viii, 133 pages
- Copyright
- Copyright © 2018 Kameron M. Carter
- Language
- English
- Date submitted
- 11/19/2018
- Description illustrations
- illustrations
- Description bibliographic
- Includes bibliographical references (pages 117-133).
- Public Abstract (ETD)
One of the main behaviors of a successful supervisor or leader is the delegation of tasks to subordinates or other team members. Although delegation is an expectedly positive action, not always is the correct person being delegated the most appropriate job. To better understand this matching of delegated tasks to appropriate individuals, this dissertation examines the allocation of tasks in primary care medical home teams in the Veteran’s Health Administration. Neither the delegator’s psychological safety nor the delegator’s physical proximity to available delegatees explained which leaders delegated more effectively and in turn improved the care provided. However, successful delegation to some team members did enhance team performance. For example, when licensed practical nurses are allowed to complete the seven tasks seen as most appropriate for their role, same-day access (the percentage to which patients are able to request and schedule appointments on a desired date) for the team significantly improved. These findings help guide health care organizations in their efforts to implement team-based primary care, and underscore the importance of choosing the right person for the job for supervisors and team leaders of all organizations.
- Academic Unit
- Tippie College of Business
- Record Identifier
- 9983777167802771