{"id":"https://openalex.org/W7166805690","doi":"https://doi.org/10.1108/lhs-09-2025-0156","title":"Competency models are no silver bullet for solving health-care managers\u2019 challenges. Perspectives from frontline managers in municipality health care","display_name":"Competency models are no silver bullet for solving health-care managers\u2019 challenges. Perspectives from frontline managers in municipality health care","publication_year":2026,"publication_date":"2026-07-01","ids":{"openalex":"https://openalex.org/W7166805690","doi":"https://doi.org/10.1108/lhs-09-2025-0156","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13322441"},"language":"en","primary_location":{"id":"doi:10.1108/lhs-09-2025-0156","doi":"https://doi.org/10.1108/lhs-09-2025-0156","is_oa":false,"landing_page_url":"https://doi.org/10.1108/lhs-09-2025-0156","pdf_url":null,"source":{"id":"https://openalex.org/S9566496","display_name":"Leadership in health services","issn_l":"1366-0756","issn":["1366-0756","1751-1879","1751-1887","2051-3135"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-c","anvur-scientific","cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310319811","host_organization_name":"Emerald Publishing Limited","host_organization_lineage":["https://openalex.org/P4310319811"],"host_organization_lineage_names":["Emerald Publishing Limited"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Leadership in Health Services","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13322441/pdf/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5095695088","display_name":"Ingrid Marie Leikvoll Oskarsson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I182204967","display_name":"Molde University College","ror":"https://ror.org/00kxjcd28","country_code":"NO","type":"education","lineage":["https://openalex.org/I182204967"]}],"countries":["NO"],"is_corresponding":true,"raw_author_name":"Ingrid Marie Leikvoll Oskarsson","raw_affiliation_strings":["Molde University College Faculty of Business Administration and Social Sciences, , Molde,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Molde University College Faculty of Business Administration and Social Sciences, , Molde,","institution_ids":["https://openalex.org/I182204967"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5027205939","display_name":"Tonje Hungnes","orcid":"https://orcid.org/0000-0003-4482-8654","observed_orcids":["https://orcid.org/0000-0003-4482-8654"]},"institutions":[{"id":"https://openalex.org/I182204967","display_name":"Molde University College","ror":"https://ror.org/00kxjcd28","country_code":"NO","type":"education","lineage":["https://openalex.org/I182204967"]}],"countries":["NO"],"is_corresponding":false,"raw_author_name":"Tonje Hungnes","raw_affiliation_strings":["Molde University College Faculty of Business Administration and Social Sciences, , Molde,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Molde University College Faculty of Business Administration and Social Sciences, , Molde,","institution_ids":["https://openalex.org/I182204967"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5095695088"],"corresponding_institution_ids":["https://openalex.org/I182204967"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"39","issue":"5","first_page":"99","last_page":"115"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12802","display_name":"Competency Development and Evaluation","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12802","display_name":"Competency Development and Evaluation","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14356","display_name":"Organizational Leadership and Management Strategies","score":0.0024999999441206455,"subfield":{"id":"https://openalex.org/subfields/1408","display_name":"Strategy and Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/competency-model","display_name":"competency model","score":0.8610000014305115},{"id":"https://openalex.org/keywords/frontline-managers","display_name":"frontline managers","score":0.8539999723434448},{"id":"https://openalex.org/keywords/municipal-healthcare","display_name":"municipal health care","score":0.9100000262260437},{"id":"https://openalex.org/keywords/healthcare-management","display_name":"health management","score":0.8809999823570251},{"id":"https://openalex.org/keywords/leadership-development","display_name":"leadership development","score":0.5429999828338623},{"id":"https://openalex.org/keywords/competence-development","display_name":"competence development","score":0.40299999713897705},{"id":"https://openalex.org/keywords/theory-in-use","display_name":"theory-in-use","score":0.6100000143051147},{"id":"https://openalex.org/keywords/espoused-theory","display_name":"espoused theory","score":0.7099999785423279},{"id":"https://openalex.org/keywords/change-management","display_name":"change management","score":0.6729999780654907},{"id":"https://openalex.org/keywords/interpersonal-communication","display_name":"interpersonal communication","score":0.9819999933242798},{"id":"https://openalex.org/keywords/time-pressure","display_name":"time pressure","score":0.6299999952316284},{"id":"https://openalex.org/keywords/norwegian-municipalities","display_name":"Norwegian municipalities","score":0.36800000071525574}],"concepts":[{"id":"https://openalex.org/C63428231","wikidata":"https://www.wikidata.org/wiki/Q9043","display_name":"Norwegian","level":2,"score":0.5802000164985657},{"id":"https://openalex.org/C71750763","wikidata":"https://www.wikidata.org/wiki/Q646164","display_name":"General partnership","level":2,"score":0.5752999782562256},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5424000024795532},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5412999987602234},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4781000018119812},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.45809999108314514},{"id":"https://openalex.org/C164850336","wikidata":"https://www.wikidata.org/wiki/Q3685487","display_name":"Interpersonal communication","level":2,"score":0.44760000705718994},{"id":"https://openalex.org/C13606891","wikidata":"https://www.wikidata.org/wiki/Q2623243","display_name":"Conceptual model","level":2,"score":0.4429999887943268},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4050000011920929},{"id":"https://openalex.org/C158154518","wikidata":"https://www.wikidata.org/wiki/Q7310970","display_name":"Relevance (law)","level":2,"score":0.4011000096797943},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4000000059604645},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.38040000200271606},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.37380000948905945},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.352400004863739},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.32679998874664307},{"id":"https://openalex.org/C2780451532","wikidata":"https://www.wikidata.org/wiki/Q759676","display_name":"Task (project management)","level":2,"score":0.3237000107765198},{"id":"https://openalex.org/C162446236","wikidata":"https://www.wikidata.org/wiki/Q653137","display_name":"Content analysis","level":2,"score":0.31859999895095825},{"id":"https://openalex.org/C100521375","wikidata":"https://www.wikidata.org/wiki/Q2015382","display_name":"Competence (human resources)","level":2,"score":0.310699999332428},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3027999997138977},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.290800005197525},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.28679999709129333},{"id":"https://openalex.org/C3018587665","wikidata":"https://www.wikidata.org/wiki/Q7268696","display_name":"Qualitative analysis","level":3,"score":0.28630000352859497},{"id":"https://openalex.org/C120936955","wikidata":"https://www.wikidata.org/wiki/Q2155640","display_name":"Empirical research","level":2,"score":0.2671999931335449},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.26269999146461487},{"id":"https://openalex.org/C91034043","wikidata":"https://www.wikidata.org/wiki/Q223642","display_name":"Interpersonal relationship","level":2,"score":0.2574000060558319},{"id":"https://openalex.org/C51067260","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Professional development","level":2,"score":0.2565999925136566},{"id":"https://openalex.org/C2778568292","wikidata":"https://www.wikidata.org/wiki/Q7727275","display_name":"The Conceptual Framework","level":3,"score":0.2531000077724457}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1108/lhs-09-2025-0156","doi":"https://doi.org/10.1108/lhs-09-2025-0156","is_oa":false,"landing_page_url":"https://doi.org/10.1108/lhs-09-2025-0156","pdf_url":null,"source":{"id":"https://openalex.org/S9566496","display_name":"Leadership in health services","issn_l":"1366-0756","issn":["1366-0756","1751-1879","1751-1887","2051-3135"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-c","anvur-scientific","cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310319811","host_organization_name":"Emerald Publishing Limited","host_organization_lineage":["https://openalex.org/P4310319811"],"host_organization_lineage_names":["Emerald Publishing Limited"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Leadership in Health Services","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13322441","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13322441/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13322441/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Leadersh Health Serv (Bradf Engl)","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13322441","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13322441/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13322441/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Leadersh Health Serv (Bradf Engl)","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8371999859809875,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7166805690.pdf","grobid_xml":"https://content.openalex.org/works/W7166805690.grobid-xml"},"referenced_works_count":30,"referenced_works":["https://openalex.org/W2003038909","https://openalex.org/W2059530783","https://openalex.org/W2067404301","https://openalex.org/W2085028749","https://openalex.org/W2180299152","https://openalex.org/W2322688478","https://openalex.org/W2615715205","https://openalex.org/W2634972817","https://openalex.org/W2782625861","https://openalex.org/W2787134485","https://openalex.org/W2790386616","https://openalex.org/W2904432530","https://openalex.org/W2923851295","https://openalex.org/W3023266711","https://openalex.org/W3088713722","https://openalex.org/W3089042257","https://openalex.org/W3100758398","https://openalex.org/W3129126436","https://openalex.org/W3162818612","https://openalex.org/W3194617362","https://openalex.org/W4233451756","https://openalex.org/W4303423942","https://openalex.org/W4385721406","https://openalex.org/W4385774362","https://openalex.org/W4388126178","https://openalex.org/W4389265410","https://openalex.org/W4405545752","https://openalex.org/W4406797404","https://openalex.org/W4411489200","https://openalex.org/W7129711067"],"related_works":["https://openalex.org/W2964263180","https://openalex.org/W2904432530","https://openalex.org/W3173392248","https://openalex.org/W3045461123","https://openalex.org/W4409318838","https://openalex.org/W7120476194","https://openalex.org/W2053163683","https://openalex.org/W3114367231","https://openalex.org/W2590794086","https://openalex.org/W4313169229"],"abstract_inverted_index":{"Purpose":[0],"This":[1,165,187],"study":[2,64,188],"aims":[3],"to":[4,36,138,158,209,236],"explore":[5],"how":[6,46],"frontline":[7],"managers":[8,207],"(FLMs)":[9],"in":[10,136],"Norwegian":[11,77],"municipal":[12],"health":[13],"care":[14],"perceive":[15],"the":[16,22,83,122,179,184,204,240],"relevance":[17],"and":[18,40,58,86,93,117,150,172,200,238],"practical":[19,132],"usefulness":[20,133],"of":[21,143],"management":[23,39],"competency":[24,28,31,195,217,228],"assessment":[25],"partnership":[26],"(MCAP)":[27],"model.":[29],"While":[30],"models":[32,48,196,243],"are":[33,49],"widely":[34],"promoted":[35],"strengthen":[37],"health-care":[38],"leadership,":[41],"fewer":[42],"studies":[43],"have":[44],"examined":[45],"such":[47,244],"experienced":[50],"by":[51,183],"FLMs":[52,74,235],"who":[53],"work":[54],"under":[55],"considerable":[56],"operational":[57,212],"contextual":[59],"constraints.":[60],"Design/methodology/approach":[61],"A":[62],"qualitative":[63,100],"was":[65,166],"conducted":[66],"using":[67,99],"three":[68,76],"focus":[69],"group":[70],"discussions":[71],"with":[72,203],"14":[73],"from":[75],"municipalities.":[78],"Before":[79],"discussions,":[80],"participants":[81],"completed":[82],"MCAP":[84,113,246],"questionnaire":[85],"reflected":[87,121],"individually":[88],"on":[89],"its":[90,131],"strengths,":[91],"limitations":[92],"relevance.":[94],"Data":[95],"were":[96,176],"analysed":[97],"inductively":[98],"content":[101],"analysis.":[102],"Findings":[103],"The":[104],"analysis":[105],"revealed":[106],"two":[107],"interrelated":[108],"findings.":[109],"First,":[110],"FLM":[111],"perceived":[112],"as":[114,178,197,245],"a":[115,190],"relevant":[116],"comprehensive":[118],"model":[119],"that":[120,206,216,233,242],"formal":[123],"expectations":[124],"for":[125,153,169,193,224],"their":[126],"role.":[127],"Second,":[128],"they":[129],"questioned":[130],"when":[134],"considered":[135],"relation":[137],"everyday":[139,211],"work.":[140],"Large":[141],"spans":[142],"control,":[144],"broad":[145],"task":[146],"scope,":[147],"time":[148],"pressure":[149],"limited":[151],"room":[152],"manoeuvre":[154],"constrained":[155],"managers\u2019":[156],"opportunities":[157],"develop,":[159],"prioritise":[160],"or":[161],"enact":[162,237],"several":[163],"competencies.":[164],"particularly":[167],"consequential":[168],"interpersonal":[170],"communication":[171],"change":[173],"management,":[174],"which":[175],"highlighted":[177],"most":[180],"important":[181],"competencies":[182,241],"informants.":[185],"Originality/value":[186],"contributes":[189],"conceptual":[191],"lens":[192],"interpreting":[194],"espoused":[198],"theories":[199],"contrasting":[201],"them":[202],"theories-in-use":[205],"develop":[208],"meet":[210],"demands.":[213],"It":[214],"shows":[215],"mapping":[218],"alone":[219],"is":[220],"no":[221],"silver":[222],"bullet":[223],"strengthening":[225],"management.":[226],"Effective":[227],"development":[229],"requires":[230],"organisational":[231],"conditions":[232],"enable":[234],"sustain":[239],"define.":[247]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-07-02T00:00:00"}
