What the research says
Do middle managers' networks matter for change?
The short answer
In the studies we mapped, they appear to, though most of the evidence is low strength. Among mid-level managers at one hospital, those who spanned boundaries were more strategically active. Upward influence paid off more for middle managers with a strong reputation in their networks. Clinician-managers balanced proven safety routines with new practice when they had professional legitimacy and strong networks. In two hospitals, change hinged on spaces where reform-minded middle managers and staff could band together. And one conceptual paper argues that bridging gaps between unconnected people is not always the smart move.
Based on 6 studies from the Atlas of the Middle: 0 rated high strength, 2 medium, 4 low. Designs: survey (2), qualitative case (2), qualitative interviews (1), conceptual (1).
