Creating an organizational infrastructure to develop and support new nursing roles - a framework for debate (original) (raw)
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Stronger Nursing Organization (1987)
Published by THE SIGMA CENTRE 29A Netherhall Gardens London NW3 5RL. Tel. (0171) 794 2445 WORKING PAPERS A General Note This Working Paper was one of a series on various topics published by the Brunel Institute of Organization and Social Studies (BIOSS) between about 1970 and 1990. The Institute was a self-financing constituent part of Brunel University composed of a number of separate social research units. Most of the research work was concerned with organization policy and management methods; and was developed and tested through collaborative inquiry and practical implementation. Its work covered a variety of fields including public services, governmental and industrial organization, the voluntary sector, and individual work processes and capabilities. The Health Services Centre was closely involved with the NHS for nearly two decades. Initially solely DHSS-funded, it was subsequently financed from a variety of sources. In due course, it became part of the SIGMA Centre which eventually moved out of the University.
Reflections on the frameworks we use to capture complex and dynamic health sector issues
The International Journal of Health Planning and Management, 2013
The authors of the article, "Why Differentiating between Health System Support and Health System Strengthening is Needed", are to be congratulated for a fresh conceptual contribution to health systems thinking (Chee et al., 2012). They combine elements of three different conceptual perspectives on the health sector into a "health system cube". However, their pursuit of a "common understanding" of health system strengthening is both worthy, in a Sisyphean sense, and self-defeating. It is essential that we continue to have multiple perspectives from which to view the health sector (not just systems within the sector), as complexity demands the multidisciplinary analytical thinking that is so essential to effective problem-solving in an increasingly complex globalized world. Let us look first at the architecture of their cube, its strengths and limitations, and finally at the utility of striving for a common understanding versus multidisciplinary perspectives.
Journal of business and socio-economic development, 2023
Purpose-Healthcare systems receive criticism from both providers and recipients. The diversity in these systems throughout the world makes innovation and change difficult. However, a structured analysis of healthcare systems is crucial to identify areas for improvement and to share best practices for the betterment of healthcare throughout the world. Design/methodology/approach-The paper uses organizational theory as an unbiased tool for evaluating healthcare systems. This theory analyses healthcare systems across five dimensions: environment, culture, social structure, physical structure and technology. This analysis provides an in-depth understanding of the organization's surroundings, formation and function. It offers a lens through which healthcare systems can be envisioned and establishes a vocabulary for communication. Findings-Organizational theory presents a multifaceted approach to initiate assessments aiming to enhance existing healthcare systems and customize them to serve all stakeholders within the focused ecosystem. It alters the dynamics of criticism and presents an opportunity to sustainably address unforeseen healthcare challenges in the future. As the author proceeds to understand healthcare organizations through the perspective of organizational theory, the author also uncovers subtle yet crucial issues such as resource dependence, cultural clashes, organizational silence, bureaucracy, hierarchy, ethics, values, engagement and burnout. Originality/value-This paper was crafted from a collaborative paper for the final of a master's degree. A collaboration was conceptualized using organisation theory as the tool to align processes and achieve successful outcome. The narrative of the collaboration has been edited and paper presented highlighting the importance of the tool of organisation theory in healthcare systems.
Systemic Development of Health Organizations: An Integrative Systems Methodology
2017
The purpose of this paper is helping managers and leaders in healthcare develop viable organizations that deliver high-level services. Health organizations such as hospitals are exceedingly complex. Therefore, we use Integrative Systems Methodology, a framework designed especially as an enabler for coping with complexity. Within that framework, we combine quantitative and qualitative methods to describe and explain organizational phenomena evolving over time. Rather than a large survey, we use a real-life case study. A single-case setting has been chosen, to enable long-term and in-depth exploration. The case spans 30 years, covering the evolution of the oncological care system of Carinthia, which is a federal state of Austria. The contribution of the chapter is in providing deep insights. It lays open the structures underlying the viability of health organizations. The chapter also provides well-grounded advice for how to build a robust health organization in a context of complexit...
Integration of nurse practitioners using a change management framework: the way forward
Australian Health Review, 2017
Objective. The aim of the present study was to investigate and describe the application of a change management theoretical framework in relation to nurse practitioner (NP) role integration. Methods. A survey formed Phase 1 of a broader mixed-methods study to explore perceptions of the change process involved with integrating NPs into Australian health care settings. The stakeholder participants were NPs, nurse managers and nurse policy advisers. Results. Key themes were identified adding information about how NPs, nurse managers and nurse policy advisers perceive the integration of NPs into Australian healthcare. The themes correlate to the components of organisational change management necessary to embed NPs into the healthcare workforce. Conclusions. Healthcare reform is a complex organisational change. Alignment of several key elements is required for the process to be successful. A change management proposal for reframing organisations provides an apt framework for use in the Australian context of reforming workforce to integrate NPs into healthcare teams. The theoretical framework proposes that multiple lenses be applied to change processes, to integrate NPs into the workforce and highlights the need for exceptional leadership throughout such endeavours. What is known about the topic? NPs provide safe and efficient care to patients, often in settings where access to health care is limited. NPs have been identified as a key strategic workforce reform initiative to address some of the known healthcare gaps. What does this paper add? This paper adds information about how NPs, nurse managers and nurse policy advisers perceive progress of the integration of NPs into healthcare settings. The findings are contextualised within an organisational change framework and highlight the complexity of healthcare reform. What are the implications for practitioners? The findings provide a novel approach for managing workforce reform and identify the components of change management necessary to embed NPs into the healthcare workforce.