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Evaluation of the multifunctional worker role: a stakeholder analysis.
K R Jones1, R W Redman, T M VandenBosch
1University of Michigan School of Nursing, Ann Arbor 48109-0482, USA.
Outcomes Management for Nursing Practice
|December 22, 1999
Summary
Work redesign in healthcare, involving new unlicensed caregiver roles, initially lowered job satisfaction and quality. However, quality improved after resolving implementation issues, highlighting the need for objective outcome measurement.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Nursing Studies
Background:
- Healthcare organizations face pressure from managed care and market competition.
- Rethinking care delivery models is essential for adapting to these pressures.
- Work redesign initiatives are being explored to optimize healthcare operations.
Purpose of the Study:
- To evaluate a work redesign project creating new unlicensed caregiver roles.
- To assess the impact of this model on patients, caregivers, and physicians.
- To understand the relationship between work redesign and institutional culture.
Main Methods:
- Multi-method data collection approaches were employed.
- Evaluated the effects of a redesigned care delivery model.
- Assessed caregiver perceptions of institutional culture, job security, and supervision.
Main Results:
- Caregivers perceived a market-driven and hierarchical institutional culture.
- Work redesign correlated with reduced job security and satisfaction with supervision.
- Initial short-term declines in quality indicators were observed during implementation.
Conclusions:
- Work redesign initiatives require objective outcome measurement.
- Addressing caregiver concerns and ensuring appropriate adjustments are crucial.
- Quality indicators improved after initial implementation challenges were resolved.