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Do not go gentle: intractable value differences in hospices.

Brian M Harmer1

  • 1School of Information Management, Victoria University of Wellington, New Zealand. Brian.Harmer@vuw.ac.nz

Journal of Healthcare Management / American College of Healthcare Executives
|April 12, 2006
PubMed
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Hospice care is evolving, leading to staff value differences and hidden conflicts. Management strategies are needed to address these tensions in healthcare organizations.

Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Sociology of Health

Background:

  • Modern hospices have evolved from small community entities to complex healthcare organizations.
  • This growth has led to a diversification of staff, including founding members and new employees with varied motivations.
  • The short history of the modern hospice movement means diverse staff aspirations coexist within institutions.

Purpose of the Study:

  • To explore the nature of hidden, unresolved tensions within New Zealand hospices.
  • To investigate the impact of diverse staff values and motivations on hospice environments.
  • To identify potential management strategies for addressing these underlying conflicts.

Main Methods:

  • Qualitative narrative research design.

Related Experiment Videos

  • Data collection from five hospices in New Zealand.
  • Analysis of staff experiences and organizational dynamics.

    • Main Results:

    • Hospices exhibit underlying tensions stemming from differing staff values and aspirations.
    • Conflict often remains hidden due to professional expectations and institutional image.
    • Diverse motivations among staff contribute to these unresolved issues.

    Conclusions:

    • Management intervention is crucial for addressing hidden conflicts in hospices.
    • Strategies are needed to navigate value differences among healthcare staff.
    • Understanding and managing staff diversity can improve hospice organizational health.