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A participative approach to administrative reorganization
1Kaiser Permanente Medical Center, Anaheim, California.
The Journal of Nursing Administration
|February 1, 1990
Summary
A participative approach to nursing reorganization successfully engaged managers in developing a new organizational design. This collaborative method ensured acceptance of structural changes and clarified new roles, improving interrelationships.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Nursing Administration
Background:
- Nursing divisions often face resistance to structural changes.
- Effective reorganization requires buy-in from management.
- Previous approaches may not adequately address managerial needs.
Purpose of the Study:
- To evaluate a participative approach for nursing reorganization.
- To assess the impact of managerial involvement on change acceptance.
- To develop a framework for successful nursing organizational redesign.
Main Methods:
- Implemented a participative strategy involving all affected managers.
- Managers collaboratively designed a new organizational structure.
- Developed operational descriptions for revised and new roles.
Main Results:
- The participative approach achieved high levels of support and acceptance for structural changes.
- The new organizational design effectively met the Nursing Division's needs.
- Operational role descriptions provided valuable guidance for interrelationships.
Conclusions:
- Managerial involvement is crucial for successful nursing reorganization.
- A participative design process enhances acceptance and effectiveness of structural changes.
- Clearly defined roles facilitate adaptation to new organizational structures.