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A grass roots approach to developing inpatient nursing unit work groups.

D Holland

    Journal of Neurosurgical Nursing
    |August 1, 1984
    PubMed
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    Implementing work groups in nursing required overcoming significant obstacles over three years. This initiative empowered clinical nurses by fostering autonomy and a sense of control over their work environment.

    Area of Science:

    • Healthcare Management
    • Nursing Practice
    • Organizational Psychology

    Background:

    • Healthcare units often face challenges in adapting to new structures and fostering autonomy.
    • Overcoming obstacles like differing attitudes and philosophical differences is crucial for successful change.
    • The need for nurses to perceive control over their work environment is a key factor in job satisfaction.

    Purpose of the Study:

    • To describe the process and challenges of implementing work groups in a nursing unit.
    • To explore the development of unit autonomy and culture during a three-year change process.
    • To examine the role of leadership in relinquishing control and fostering nurse empowerment.

    Main Methods:

    • A qualitative description of a three-year organizational change initiative.

    Related Experiment Videos

  • Focus on overcoming interprofessional and intrapersonal obstacles.
  • Utilizing a consultant to guide the integration of the unit within the larger organization.

    • Main Results:

    • Successful implementation of work groups required overcoming significant attitudinal and philosophical barriers.
    • The head nurse relinquished control, empowering clinical nurses to manage problems.
    • Nurses demonstrated commitment and trust, leading to a greater sense of control over their work life.

    Conclusions:

    • Empowering clinical nurses by fostering autonomy and a sense of control is essential for job satisfaction.
    • Effective leadership, including relinquishing control, is vital for successful organizational change in nursing.
    • Addressing nurses' perceptions of control can lead to positive changes in the work environment and commitment to the profession.