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Related Experiment Videos

Sustaining work redesign innovations through shared governance

T G Minnen1, E Berger, A Ames

  • 1Vanderbilt University Medical Center, Nashville, Tennessee.

The Journal of Nursing Administration
|July 1, 1993
PubMed
Summary

This study shows how hospitals can sustain patient-focused care models through continuous improvement. A multidisciplinary shared governance system supports ongoing changes initiated by work redesign.

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Area of Science:

  • Healthcare Management
  • Organizational Change
  • Patient Care Models

Background:

  • Organizational change, specifically work redesign, is prevalent in hospitals nationwide.
  • Sustaining patient-focused care requires continuous adaptation and improvement.
  • Hospitals face challenges in maintaining innovative care models.

Purpose of the Study:

  • To describe a hospital's strategy for sustaining patient-focused care models.
  • To explore the role of multidisciplinary shared governance in supporting continuous improvement.
  • To examine how work redesign innovations can be maintained over time.

Main Methods:

  • Case study of a hospital implementing work redesign.
  • Description of a multidisciplinary shared governance system.

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  • Analysis of structures and processes supporting sustained change.

    • Main Results:

    • Multidisciplinary shared governance provides essential structure and process support.
    • This system facilitates the continuous improvement inherent in sustaining innovations.
    • The hospital successfully integrated ongoing changes within patient-focused care models.

    Conclusions:

    • Multidisciplinary shared governance is a viable model for sustaining organizational change in hospitals.
    • Shared governance enables the dynamic adaptation required for patient-focused care.
    • Effective structures are crucial for long-term success of work redesign initiatives.