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Work transitions

N Wells1, T Barnard, L Mason

  • 1Learning Center, Vanderbilt University Medical Center, Nashville, TN, USA. nancy.wells@mcmail.vanderbilt.edu

The Journal of Nursing Administration
|March 4, 1998
PubMed
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Healthcare work reorganization causes staff transitions. Focus groups with closed unit staff and management reveal change challenges and offer strategies to reduce uncertainty during closures.

Area of Science:

  • Healthcare Management
  • Organizational Change
  • Workforce Transitions

Background:

  • The healthcare sector is undergoing rapid transformation.
  • Work reorganization and redesign initiatives frequently lead to departmental and unit closures.
  • These closures necessitate significant work transitions for healthcare professionals.

Purpose of the Study:

  • To explore the experiences of staff and management on recently closed healthcare units.
  • To identify the challenges associated with organizational change and unit closures in healthcare.
  • To gather recommendations for mitigating uncertainty during such transitions.

Main Methods:

  • Qualitative research methodology.
  • Focus group discussions were conducted with staff and management from closed healthcare units.

Related Experiment Videos

  • Thematic analysis of interview data to identify key challenges and suggestions.
  • Main Results:

    • Staff and management reported significant difficulties in adapting to change.
    • Key themes included communication breakdowns, loss of professional identity, and emotional distress.
    • Participants provided actionable suggestions for improving the management of change.

    Conclusions:

    • Healthcare unit closures present substantial challenges for staff and management.
    • Effective communication and proactive support are crucial for navigating workforce transitions.
    • Implementing evidence-based strategies can reduce uncertainty and improve outcomes during organizational restructuring.