Health reform, professional identity and occupational sub-cultures: The changing interprofessional relations between doctors and nurses

Fitzgerald, Anneke; Teal, Gregory

doi:10.5172/conu.16.1-2.9

Cited by 34 publications

(33 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The physicians manage the cure, the nurses manage the care and the administrators manage the control in the hospital (Mintzberg 1997;Glouberman and Mintzberg 2001b). Proposing changes to the healthcare delivery implies challenging the established positions of the stakeholder groups (Mitchell et al 1997) and the autonomy of the individual healthcare professionals (Fitzgerald and Teal 2003). Third, AR combines research and action in an ongoing process of action planning, action taking and evaluating (Eden and Huxham 1996).…”

Section: Introductionmentioning

confidence: 99%

Computer Simulation Within Action Research: A Promising Combination for Improving Healthcare Delivery?

Rosmulder

Krabbendam

Kerkhoff

et al. 2011

Syst Pract Action Res

View full text Add to dashboard Cite

Action research (AR) is increasingly being used to study the improvement of healthcare delivery. Ensuring that all the stakeholders in the AR are willing to take action, however, can be difficult. Especially in healthcare contexts, action plans may challenge the autonomy of the healthcare professionals and the positions of the different stakeholder groups. Does the use of computer simulation techniques within the AR promote action taking by all the stakeholders? We performed an AR experiment with computer simulation in a university hospital's emergency department in the Netherlands. A simulation model was designed that replicated the actual healthcare delivery process in the study setting. Together with representatives from the medical and nursing staff and department management, we used the model to discuss improvement actions. The team designed an improvement scenario that fundamentally rearranged the task division between the physicians and the nurses. The promising projections in the simulation model motivated the team to try the scenario in reality. The implementation was successful, although it generated much concerns and discussion. The new task division successfully improved patient length of stay (LOS) in the ED. The results achieved by the single team turned out to have lasting effects on the other stakeholders in the ED. Our AR experiment with computer simulation promoted action taking by all the stakeholders. Computer simulation within AR is a promising combination for improving healthcare delivery.

show abstract

Section: Introductionmentioning

confidence: 99%

Computer Simulation Within Action Research: A Promising Combination for Improving Healthcare Delivery?

Rosmulder

Krabbendam

Kerkhoff

et al. 2011

Syst Pract Action Res

View full text Add to dashboard Cite

show abstract

“…This study emphasised the perceived reality of the health system by a group of health managers and does not attempt to understand their management and organisational knowledge and how they might apply it in their role. Anderson and McDaniel (2000) emphasise that healthcare organisations are unique in that they are dependent on the contribution of multiple professions and that these occupational groups adapt to change and policy differently, presenting implications for health reform and both organisational management and professional practice (Fitzgerald & Teal, 2003). The selection of the framework was also informed by an open system perspective of organisations that defi ne them as complex, interdependent, that are dynamic in continually changing circumstances.…”

Section: The Managerial Role and Managing Health Care Organisationsmentioning

confidence: 99%

Health managers and health reform

Briggs

Cruickshank

Paliadelis

2012

Journal of Management & Organization

View full text Add to dashboard Cite

This qualitative study was undertaken with a diverse sample of Australian health managers to examine their perceptions regarding the health system and to understand how they learned to become health managers. The fi ndings showed that they viewed the health system as one of constant change, mostly non-adaptive, and a system of parts controlled by bureaucrats and political interests. While the respondents enjoyed their managerial role, they see it as contested between the professions. This study concluded that greater emphasis on the education and training of health managers and their continuing professional development is required if they are to manage increasingly complex, dynamic and changing health systems. In Australia, the health debate continues with the recently announced national health reform agenda. The perceptions of health managers in health reform and change management are important given that they are said to be central to the implementation of health reform and the management of change.

show abstract

“…O papel da identidade social em sua vertente profissional ou no trabalho tem sido apresentado em pesquisas com vistas ao seu efeito em equipes interprofissionais (Nishii & Mayer, 2009), havendo evidências de impacto dessa identidade no desempenho de equipes demograficamente diversas (Van Knippenberg & Schippers, 2007), bem como, de influência da identidade profissional na interação interprofissional (Fitzgerald & Teal, 2003), sugerindo mérito na investigação da influência da identidade, vinculado ao desempenho no trabalho (Mitchell et al, 2011).…”

Section: Identidade Social No Contexto Profissionalunclassified

Escala Trifatorial da Identidade Social (ETIS): Evidências de sua Adequação Psicométrica

Nascimento¹,

Souza

2017

Psico-USF

View full text Add to dashboard Cite

ResumoEste artigo objetivou verificar evidências psicométricas (validade e precisão) de adequação da Escala Trifatorial da Identidade social (ETIS) ao contexto profissional, realizando-se dois estudos. No Estudo 1, participaram 465 policiais militares do DF, a maioria do sexo masculino (88%), com idade média de 38,78 (DP =7,08). Eles responderam a ETIS e perguntas demográficas. A análise dos componentes principais indicou a estrutura trifatorial, cujos alfas de Cronbach foram 0,83 (centralidade), 0,82 (afeto) e 0,86 (laços). No Estudo 2, participaram 451 policiais militares do DF, a maioria do sexo masculino (88,7%), com idade média de 39,25 (DP = 6,73). Testou-se a estrutura trifatorial por meio de análise fatorial confirmatória. Os indicadores de ajuste foram satisfatórios (Χ 2 /gl = 2,67; CFI = 0,98; GFI = 0,98; RMSEA = 0,061). A confiabilidade, medida pelo Rho de Jöreskog, mostrou-se adequada, sendo 0,87 (centralidade), 0,87 (afeto) e 0,91 (laços). Os indicadores do estudo exploratório e confirmatório demonstraram adequações psicométricas satisfatórias. Por fim, a ETIS mostrou validade convergente e discriminante para o contexto profissional. Palavras-chave: teoria da identidade social, identidade profissional, instrumento de medida, polícia, validade Three-Factor Scale of Social Identity: Evidence of its Psychometric Adequacy AbstractThe objective of this study was to verify empirical evidence of the psychometric (validity and reliability) adequacy of the ThreeFactor Scale of Social Identity (ETIS), based on two studies. The sample in study 1 was composed by 465 military policemen from the Brazilian Federal District, 88% male, with mean age of 38.78 years (SD=7.08). They filled the questionnaire with the ETIS and demographic questions. Using a Principal Components Analysis, a three-factor structure was observed, with Cronbach's alphas of 0.83 (centrality), 0.82 (affect) and 0.86 (ties). The sample in study 2 was composed by 451 military policemen from the Brazilian Federal District, 88.7% male with a mean age of 39.25 years (SD=6.73). The three-factor structure was tested through Confirmatory Factor Analysis. The adjustment indexes were satisfactory (Χ 2 /g.l.=2.67; CFI=0.98; GFI=0.98; RMSEA=0.061). Reliability, measured by Jöreskog's Rho, was adequate, being 0.87 (centrality), 0.87 (affect), and 0.91 (ties). The indicators of the exploratory and confirmatory study demonstrated satisfactory psychometric adequacy. Finally, ETIS showed convergent and discriminant validity for the professional context. Keywords: Social Identity Theory; Professional Identity; Measuring Instrument; Police; validity. Escala de los Tres Factores de la Identidad Social: Evidencias de su Adecuación PsicométricaResumem El objetivo de este artículo fue verificar evidencias psicométricas de adecuación (validez y precisión) en la Escala de Tres Factores de Identidad Social (ETIS), llevándose a cabo dos estudios. En el primer estudio participaron 465 policías militares del Distrito Federal, la mayoría de sexo masculino (88%) con edad med...

show abstract

Health reform, professional identity and occupational sub-cultures: The changing interprofessional relations between doctors and nurses

Cited by 34 publications

References 6 publications

Computer Simulation Within Action Research: A Promising Combination for Improving Healthcare Delivery?

Computer Simulation Within Action Research: A Promising Combination for Improving Healthcare Delivery?

Health managers and health reform

Escala Trifatorial da Identidade Social (ETIS): Evidências de sua Adequação Psicométrica

Contact Info

Product

Resources

About