Work redesign and implementation: staff perspectives.
This article discusses how the process used to move an organization through redesign has changed drastically by involving all levels of clinical staff. We describe one hospital's recent redesign experience, explore nursing involvement throughout the process, and document lessons learned from staff in many institutions who have participated in redesign at their hospital. This article discusses why hospitals are willing to go through this massive change process, the process steps and data required to reach redesign goals, and the need to measure success and articulate postimplementation measurements. Most important, the theme of the article relies on advice from nurses who have participated in redesign at their hospital.
Reichert
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Price-waterhouse Coopers, New York, New York, USA.
Smeltzer
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D003663:Decision Trees; D006754:Hospital Restructuring / Q000458:organization & administration*; D006801:Humans; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology; D009936:Organizational Innovation; D009937:Organizational Objectives; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration*; D015397:Program Evaluation; D014941:Work Simplification