title: Employee response to major organizational redesign.
abstract: A number of health care organizations are currently undergoing major organizational redesign. Despite these efforts, little is known about how these changes are affecting the employees participating in the redesign process. In response to this, a study was undertaken to determine the perceived impact of organizational redesign on nursing staff at 2 acute care hospitals that were undergoing major organizational change. Data were collected through semi-structured focus group interviews conducted on all 3 shifts (days, evenings, and nights). Findings suggest the early redesign period is highly turbulent and difficult for staff. Nurses expressed concern over changes in roles and responsibilities, disruption in work group relationships, loss of resource availability, reduction in quality of care, and alterations in physical and psychological state.
authors.affiliation: University of Rochester School of Nursing, Rochester, NY, USA. gail_ingersoll@urmc.rochester.edu
authors.forename: G L
authors.initials: GL
authors.lastname: Ingersoll
authors.forename: M
authors.initials: M
authors.lastname: Fisher
authors.forename: B
authors.initials: B
authors.lastname: Ross
authors.forename: M
authors.initials: M
authors.lastname: Soja
authors.forename: N
authors.initials: N
authors.lastname: Kidd
mesh_terms: D001291:Attitude of Health Personnel; D017144:Focus Groups; D006754:Hospital Restructuring; D006801:Humans; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology; D015279:Organizational Culture; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*; D011787:Quality of Health Care; D014481:United States