title: Reorganizing care and work: process and productivity gains.
abstract: A Montreal-area hospital implemented organizational changes to improve the psychosocial environment for patients and health care workers and enhance organizational efficiency. This article describes a participatory approach to improving the organization of care and work, an approach focused on productivity gains in an organization. Productivity gains were analyzed in 13 units of the Department of Nursing, which had introduced a series of organizational changes. Changes introduced in care and work organization led to productivity gains in all units overseen by the Nursing Directorate. A reorganization of care and work based on the psychosocial work environment and staff participation can have positive outcomes, both for employees and for the wider organization.
authors.affiliation: School of Nursing, McGill University, Montréal, Québec, Canada. melanie.lavoie-tremblay@mcgill.ca
authors.forename: Mélanie
authors.initials: M
authors.lastname: Lavoie-Tremblay
authors.forename: Chantal
authors.initials: C
authors.lastname: Viens
authors.forename: Martine Mayrand
authors.initials: MM
authors.lastname: Leclerc
authors.forename: Angèle
authors.initials: A
authors.lastname: Bergevin
authors.forename: Linda
authors.initials: L
authors.lastname: Lefrançois
authors.forename: André
authors.initials: A
authors.lastname: Tremblay
mesh_terms: D017598:Efficiency, Organizational / Q000191:economics / Q000639:trends; D006272:Health Facility Environment; D006801:Humans; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D009936:Organizational Innovation; D005791:Patient Care; D011584:Psychology; D011792:Quebec