title: Engaging health care workers in improving their work environment.
abstract: OBJECTIVE
  This study describes the perceptions of health care workers who were involved in a participatory approach for the reorganization of care and work, aimed at creating an optimum work environment.
  
  
  BACKGROUND
  Quebec's health network has undertaken large-scale organizational changes to ensure the quality of health care and services for the population.
  
  
  METHODS
  This participatory research was carried out by means of interviews. The sample consisted of 20 participants involved in the participatory approach for making changes to the organization of care and work in two pilot units.
  
  
  RESULTS
  Four main perspectives emerged from the analysis: (1) views on the legitimacy of change, (2) commitment, indifference and resistance, (3) day-to-day concrete changes as signs of hope and (4) the elements of the success of the participatory approach.
  
  
  CONCLUSIONS
  The management team's support and leadership and the participatory approach were significant factors in the success of the project.
authors.affiliation: Université Laval, Laval, Canada. louise.hamelin@fsi.ulaval.ca
authors.forename: Louise
authors.initials: L
authors.lastname: Hamelin Brabant
authors.forename: Mélanie
authors.initials: M
authors.lastname: Lavoie-Tremblay
authors.forename: Chantal
authors.initials: C
authors.lastname: Viens
authors.forename: Linda
authors.initials: L
authors.lastname: Lefrançois
mesh_terms: D000488:Allied Health Personnel / Q000523:psychology; D003659:Decision Making, Organizational; D006272:Health Facility Environment / Q000592:standards*; D006801:Humans; D007407:Interviews as Topic; D007588:Job Satisfaction; D007750:Labor Unions; D007857:Leadership; D015401:Nursing Administration Research; D015279:Organizational Culture; D009936:Organizational Innovation; D010564:Personnel, Hospital / Q000523:psychology; D011792:Quebec; D017132:Workplace / Q000523:psychology / Q000592:standards*