The effect of appreciative inquiry on the retention of nurses and other professionals and on the development of innovative ideas in health care /
Notice bibliographique
Résumé
Background. Factors such as the shortage of personnel, hospital closures and mergers, the ageing of the population combined with the evolution of medical technologies have all added pressure to the health care system. These pressures have had an impact on current work environments and health care workers' satisfaction. In light of the evidence on the influence of job satisfaction and retention on the quality of tare and patient safety, interventions are needed to address these issues. Objective. The objective were to examine the effect of Appreciative Inquiry on: (1) the development of innovative ideas regarding work organization; (2) changes in health care professionals' and particularly nurses' job satisfaction and intent to stay; and, (3) levels of empowerment, social network and perceived organizational support. Research design. The study used a multiple embedded case study design to access the multifaceted aspects relating to retention and innovation and examine the changes engendered by an AI intervention. Participants and setting. Two oncology ambulatory clinics constituted the cases; the embedded units were the health care and the management teams (N = 47 and 5) of an adult oncology division in a multi-site university affiliated health care centre in a large Canadian city. Methods. Multiple sources of evidence were used. They consisted of participant observation, questionnaires providing quantitative and qualitative evidence, interviews, direct observation and documentation. Results. AI provided a way to involve health care professionals in change processes by creating the opportunity and the conditions that promoted the emergent of innovative ideas. Some of these ideas were implemented during the study period. AI did not result in improved psychological empowerment, perceived organizational support, support network or decreased intent to stay. Job satisfaction decreased over time. Perceptions of organizational support and psychological empowerment were found to influence job satisfaction and intent to stay. Conclusion. This study makes a contribution to micro-systems examination of change processes and reveals how ideas evolve and are developed in a multidisciplinary context. AI represents a way to tap into the innovative potential of individuals within an organization. The findings suggest that upper and middle management support is required throughout change processes and that multilevel interventions need to be pursued to facilitate the implementation of innovative ideas and subsequently improve work environments.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».