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Changes of nursing organization in a surgical department: effects on work satisfaction and quality of care
Author(s) -
JOHANSSON INGER,
LARSSON GERRY,
HAMRIN ELISABETH
Publication year - 1994
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/j.1365-2702.1994.tb00382.x
Subject(s) - nursing , job satisfaction , quality (philosophy) , medicine , interpersonal communication , interpersonal relationship , psychology , social psychology , philosophy , epistemology
Summary• The aim of the study was to evaluate the effects of an organizational change programme in a surgical department in Sweden (the introduction of modular nursing) on the nursing staffs perception of job satisfaction and quality of care, and to identify factors which promote or hinder this organizational change. • Planning and implementation of the change programme took about 1 year and comprised structural changes and staff training. • Assessments of job satisfaction and quality of care were made immediately before, and 1 year after, implementation of the change programme. Data were collected from the staff of two wards. • Virtually no statistically significant changes were found when looking at the department as a whole. However, considerable differences were noted between the two wards, particularly in the following areas: relationships with colleagues, identification and commitment, and perceived quality of care. • The quality of the interpersonal relationships, and the leadership of the wards' head nurses, appeared to be crucial determinants of the outcome.