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Health care clinicians’ engagement in organizational redesign of care processes: Health care clinicians’ engagement in organizational redesign of care processes
KTH Royal Institute of Technology, Sweden; University of Gothenburg, Sweden.
KTH Royal Institute of Technology, Sweden.
KTH Royal Institute of Technology, Sweden.ORCID iD: 0000-0001-5879-2280
Indiana University, USA.
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2018 (English)In: Applied Ergonomics, Vol. 68, p. 249-257Article in journal (Refereed) Published
Abstract [en]

The Swedish health care system is reorienting towards horizontal organization for care processes. A main challenge is to engage health care clinicians in the process. The aim of this study was to assess engagement (i.e. attitudes and beliefs, the cognitive state and clinical engagement behaviour) among health care clinicians, and to investigate how engagement was related to work resources and demands during organizational redesign. A cohort study was conducted, using a questionnaire distributed to clinicians at five hospitals working with care process improvement approaches, two of them having implemented Lean production. The results show that kinds of engagement are interlinked and contribute to clinical engagement behaviour in quality of care and patient safety. Increased work resources have importance for engagements in organizational improvements, especially in top-down implementations. An extended work engagement model during organizational improvements in health care was supported. The model contributes to knowledge about how and when clinicians are mobilized to engage in organizational changes.

Place, publisher, year, edition, pages
2018. Vol. 68, p. 249-257
Keywords [en]
Work engagement, Lean production, Health care workers
National Category
Engineering and Technology
Identifiers
URN: urn:nbn:se:ri:diva-61094DOI: 10.1016/j.apergo.2017.12.001OAI: oai:DiVA.org:ri-61094DiVA, id: diva2:1705330
Available from: 2022-10-21 Created: 2022-10-21 Last updated: 2023-04-27Bibliographically approved

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Williamsson, Anna

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