Framing the difficulties resulting from implementing a Participatory Management Model in a public hospital

Revista Latino-Americana de Enfermagem

Andrea Bernardes²  Greta Cummings¹  Yolanda Dora Martinez Évora²  Carmen Silvia Gabriel² 

[1] ,Universidade de São Paulo,Brazil

关键词: Nursing;    Team;    Organization and Administration;    Communication;    Health Management;    Equipe de Enfermagem;    Organização e Administração;    Comunicação;    Gestão em Saúde;    Grupo de Enfermería;    Organización y Administración;    Comunicación;    Gestión en Salud;   

DOI  :  10.1590/S0104-11692012000600017

来源: SciELO

【 摘 要 】

OBJECTIVE: This study aims to address difficulties reported by the nursing team during the process of changing the management model in a public hospital in Brazil. METHODS: This qualitative study used thematic content analysis as proposed by Bardin, and data were analyzed using the theoretical framework of Bolman and Deal. RESULTS: The vertical implementation of Participatory Management contradicted its underlying philosophy and thereby negatively influenced employee acceptance of the change. The decentralized structure of the Participatory Management Model was implemented but shared decision-making was only partially utilized. Despite facilitation of the communication process within the unit, more significant difficulties arose from lack of communication inter-unit. Values and principals need to be shared by teams, however, that will happens only if managers restructure accountabilities changing job descriptions of all team members. CONCLUSION: Innovative management models that depart from the premise of decentralized decision-making and increased communication encourage accountability, increased motivation and satisfaction, and contribute to improving the quality of care. The contribution of the study is that it describes the complexity of implementing an innovative management model, examines dissent and intentionally acknowledges the difficulties faced by employees in the organization.

【 授权许可】

CC BY   
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