Irvine D M, Leatt P, Evans M G, Baker G R
Faculty of Nursing, University of Toronto, Ontario, Canada.
Health Serv Manage Res. 2000 May;13(2):78-89. doi: 10.1177/095148480001300202.
This study investigates the relationship between hospital quality improvement (QI) team success and changes in empowerment, 'organizational commitment, organizational citizenship behaviour' (OCB) and job behaviour related to QI. Data were collected from administrative staff, healthcare professionals and support staff from four community hospitals. The study involved a field investigation with two data collection points. Structured questionnaires and interviews with hospital management were used to collect data on the study variables. High scores were observed for organizational commitment, OCB and job behaviour related to QI when individuals identified with teams that were successful. Low scores were observed when individuals identified with teams that were unsuccessful. Empowerment was positively related to job behaviour associated with QI. It is concluded that participation on QI teams can lead to organizational learning, resulting in the inculcation of positive 'extra-role' and 'in-role' job behaviour.
本研究调查了医院质量改进(QI)团队的成功与赋权、“组织承诺、组织公民行为”以及与QI相关的工作行为变化之间的关系。数据收集自四家社区医院的行政人员、医护专业人员和辅助人员。该研究涉及一个有两个数据收集点的实地调查。通过结构化问卷和与医院管理层的访谈来收集关于研究变量的数据。当个体认同成功的团队时,观察到其组织承诺、组织公民行为和与QI相关的工作行为得分较高。当个体认同不成功的团队时,观察到得分较低。赋权与与QI相关的工作行为呈正相关。研究得出结论,参与QI团队可导致组织学习,从而灌输积极的“角色外”和“角色内”工作行为。