Ginsburg Liane, Tregunno Deborah
School of Health Policy & Management, York University, Ontario, Canada.
J Interprof Care. 2005 May;19 Suppl 1:177-87. doi: 10.1080/13561820500083105.
This paper highlights a variety of issues from the organizational change literature that are especially relevant to the implementation of initiatives in interprofessional education (IPE) for collaborative practice (CP). At the level of the individual, these include the existence of strong professional cultures and the need to motivate change. At the level of the organization, context and leadership for IPE and CP are relevant. At the system level, a discussion of incremental versus radical forces for change is particularly germane. Drawing on relevant theoretical and empirical literature, we address each of these three domains and highlight lessons learned from the study of organizational change to the implementation and adoption of IPE and CP. The paper concludes with a set of key recommendations suggested for reducing the incidence of implementation failure.
本文重点介绍了组织变革文献中的一系列问题,这些问题与为促进协作实践(CP)而开展的跨专业教育(IPE)举措的实施特别相关。在个体层面,这些问题包括强大专业文化的存在以及推动变革的必要性。在组织层面,IPE和CP的背景与领导力具有相关性。在系统层面,关于渐进式变革力量与激进式变革力量的讨论尤为贴切。借鉴相关理论和实证文献,我们探讨这三个领域中的每一个,并强调从组织变革研究到IPE和CP的实施与采用过程中吸取的经验教训。本文最后提出了一系列旨在降低实施失败发生率的关键建议。