Black M E, Ploeg J, Van Berkel C, Woodcox V, Underwood J E
Regional Municipality of Hamilton-Wentworth, Department of Public Health Services, Ontario.
Can J Public Health. 1991 Sep-Oct;82(5):310-4.
From 1986 to 1988, the Nursing Division of the Hamilton-Wentworth Department of Public Health Services undertook an analysis of our present organizational structure, incorporating knowledge from current literature, community trends and staff perceptions. From this analysis, a division-wide reorganization was implemented from the current practice in which the Public Health Nurse (PHN) delivered nursing care across all ages and stages (generalist role) to one organized by target populations. These events were described in an earlier article. As part of the plan for reorganization, the nurse management team implemented an evaluation process which included five components: 1) an internal staff survey; 2) an external agency survey; 3) a program-specific activity analysis; 4) a program-specific measure of knowledge change and; 5) a longitudinal job satisfaction survey. This article describes this evaluation and presents implications for the future.
1986年至1988年期间，汉密尔顿-温特沃斯公共卫生服务部护理部门对我们当前的组织结构进行了分析，纳入了当前文献、社区趋势和员工看法中的知识。通过此次分析，实施了全部门范围的重组，从公共卫生护士（PHN）为所有年龄段和阶段提供护理服务的现行做法（通科角色）转变为按目标人群组织的模式。这些情况在一篇早期文章中有过描述。作为重组计划的一部分，护士管理团队实施了一个评估过程，该过程包括五个部分：1）内部员工调查；2）外部机构调查；3）特定项目活动分析；4）特定项目知识变化衡量；5）纵向工作满意度调查。本文描述了该评估并阐述了对未来的启示。
