McEwan Alexandra B, Tsey Komla, McCalman Janya, Travers Helen J
School of Indigenous Australian Studies, James Cook University, Cairns, QLD 4870, Australia.
Aust Health Rev. 2010 Aug;34(3):360-7. doi: 10.1071/AH08696.
The social organisation of work, management styles and social relationships in the workplace all matter for health. It is now well recognised that people who have control over their work have better health and that stress in the workplace increases the level of disease. In the context of organisational change, the potential benefits of empowerment strategies are two-fold: a positive impact on the organisation's effectiveness and enhancements in staff health, wellbeing and sense of control. This case study describes the University of Queensland Empowerment Research Program's experience working with the Apunipima Cape York Health Council in a change management process. Participatory action research and empowerment strategies were utilised to facilitate shifts in work culture and group cohesion towards achieving Apunipima's vision of being an effective lead agency for Indigenous health reform in Cape York. As part of the project, staff morale and confidence were monitored using a pictorial tool, Change Curve, which outlined the phases of organisational change. The project findings indicated that organisational change did not follow a clear linear trajectory. In some ways the dynamics mapped over a period of 18 months mirror the type of struggles individuals commonly encounter as a part of personal growth and development. In this case, one of the factors which influenced the program's success was the willingness of executive employees to actively support and participate in the change management process.
工作的社会组织形式、管理风格以及职场中的社会关系对健康都很重要。现在人们已经充分认识到,能够掌控自己工作的人健康状况更好,而职场压力会增加患病几率。在组织变革的背景下,赋权策略的潜在益处有两方面:对组织效能产生积极影响,以及提升员工的健康、幸福感和掌控感。本案例研究描述了昆士兰大学赋权研究项目在与阿普尼皮马约克角健康委员会开展变革管理过程中的经历。采用了参与式行动研究和赋权策略来推动工作文化的转变以及团队凝聚力的提升,以实现阿普尼皮马成为约克角土著健康改革有效牵头机构的愿景。作为项目的一部分,使用了一种名为“变革曲线”的图片工具来监测员工的士气和信心,该工具勾勒出了组织变革的各个阶段。项目结果表明,组织变革并非遵循清晰的线性轨迹。在某些方面,18个月期间呈现出的动态反映了个人在成长和发展过程中通常会遇到的那种挣扎。在这个案例中,影响该项目成功的因素之一是行政员工积极支持并参与变革管理过程的意愿