University of Macedonia, Thessaloniki, Greece.
J Health Organ Manag. 2011;25(1):108-23. doi: 10.1108/14777261111116851.
To date, relatively little evidence has been published as to what represents an effective and efficient way to improve quality of care and safety in hospitals. In addition, the initiatives that do exist are rarely designed or developed with regard to the individual and organisational factors that determine the success or failure of such initiatives. One of the challenges in linking organisational culture to quality of care is to identify the focal point at which a deficient hospital culture and inadequate organisational resources are most evident. The accumulated evidence suggests that such a point is physician burnout. This paper sets out to examine this issue.
DESIGN/METHODOLOGY/APPROACH: The paper reviews the existing literature on organisational culture, burnout and quality of care in the healthcare sector. A new conceptual approach as to how organisational culture and quality of care can be more effectively linked through the physician experience of burnout is proposed.
Recommendations are provided with regard to how future research can approach quality of care from a bottom-up organisational change perspective. In addition, the need to widen the debate beyond US and North European experiences is discussed.
ORIGINALITY/VALUE: The present paper represents an attempt to link organisational culture, job burnout and quality of care in a more meaningful way. A conceptual model has been provided as a way to frame and evaluate future research.
迄今为止，关于如何有效提高医院护理质量和安全性的证据相对较少。此外，现有的举措很少考虑到决定这些举措成败的个人和组织因素来进行设计或开发。将组织文化与护理质量联系起来的挑战之一是确定医院文化缺陷和组织资源不足最明显的焦点。现有证据表明，这一焦点是医生倦怠。本文旨在探讨这一问题。
设计/方法/方法：本文回顾了医疗保健领域组织文化、倦怠和护理质量的现有文献。提出了一种新的概念方法，即如何通过医生倦怠的体验更有效地将组织文化和护理质量联系起来。
就如何从基层组织变革的角度来研究未来的护理质量，提出了建议。此外，还讨论了需要将辩论范围扩大到美国和北欧以外的经验。
原创性/价值：本论文试图以更有意义的方式将组织文化、工作倦怠和护理质量联系起来。提供了一个概念模型，作为框架和评估未来研究的一种方式。
