Nyström Monica E, Terris Darcey D, Sparring Vibeke, Tolf Sara, Brown Claire R
Medical Management Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
Qual Manag Health Care. 2012 Apr-Jun;21(2):93-103. doi: 10.1097/QMH.0b013e31824d18ff.
Our objective was to test whether the Structured Problem and Success Inventory (SPI) instrument could capture mental representations of organizational and work-related problems as described by individuals working in health care organizations and to test whether these representations varied according to organizational position. A convenience sample (n = 56) of middle managers (n = 20), lower-level managers (n = 20), and staff (n = 16) from health care organizations in Stockholm (Sweden) attending organizational development courses during 2003-2004 was recruited. Participants used the SPI to describe the 3 most pressing organizational and work-related problems. Data were systematically reviewed to identify problem categories and themes. One hundred sixty-four problems were described, clustered into 13 problem categories. Generally, middle managers focused on organizational factors and managerial responsibilities, whereas lower-level managers and staff focused on operational issues and what others did or ought to do. Furthermore, we observed similarities and variation in perceptions and their association with respondents' position within an organization. Our results support the need for further evaluation of the SPI as a promising tool for health care organizations. Collecting structured inventories of organizational and work-related problems from multiple perspectives may assist in the development of shared understandings of organizational challenges and lead to more effective and efficient processes of solution planning and implementation.
我们的目标是测试结构化问题与成功量表（SPI）工具能否捕捉医疗保健组织中工作人员所描述的组织和工作相关问题的心理表征，并测试这些表征是否因组织职位而异。我们招募了一个便利样本（n = 56），其中包括来自瑞典斯德哥尔摩医疗保健组织的中层管理人员（n = 20）、基层管理人员（n = 20）和员工（n = 16），他们在2003 - 2004年期间参加组织发展课程。参与者使用SPI来描述3个最紧迫的组织和工作相关问题。对数据进行系统审查以确定问题类别和主题。共描述了164个问题，分为13个问题类别。一般来说，中层管理人员关注组织因素和管理职责，而基层管理人员和员工则关注运营问题以及其他人做了什么或应该做什么。此外，我们观察到了认知方面的异同及其与受访者在组织中职位的关联。我们的结果支持进一步评估SPI作为医疗保健组织一种有前景工具的必要性。从多个角度收集组织和工作相关问题的结构化清单可能有助于形成对组织挑战的共同理解，并导致更有效和高效的解决方案规划与实施过程。
