Department of Nursing and Health Care, School of Health Sciences, Waterford Institute of Technology, Waterford, Ireland.
Department of Applied Arts, School of Humanities, Waterford Institute of Technology, Waterford, Ireland.
J Nurs Manag. 2021 May;29(4):844-854. doi: 10.1111/jonm.13227. Epub 2020 Dec 29.
To illustrate the value of Checkland's 'Soft Systems' approach to explore and analyse the interaction of human and organisational factors that affect service delivery and patient experience in one specialist epilepsy service.
Checkland's approach is underutilized in relation to health service improvement. One epilepsy service in Ireland is used as an example to illustrate the value of his approach to improve service delivery, particularly when what needs to change is not clear.
Checkland's 'Soft Systems' seven-stage approach was used collaboratively to explore patients' and clinicians' experience of service delivery and how to improve it.
The research identified the practice of empowerment affected the quality of the service experience. Checkland's concept of a human activity system was particularly pertinent in identifying this issue and providing a 'map' for change.
Wider inferences for the use of Checkland's approach by nurse managers are discussed, as is the value of using Checkland's approach to improve services.
Checkland's 'Soft Systems' is an underutilized approach in health care that could be used by managers to initiate and embed change within a health care service.
展示 Checkland 的“软系统”方法的价值，以探索和分析影响特定癫痫服务提供和患者体验的人为因素和组织因素的相互作用。
Checkland 的方法在卫生服务改进方面的应用不足。爱尔兰的一个癫痫服务机构被用作示例，以说明他的方法在改善服务提供方面的价值，特别是当需要改变的内容不明确时。
采用 Checkland 的“软系统”七阶段方法，共同探讨患者和临床医生对服务提供的体验，以及如何改进服务。
研究确定了赋权实践影响服务体验质量。Checkland 的人类活动系统概念在确定这个问题并提供变革的“蓝图”方面特别相关。
讨论了护士管理者更广泛地应用 Checkland 方法的推论，以及使用 Checkland 方法改进服务的价值。
Checkland 的“软系统”是卫生保健中未充分利用的方法，管理者可以使用它在卫生保健服务中发起和嵌入变革。
