Beasley Lisa, Grace Sandra, Horstmanshof Louise
Northern NSW Local Health District, Lismore, Australia.
Department of Health and Human Sciences, Southern Cross University, Bilinga, Australia.
Leadersh Health Serv (Bradf Engl). 2020 Jul 23;33(4):339-349. doi: 10.1108/LHS-07-2019-0050.
The purpose of this paper is to review the literature on the response and adaption to change of allied health professionals. Understanding how individuals respond and adapt to change is essential to assist leaders to manage transformational change effectively. Contemporary health-care environments are characterised by frequent and rapid change, often with unrealistic and challenging time frames. Individuals operate independently, but also as members of teams, professions and organisations. Therefore, having a sound understanding of individual response to change is important for change leaders. In the Australian context, allied health professionals represent a quarter of the health-care workforce. There is a significant gap in understanding how allied health professionals respond and adapt to change.
DESIGN/METHODOLOGY/APPROACH: A scoping review was designed to report on the nature and extent of the literature on the response and adaption to change in the context of allied health professionals. Change leaders in the health-care environment face a number of complex challenges when attempting to facilitate change. While this scoping review did not identify any specific literature on the response and adaption to change of allied health professionals, it did however provide information on change models and factors to take into consideration when implementing a change process.
The results of this scoping review identified findings in two main areas with regard to response and adaptation of allied health to change: a review of change management literature at the organisation level and change management for allied health. Most of the literature described organisational level change management without providing a structural framework for change. At the professional individual level, the literature focused on specific clinical interventions, rather than on the response and adaption to change for allied health. Minimal literature was identified in regard to the response and adaption to change of allied health professionals. In an environment characterised by continuous change and policy reform, a greater understanding of the response and adaption to change by allied health is a priority for research, policy and practice.
RESEARCH LIMITATIONS/IMPLICATIONS: This scoping review was undertaken to explore the response and adaption to change of allied health. It sought to identify the factors that may explain why certain disciplines within the allied health professional group responded to change differently. Scoping reviews do not set out to comprehensively source all relevant literature but rather to ascertain the nature and extent of the published literature in the field. Therefore, it is possible that a systematic review might uncover additional relevant papers. However, this scoping review provides a clear indication of the nature and extent of the literature in allied health.
This scoping review will assist change leaders to gain a better understanding of theoretical frameworks of individual, team and organisational change processes and the impacts these have individually and collectively on change processes.
ORIGINALITY/VALUE: To the best of the authors' knowledge, this scoping review is the first of its kind to identify the minimal literature available on the way allied health professionals respond and adapt to change.
本文旨在综述关于健康 allied 专业人员对变革的反应和适应的文献。了解个体如何应对和适应变革对于帮助领导者有效管理变革至关重要。当代医疗环境的特点是频繁且快速的变化，通常伴随着不切实际且具有挑战性的时间框架。个体既独立工作，又是团队、专业和组织的成员。因此，深入了解个体对变革的反应对于变革领导者来说很重要。在澳大利亚的背景下，健康 allied 专业人员占医疗劳动力的四分之一。在了解健康 allied 专业人员如何应对和适应变革方面存在显著差距。
设计/方法/途径：设计了一项范围综述，以报告关于健康 allied 专业人员背景下对变革的反应和适应的文献的性质和范围。医疗环境中的变革领导者在试图推动变革时面临许多复杂的挑战。虽然这项范围综述没有发现任何关于健康 allied 专业人员对变革的反应和适应的具体文献，但它确实提供了关于变革模型以及在实施变革过程中需要考虑的因素的信息。
这项范围综述的结果在健康 allied 对变革的反应和适应方面确定了两个主要领域的发现：组织层面的变革管理文献综述和健康 allied 的变革管理。大多数文献描述了组织层面的变革管理，但没有提供变革的结构框架。在专业个体层面，文献关注的是具体的临床干预，而不是健康 allied 对变革的反应和适应。关于健康 allied 专业人员对变革的反应和适应的文献很少。在一个以持续变化和政策改革为特征的环境中，更好地理解健康 allied 对变革的反应和适应是研究、政策和实践的优先事项。
研究局限性/影响：进行这项范围综述是为了探索健康 allied 对变革的反应和适应。它试图确定可能解释为什么健康 allied 专业群体中的某些学科对变革有不同反应的因素。范围综述并非旨在全面查找所有相关文献，而是确定该领域已发表文献的性质和范围。因此，系统综述可能会发现更多相关论文。然而，这项范围综述清楚地表明了健康 allied 领域文献的性质和范围。
这项范围综述将帮助变革领导者更好地理解个体、团队和组织变革过程的理论框架，以及这些对变革过程分别和共同产生的影响。
原创性/价值：据作者所知，这项范围综述是同类研究中首次确定关于健康 allied 专业人员应对和适应变革的可用文献极少的研究。
