Inkson T, Latham G, Mather C, Prokopczak D, Smits E
Can J Nurs Adm. 1994 May-Jun;7(2):50-68.
Self-directed work teams are innovative tools used in industry to improve productivity and quality. Work teams are complementary to the process of Total Quality Management (TQM) and build on the same foundations of customer satisfaction, goal setting, and staff education and training (Arikian, 1991; Sheehy & Musselwhite, 1990). The Collaborative Healthcare Utilization Model (CHUM) encompasses a self-directed team which enables nurse managers and physicians to lead a busy, tertiary care surgical service. The opportunity to develop CHUM arose when a middle management (director) position was removed from the nursing division. Development of the self-directed team included "selling" the idea and piloting the venture in an environment where work teams are not part of the organizational structure. The authors describe their experience in introducing a self-directed team into a hospital setting.
自我管理工作团队是工业界用于提高生产率和质量的创新工具。工作团队是全面质量管理（TQM）过程的补充，并建立在客户满意度、目标设定以及员工教育和培训的相同基础之上（阿里基安，1991年；希伊和 Musselwhite，1990年）。协作医疗利用模式（CHUM）包含一个自我管理团队，该团队使护士经理和医生能够领导繁忙的三级护理外科服务。当护理部门的中层管理（主任）职位被撤销时，出现了开发CHUM的机会。自我管理团队的开发包括在一个工作团队不属于组织结构的环境中“推销”这一理念并对该项目进行试点。作者描述了他们将自我管理团队引入医院环境的经验。
