Organizational Research in Hospitals

Shortell, Stephen M.; Brown, Montague

doi:10.1097/00004010-197702030-00018

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Very little work has been done on the culture of organisations involved with health care, although there has been a focus recently on 'magnet hospitals', so called because they attracted and retained professional nurses. This work has built on earlier organisational research in hospitals (Georgopoulos 1975, Shortell andBrown 1976).…”

Section: Abstract S Nursing: Role S Professional Developmentmentioning

confidence: 99%

Organisational culture and consultant nurse outcomes: part 1 organisational culture

Manley¹

2000

Nursing Standard

View full text Add to dashboard Cite

Organisational culture is presented as a complex concept underpinned by specific values, beliefs and assumptions that account for the way things are done. Strong organisational cultures and a number of other attributes are highlighted as having influence on performance. The role of leadership is recognised as key to facilitating cultural change, as is the use of approaches which clarify values and highlight contradictions between espoused culture and culture in practice. A three-year study in which a consultant nurse post in critical care was operationalised demonstrated the achievement of an organisational culture with positive impact on the unit in which it was based, on practitioners and their practice, and also on the trust. Transformational leadership combined with other facilitative processes, expertise in the practice of nursing, and other subroles of the consultant nurse are further highlighted as influential.

show abstract

Section: Abstract S Nursing: Role S Professional Developmentmentioning

confidence: 99%

Organisational culture and consultant nurse outcomes: part 1 organisational culture

Manley¹

2000

Nursing Standard

View full text Add to dashboard Cite

show abstract

“…Administrative physicians have a unique opportunity to apply their subject-matter expertise to complex challenges that can benefit both the patient and the overall health system. Chief executive officers (CEOs) with a background in clinical care are increasingly sought by hospitals to operationalize strategic direction in quality performance of value-based care, such as patient safety and satisfaction . Few empirical studies or meta-analyses have investigated the association between CEO educational background and quality outcome measures .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers

et al. 2022

View full text Add to dashboard Cite

ImportancePatient experience and patient safety are 2 major domains of health care quality; however empirical data on the association of physician vs nonphysician chief executive officers (CEOs) with public and private quality measures are rare but critical to evaluate as hospitals increasingly seek out physician CEOs.ObjectivesTo evaluate whether there is an association of CEO background with hospital quality and to investigate differences in hospital characteristics between hospitals with a physician CEO vs those with a nonphysician CEO.Design, Setting, and ParticipantsThis cross-sectional study used 2019 data from 3 sources (ie, the American Hospital Association [AHA] Annual Survey, the Hospital Consumer Assessment of Healthcare Providers and Systems [HCAHPS], and the Leapfrog Hospital Safety Grades) to identify statistical differences in hospital characteristics and outcomes. Data were analyzed from April to December 2021 .Main Outcomes and MeasuresMultivariable ordinal logistic regression was used to examine the association of physician CEOs with hospital quality assessment outcomes while controlling for other confounding factors. Characteristics from the AHA Annual Survey database were assessed as potential confounders, including hospital control, bed size, region, teaching status, and patient volume.ResultsThe AHA database contained 6162 hospitals; 1759 (29%) had HCAHPS ratings, 1824 (30%) had Leapfrog grades, and 383 (6%) had physician CEOs. A positive Spearman correlation coefficient was found between physician CEOs and HCAHPS patient willingness to recommend the hospital (ρ = 0.0756; P = .002), but the association between CEO medical background and Leapfrog safety grades or HCAHPS ratings did not reach a level of significance in the multivariable ordinal logistic regression models.Conclusions and RelevanceIn this study, a positive correlation was found between physician CEOs and HCAHPS patient willingness to recommend the hospital, but the multivariable analysis did not find an association between hospital physician CEOs and the examined quality and safety outcomes.

show abstract

“…At the organisational level, factors influential on quality of care have been captured by ‘magnet hospital’ research although the reasons for their impact are explained in terms of organisational variables, rather than the workplace culture itself. This is because research on ‘magnet hospitals’ has built on earlier organisational research in hospitals (Georgopoulos, 1975; Shortell and Brown, 1976), and studies on turnover & job dissatisfaction in response to high turnover (McClure et al ., 1983). Magnet hospitals are now considered as embodying ‘a set of organisational attributes that nurses find desirable (and are also conducive to better patient care)’ (Aiken et al ., 1994:771).…”

mentioning

confidence: 99%

Workplace culture: is your workplace effective? How would you know?

Manley¹

2004

Nursing in Critical Care

View full text Add to dashboard Cite

Organizational Research in Hospitals

Cited by 3 publications

References 0 publications

Organisational culture and consultant nurse outcomes: part 1 organisational culture

Organisational culture and consultant nurse outcomes: part 1 organisational culture

Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers

Workplace culture: is your workplace effective? How would you know?

Contact Info

Product

Resources

About