Inter-Organizational Home Care Nursing Teams : A Comparison of a Region Wide Organizational Change Initiative With Success Factors Identified by Forerunners and Team Theory
Rydenfält, Christofer LU ; Persson, Johanna LU ; Larsson, Roger LU
; Johansson, Gerd
LU
and Erlingsdóttir, Gudbjörg
LU
(2023)
In Home Health Care Management and Practice
- Abstract
Teamwork is considered something positive. While there is much research on teamwork in healthcare, research on teamwork in home care nursing is limited. As the need for home care nursing is likely to increase in the future, it is of great interest to investigate the circumstances associated with the implementation of teamwork in home care nursing. The present study compares the results from a large change initiative intended to foster inter-organizational teamwork between municipal home care nurses and doctors employed by the region, with success factors identified by forerunners and contemporary team theory. Eighteen participants representing the organizations involved in the change initiative, and 6 participants from the forerunners,... (More)
Teamwork is considered something positive. While there is much research on teamwork in healthcare, research on teamwork in home care nursing is limited. As the need for home care nursing is likely to increase in the future, it is of great interest to investigate the circumstances associated with the implementation of teamwork in home care nursing. The present study compares the results from a large change initiative intended to foster inter-organizational teamwork between municipal home care nurses and doctors employed by the region, with success factors identified by forerunners and contemporary team theory. Eighteen participants representing the organizations involved in the change initiative, and 6 participants from the forerunners, were interviewed, and 3 success factors were identified: fixed doctors in team, co-location of staff, and a shared team identity. However, for the studied change initiative, few of the success factors were present. Since the success factors are similar to factors associated with effective teamwork in the literature, this is problematic. The results indicate that there was a focus on the division of labor between the municipalities and the region rather than on interdisciplinary cooperation. They also suggest that the change initiative, as it worked in practice, did not always make sense from the perspective of the nurses and doctors involved. Thus, we suggest that measures are taken to ensure that change initiatives, like the 1 studied, also make sense on the local level in the organization where most of the implementation takes place.
(Less)
- author
- Rydenfält, Christofer
LU
; Persson, Johanna
LU
; Larsson, Roger
LU
; Johansson, Gerd
LU
and Erlingsdóttir, Gudbjörg
LU
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- epub
- subject
- keywords
- change management, eldercare, home care nursing, interorganizational teamwork, interprofessional care, teamwork
- in
- Home Health Care Management and Practice
- publisher
- SAGE Publications
- external identifiers
-
- scopus:85176244176
- ISSN
- 1084-8223
- DOI
- 10.1177/10848223231209926
- language
- English
- LU publication?
- yes
- id
- 21b03d5a-ff1a-41cc-9c07-4b049e1ee6a6
- date added to LUP
- 2024-01-11 15:34:28
- date last changed
- 2024-01-11 15:36:38
@article{21b03d5a-ff1a-41cc-9c07-4b049e1ee6a6,
abstract = {{<p>Teamwork is considered something positive. While there is much research on teamwork in healthcare, research on teamwork in home care nursing is limited. As the need for home care nursing is likely to increase in the future, it is of great interest to investigate the circumstances associated with the implementation of teamwork in home care nursing. The present study compares the results from a large change initiative intended to foster inter-organizational teamwork between municipal home care nurses and doctors employed by the region, with success factors identified by forerunners and contemporary team theory. Eighteen participants representing the organizations involved in the change initiative, and 6 participants from the forerunners, were interviewed, and 3 success factors were identified: fixed doctors in team, co-location of staff, and a shared team identity. However, for the studied change initiative, few of the success factors were present. Since the success factors are similar to factors associated with effective teamwork in the literature, this is problematic. The results indicate that there was a focus on the division of labor between the municipalities and the region rather than on interdisciplinary cooperation. They also suggest that the change initiative, as it worked in practice, did not always make sense from the perspective of the nurses and doctors involved. Thus, we suggest that measures are taken to ensure that change initiatives, like the 1 studied, also make sense on the local level in the organization where most of the implementation takes place.</p>}},
author = {{Rydenfält, Christofer and Persson, Johanna and Larsson, Roger and Johansson, Gerd and Erlingsdóttir, Gudbjörg}},
issn = {{1084-8223}},
keywords = {{change management; eldercare; home care nursing; interorganizational teamwork; interprofessional care; teamwork}},
language = {{eng}},
publisher = {{SAGE Publications}},
series = {{Home Health Care Management and Practice}},
title = {{Inter-Organizational Home Care Nursing Teams : A Comparison of a Region Wide Organizational Change Initiative With Success Factors Identified by Forerunners and Team Theory}},
url = {{http://dx.doi.org/10.1177/10848223231209926}},
doi = {{10.1177/10848223231209926}},
year = {{2023}},
}