磁铁医院模式的实施:一家瑞典医院吸引和留住医护人员。

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES
Peter Nilsson, Maria Gustavsson
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引用次数: 0

摘要

目的:医疗保健行业的人员短缺加剧了对合格员工的竞争。磁铁医院旨在吸引和留住医疗保健专业人员。本文旨在调查与实施磁铁医院模式相关的挑战,并根据这些挑战,分析瑞典一家医院不同组织层面之间的相互作用:数据收集是在磁铁医院模式实施过程中进行的,包括 14 次会议观察、31 次访谈和 13 次文件分析:研究结果:该模式的实施由自上而下的方法驱动,同时开展自下而上的活动,让医护人员参与其中,以确保在不同的组织层面适应医院的条件。研究结果表明,该模式对高层管理人员更有吸引力,他们寻求一种标准化的解决方案来吸引和留住护士。诊所管理人员则更喜欢量身定制的解决方案,以应对员工资源配置方面的挑战。在根据医院的具体情况转化和应用该模式时遇到的困难给每个组织层面都带来了挑战。有些挑战被限制在某一层面,而另一些挑战则蔓延到了下面的组织层面,变成了其他的挑战:除了提供独特的经验材料来描述磁铁医院模式的实施情况,以努力吸引和留住医疗保健专业人员外,本研究的价值还在于关注了当实施管理模式的责任从最高管理层转移到负责促进和执行组织变革的变革推动者时所产生的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation of a magnet hospital model: attracting and retaining healthcare staff in a Swedish hospital.

Purpose: Staff shortages in the healthcare sector increase the competition for qualified staff. A magnet hospital is intended to attract, and retain healthcare professionals. This article aims to investigate the challenges related to implementation of a magnet hospital model, and given these challenges, to analyse the interplay between different organisational levels in a Swedish hospital.

Design/methodology/approach: The data collection followed the implementation of a magnet hospital model and consisted of 14 meeting observations, 31 interviews and 13 document analyses.

Findings: The model implementation was driven by a top-down approach, with accompanying bottom-up activities, involving healthcare professionals, to ensure adaption to the hospital's conditions at different organisational levels. The findings revealed that the model was more appealing to top management, seeking a standardised solution to attract and retain nurses. Clinic managers preferred tailor-made solutions for managing their employee resourcing challenges. Difficulties in translating and contextualising the model to the hospital's conditions created challenges at every organisational level. Some were contained within a level while others spread to the organisational level below and turned into something else.

Originality/value: Apart from unique empirical material depicting the implementation of a magnet hospital model as an effort to attract and retain healthcare professionals, the value of this study lies in the attention given to the challenges that arise when responsibility for implementing a management model is shifted from top management to change agents tasked with facilitating and executing the organisational change.

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来源期刊
CiteScore
3.20
自引率
7.10%
发文量
72
期刊介绍: ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.
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