Healthcare quality improvement work: a professional employee perspective

Healthcare quality improvement work: a professional employee perspective PurposeThe purpose of this paper is to describe and analyze conditions that influence how employees engage in healthcare quality improvement (QI) work.Design/methodology/approachQualitative case study based on interviews (n=27) and observations (n=10).FindingsThe main conditions that influence how employees engage in healthcare QI work are professions, work structures and working relationships. These conditions can both prevent and facilitate healthcare QI. Professions and work structures may cement existing institutional logics and thus prevent employees from engaging in healthcare QI work. However, attempts to align QI with professional logics, together with work structures that empower employees, can make these conditions increase employee engagement, which can be accomplished through positive working relationships that foster institutional work, which bridge different competing institutional logics, making it possible to overcome barriers that professions and work structures may constitute.Practical implicationsUnderstanding the conditions that influence how employees engage in healthcare QI work will make initiatives more likely to succeed.Originality/valueHealthcare QI has mainly been studied from an implementer perspective, and employees have either been neglected or seen as passive resisters. Weak employee perspectives make healthcare QI research incomplete. In our research, healthcare QI work is studied closely at the actor level to understand healthcare QI from an employee perspective. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Health Care Quality Assurance Emerald Publishing

Healthcare quality improvement work: a professional employee perspective

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Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
0952-6862
DOI
10.1108/IJHCQA-02-2016-0013
pmid
28574326
Publisher site
See Article on Publisher Site

Abstract

PurposeThe purpose of this paper is to describe and analyze conditions that influence how employees engage in healthcare quality improvement (QI) work.Design/methodology/approachQualitative case study based on interviews (n=27) and observations (n=10).FindingsThe main conditions that influence how employees engage in healthcare QI work are professions, work structures and working relationships. These conditions can both prevent and facilitate healthcare QI. Professions and work structures may cement existing institutional logics and thus prevent employees from engaging in healthcare QI work. However, attempts to align QI with professional logics, together with work structures that empower employees, can make these conditions increase employee engagement, which can be accomplished through positive working relationships that foster institutional work, which bridge different competing institutional logics, making it possible to overcome barriers that professions and work structures may constitute.Practical implicationsUnderstanding the conditions that influence how employees engage in healthcare QI work will make initiatives more likely to succeed.Originality/valueHealthcare QI has mainly been studied from an implementer perspective, and employees have either been neglected or seen as passive resisters. Weak employee perspectives make healthcare QI research incomplete. In our research, healthcare QI work is studied closely at the actor level to understand healthcare QI from an employee perspective.

Journal

International Journal of Health Care Quality AssuranceEmerald Publishing

Published: Jun 12, 2017

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