Perceived Organizational Problems in Health Care: A Pilot Test of the Structured Problem and Success Inventory

No Thumbnail Available
File version
Author(s)
Nystrom, Monica E.
Terris, Darcey D.
Sparring, Vibeke
Tolf, Sara
Brown, Claire
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)

Jean Gayton Carroll

Date
2012
Size
File type(s)
Location
License
Abstract

Our objective was to test whether the Structured Problem and Success Inventory (SPI) instrument could capture mental representations of organizational and work-related problems as described by individuals working in health care organizations and to test whether these representations varied according to organizational position. A convenience sample (n = 56) of middle managers (n = 20), lower-level managers (n = 20), and staff (n = 16) from health care organizations in Stockholm (Sweden) attending organizational development courses during 2003–2004 was recruited. Participants used the SPI to describe the 3 most pressing organizational and work-related problems. Data were systematically reviewed to identify problem categories and themes. One hundred sixty-four problems were described, clustered into 13 problem categories. Generally, middle managers focused on organizational factors and managerial responsibilities, whereas lower-level managers and staff focused on operational issues and what others did or ought to do. Furthermore, we observed similarities and variation in perceptions and their association with respondents' position within an organization. Our results support the need for further evaluation of the SPI as a promising tool for health care organizations. Collecting structured inventories of organizational and work-related problems from multiple perspectives may assist in the development of shared understandings of organizational challenges and lead to more effective and efficient processes of solution planning and implementation.

Journal Title

Quality Management in Health Care

Conference Title
Book Title
Edition
Volume

21

Issue

2

Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement
Item Access Status
Note
Access the data
Related item(s)
Subject

Public Health and Health Services not elsewhere classified

Health Care Administration

Nursing

Public Health and Health Services

Persistent link to this record
Citation
Collections