Implementing large-scale workforce change: learning from 55 pilot sites of allied health workforce redesign in Queensland, Australia.
Hum Resour Health
; 11: 66, 2013 Dec 11.
Article
em En
| MEDLINE
| ID: mdl-24330616
ABSTRACT
BACKGROUND:
Increasingly, health workforces are undergoing high-level 're-engineering' to help them better meet the needs of the population, workforce and service delivery. Queensland Health implemented a large scale 5-year workforce redesign program across more than 13 health-care disciplines. This study synthesized the findings from this program to identify and codify mechanisms associated with successful workforce redesign to help inform other large workforce projects.METHODS:
This study used Inductive Logic Reasoning (ILR), a process that uses logic models as the primary functional tool to develop theories of change, which are subsequently validated through proposition testing. Initial theories of change were developed from a systematic review of the literature and synthesized using a logic model. These theories of change were then developed into propositions and subsequently tested empirically against documentary, interview, and survey data from 55 projects in the workforce redesign program.RESULTS:
Three overarching principles were identified that optimized successful workforce redesign:
(1) drivers for change need to be close to practice; (2) contexts need to be supportive both at the local levels and legislatively; and (3) mechanisms should include appropriate engagement, resources to facilitate change management, governance, and support structures. Attendance to these factors was uniformly associated with success of individual projects.CONCLUSIONS:
ILR is a transparent and reproducible method for developing and testing theories of workforce change. Despite the heterogeneity of projects, professions, and approaches used, a consistent set of overarching principles underpinned success of workforce change interventions. These concepts have been operationalized into a workforce change checklist.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Reforma dos Serviços de Saúde
/
Atenção à Saúde
/
Pessoal Técnico de Saúde
Tipo de estudo:
Prognostic_studies
/
Systematic_reviews
Limite:
Humans
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Hum Resour Health
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Austrália