Ten Australian ICU nurses` perceptions of organisational restructuring

Wynne, Rochelle 2004, Ten Australian ICU nurses` perceptions of organisational restructuring, Australian Critical Care, vol. 17, no. 1, pp. 16-24, doi: 10.1016/S1036-7314(05)80046-3.

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Title Ten Australian ICU nurses` perceptions of organisational restructuring
Author(s) Wynne, Rochelle
Journal name Australian Critical Care
Volume number 17
Issue number 1
Start page 16
End page 24
Publisher Elsevier
Place of publication Philadelphia, P. A.
Publication date 2004-02
ISSN 1036-7314
Summary The Australian healthcare system underwent radical reform in the 1990s as economic rationalist policies were embraced. As a result, there was significant organisational restructuring within hospitals. Traditional indicators, such as nursing absenteeism and attrition, increase during times of organisational change. Despite this, nurses' views of healthcare reform are under-represented in the literature and little is known about the impact of organisational restructuring on perceived performance. This study investigated the perceived impact of organisational restructuring on a group of intensive care unit (ICU) nurses' workplace performance. It employed a qualitative approach to collect data from a purposive sample of clinical nurses. The primary method of data collection was semi-structured interviews. Content analysis generated three categories of data. Participants identified constant pressure, inadequate communication and organisational components of restructuring within the hospital as issues that had a significant impact on their workplace performance. They perceived organisational restructuring was poorly communicated, and this resulted in an environment of constant pressure. Organisational components of restructuring included the subcategories of specialised service provision and an alternative administrative structure that had both positive and negative ramifications for performance.
To date, there has been little investigation of nurses' perceptions of organisational restructure or the impact this type of change has in the clinical domain. Participants in this study believed reorganisation was detrimental to quality care delivery in intensive care, as a result of fiscal constraint, inadequate communication and pressure that influenced their workplace performance.
Language eng
DOI 10.1016/S1036-7314(05)80046-3
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2004, Elsevier B.V.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30002583

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