Organizational predictors of outcomes of long-stay nursing home residents.

Organizational predictors of outcomes of long-stay nursing home residents.
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长期入住疗养院居民结果的组织预测因素。

DOI:
10.1016/0277-9536(93)90290-k
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发表时间:
1993
期刊:
Social science & medicine (1982)
影响因子:
--
通讯作者:
Chang,W
Chang,W
中科院分区:
--
文献类型:
--
作者:
Rohrer,JE;Momany,ET;Chang,W

文献摘要

被引文献

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对 10 家疗养院的身体机能作为衡量疗养院居民结果的分析表明,组织设计变量很重要。 Results were consistent with contingency theory, which posits that to maximize performance organizational structure should be adjusted to variations in task difficulty and variability.这项研究表明,当员工受到较少的监督并且工作分配的基础明确且一致时,在节奏较快的疗养院中,有时会取得更好的住院医师结果。当工作量很大时,更加分层的结构可能会更有效。然而,当工作量和节奏保持不变时,较小的层次结构和非特定的工作分配会带来更好的结果。讨论了对管理和未来研究的影响。
Analysis of physical function as a measure of nursing home resident outcomes in 10 nursing homes revealed that organizational design variables were important. Results were consistent with contingency theory, which posits that to maximize performance organizational structure should be adjusted to variations in task difficulty and variability. This study revealed that better resident outcomes sometimes are achieved in faster-paced nursing homes when employees are less closely supervised and when the basis for job assignment is clear and consistent. A more hierarchical structure may be effective when workload is heavy. However, when workload and pace are held constant, better outcomes are associated with smaller hierarchies and non-specific job assignment. Implications for management and future research are discussed.