PMID- 23089522
OWN - NLM
STAT- MEDLINE
DCOM- 20131105
LR  - 20151119
IS  - 1478-9523 (Electronic)
IS  - 1478-9515 (Linking)
VI  - 11
IP  - 2
DP  - 2013 Apr
TI  - Work culture among healthcare personnel in a palliative medicine unit.
PG  - 135-40
LID - 10.1017/S1478951512000818 [doi]
AB  - OBJECTIVE: Understanding and assessing health care personnel's work culture in 
      palliative care is important, as a conflict between "high tech" and "high touch" 
      is present. Implementing necessary changes in behavior and procedures may imply a 
      profound challenge, because of this conflict. The aim of this study was to 
      explore the work culture at a palliative medicine unit (PMU). METHOD: Healthcare 
      personnel (N = 26) at a PMU in Norway comprising physicians, nurses, 
      physiotherapists, and others filled in a questionnaire about their perception of 
      the work culture at the unit. The Systematizing Person-Group Relations (SPGR) 
      method was used for gathering data and for the analyses. This method applies six 
      different dimensions representing different aspects of a work culture (Synergy, 
      Withdrawal, Opposition, Dependence, Control, and Nurture) and each dimension has 
      two vectors applied. The method seeks to explore which aspects dominate the 
      particular work culture, identifying challenges, limitations, and opportunities. 
      The findings were compared with a reference group of 347 ratings of 
      well-functioning Norwegian organizations, named the "Norwegian Norm." RESULTS: 
      The healthcare personnel working at the PMU had significantly higher scores than 
      the "Norwegian Norm" in both vectors in the "Withdrawal" dimension and 
      significant lower scores in both vectors in the "Synergy," "Control," and 
      "Dependence" dimensions. SIGNIFICANCE OF RESULTS: Healthcare personnel at the PMU 
      have a significantly different perception of their work culture than do staff in 
      "well-functioning organizations" in several dimensions. The low score in the 
      "Synergy" and "Control" dimensions indicate lack of engagement and constructive 
      goal orientation behavior, and not being in a position to change their behavior. 
      The conflict between "high tech" and "high touch" at a PMU seems to be an 
      obstacle when implementing new procedures and alternative courses of action.
FAU - Andre, Beate
AU  - Andre B
AD  - Research Centre for Health Promotion and Resources, The Sor-Trondelag University 
      College and Norwegian University of Science and Technology, Trondheim, Norway. 
      beate.andre@ntnu.no
FAU - Sjovold, Endre
AU  - Sjovold E
FAU - Rannestad, Toril
AU  - Rannestad T
FAU - Holmemo, Marte
AU  - Holmemo M
FAU - Ringdal, Gerd I
AU  - Ringdal GI
LA  - eng
PT  - Journal Article
DEP - 20121023
PL  - England
TA  - Palliat Support Care
JT  - Palliative & supportive care
JID - 101232529
SB  - IM
MH  - Adult
MH  - *Attitude of Health Personnel
MH  - Female
MH  - *Health Personnel
MH  - Humans
MH  - Interprofessional Relations
MH  - Job Satisfaction
MH  - Male
MH  - Norway
MH  - Organizational Culture
MH  - *Palliative Care
MH  - Surveys and Questionnaires
EDAT- 2012/10/24 06:00
MHDA- 2013/11/06 06:00
CRDT- 2012/10/24 06:00
PHST- 2012/10/24 06:00 [entrez]
PHST- 2012/10/24 06:00 [pubmed]
PHST- 2013/11/06 06:00 [medline]
AID - S1478951512000818 [pii]
AID - 10.1017/S1478951512000818 [doi]
PST - ppublish
SO  - Palliat Support Care. 2013 Apr;11(2):135-40. doi: 10.1017/S1478951512000818. Epub 
      2012 Oct 23.