The first reengineering project undertaken by the Sunnybrook Health Science Centre after adopting a philosophy of patient-focused care was the introduction of a new category of worker: the multi-skilled service assistant. This article describes the experiences of the first two cohorts of service assistants and assesses the changes made to the work itself and the integration of the new workers into the work environment. It concludes by sharing recommendations for introducing a new work role.
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References
1.
MarshallK. Multiskilling: Re-engineering work processes. Healthcare Management Forum1995; 8(2): 32–36.
2.
CloutenKWeberR. Patient-focused care … playing to win. Nursing Management1994; 25(2): 34–36.
3.
FarrisB. Converting a unit to patient-focused care. Health Progress1993; April: 22–25.
4.
LathropJP. Restructuring Health Care: The Patient Focused Paradigm. San Francisco, Jossey-Bass, 1993.
5.
MoffittGKDalyPBTraceyLTinstmanTC. Patient-focused care: Key principles to restructuring. Hospital and Health Services Administration1993; 38(4): 509–521.
6.
WeberDO. Six models of patient-focused care. Healthcare Forum Journal1991; July-August: 23–31.
7.
HackmanJROldhamGR. Work Redesign. Reading, MA, Addison-Wesley.
8.
HackmanJROldhamGJansonRPurdyK. A new strategy for job enrichment. California Medical Review1975; 18 (4): 57–71.
9.
ChungKHRossMF. Differences in motivational properties between job enlargement and job enrichment. Academy of Management Review1977; January: 113–122.
10.
PasmoreWA. Overcoming the roadblocks in work-restructuring efforts. Organizational Dynamics1988; Spring: 54–67.
11.
YorksLWhitsettDA. Scenarios of Change: Advocacy and the Diffusion of job Redesign. New York, Praeger, 1989.
12.
VaughanDGFottlerMDBambergRBlayneyKD. Utilization and management of multiskilled health practitioners in U.S. hospitals. Hospital & Health Services Administration1991; 36(3): 397–419.