AI Article Synopsis
- Decommissioning programs in healthcare face higher failure risks than other change processes, emphasizing the need to understand the challenges from resource scarcity.
- A study surveyed 172 healthcare managers in Sweden to assess their experiences regarding leadership, participation, and commitment during a large-scale decommissioning program.
- Results showed significant differences in experiences between department and unit managers, with unit managers expressing more dissatisfaction, particularly regarding leadership support and utilization of their skills, suggesting that better involvement of unit managers could improve outcomes.
Article Abstract
Decommissioning programmes pose a substantial risk of failure compared to other change processes in healthcare. A better understanding of the challenges associated with change processes initiated by resource scarcity faced by healthcare managers is crucial. This study describes and compares department and unit managers' experiences during the implementation of a large-scale decommissioning programme in a Swedish region. A survey was developed and a cross-sectional study was performed, measuring 172 healthcare managers' experiences of (1) the region's leadership, (2) their own participation and (3) their own commitment and responsibility during the implementation of the decommissioning programme. Respondents were 50 department managers and 122 unit managers (93% and 58% response rate, respectively). There was a significant difference between department and unit managers in their experiences of the region's leadership and their own participation in the decommissioning programme. Unit managers were more dissatisfied with the way it developed compared to department managers. For example, unit managers reported a lower level of leadership support, incentives to participate, and that their knowledge and skills were not fully utilised. Involvement of unit managers in a more fruitful way might enhance the results of decommissioning programmes. This study highlights a key actor in this context: the unit manager.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577462 | PMC |
| http://dx.doi.org/10.1177/11786329241299316 | DOI Listing |
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