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A new workforce in the making? A case study of strategic human resource management in a whole-system change effort in healthcare.

Macfarlane, F, Greenhalgh, T, Humphrey, C, Hughes, J, Butler, C and Pawson, R (2011) A new workforce in the making? A case study of strategic human resource management in a whole-system change effort in healthcare. J Health Organ Manag, 25 (1). pp. 55-72.

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Abstract

PURPOSE: This paper seeks to describe the exploration of human resource issues in one large-scale program of innovation in healthcare. It is informed by established theories of management in the workplace and a multi-level model of diffusion of innovations. DESIGN/METHODOLOGY/APPROACH: A realist approach was used based on interviews, ethnographic observation and documentary analysis. FINDINGS: Five main approaches ("theories of change") were adopted to develop and support the workforce: recruiting staff with skills in service transformation; redesigning roles and creating new roles; enhancing workforce planning; linking staff development to service needs; creating opportunities for shared learning and knowledge exchange. Each had differing levels of success. PRACTICAL IMPLICATIONS: The paper includes HR implications for the modernisation of a complex service organisation. ORIGINALITY/VALUE: This is the first time a realist evaluation of a complex health modernisation initiative has been undertaken.

Item Type: Article
Authors :
NameEmailORCID
Macfarlane, Ff.macfarlane@surrey.ac.ukUNSPECIFIED
Greenhalgh, TUNSPECIFIEDUNSPECIFIED
Humphrey, CUNSPECIFIEDUNSPECIFIED
Hughes, JUNSPECIFIEDUNSPECIFIED
Butler, CUNSPECIFIEDUNSPECIFIED
Pawson, RUNSPECIFIEDUNSPECIFIED
Date : 2011
Identification Number : https://doi.org/10.1108/14777261111116824
Uncontrolled Keywords : Diffusion of Innovation, Health Facility Administration, Humans, Interviews as Topic, Models, Theoretical, Observation, Organizational Innovation, Personnel Management, Staff Development
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 16 May 2017 15:09
Last Modified : 16 May 2017 15:09
URI: http://epubs.surrey.ac.uk/id/eprint/817562

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