RESUMO
Relationships between aides and their supervisors are often challenging. Unproductive disciplinary conversations lead to increased dissatisfaction, low morale, high turnover, and stress levels among staff. This cycle can continue to spiral if not effectively addressed and aimed in a positive direction. This article shares the experience of an organization that addressed this concern through a performance improvement initiative.
Assuntos
Serviços de Assistência Domiciliar/organização & administração , Visitadores Domiciliares/provisão & distribuição , Equipe de Assistência ao Paciente/organização & administração , Reorganização de Recursos Humanos/estatística & dados numéricos , Avaliação de Desempenho Profissional , Feminino , Visitadores Domiciliares/tendências , Humanos , Satisfação no Emprego , Masculino , Cidade de Nova Iorque , Cultura Organizacional , Avaliação de Programas e Projetos de Saúde , Gestão da Qualidade TotalRESUMO
This article describes the process of the spread of improvement strategies to improve relationships between professional and paraprofessional service providers within a large home healthcare organization and its partnering home health aide vendors. We describe the method for spreading the strategies, which emerged from a learning collaborative, and the successes and challenges of the spread. Two case studies highlight how the attributes of innovations and the methods for spreading them can influence the effectiveness of an improvement effort.