Enhancing Nursing Productivity: A Social Psychologic Perspective

Authors

  • S. Robert Hernandez Dr. P.H.,

    Corresponding author
    1. S. Robert Hernandez is with the Department of Health Services Administration at the University of Alabama at Birmingham.
      Address correspondence to S. Robert Hernandez, Webb Building, Room 503, 1629 University Boulevard, University of Alabama at Birmingham, Birmingham, Alabama 35294.
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  • Arnold D. Kaluzny Ph.D.,

    1. Arnold D. Kaluzny, Barnett Parker, Young Moon Chae, and Janice R. Brewington are members of the Department of Health Policy and Administration of the School of Public Health, University of North Carolina, Chapel Hill.
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  • Barnett Parker Ph.D.,

    1. Arnold D. Kaluzny, Barnett Parker, Young Moon Chae, and Janice R. Brewington are members of the Department of Health Policy and Administration of the School of Public Health, University of North Carolina, Chapel Hill.
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  • Young Moon Chae Ph.D.,

    1. Arnold D. Kaluzny, Barnett Parker, Young Moon Chae, and Janice R. Brewington are members of the Department of Health Policy and Administration of the School of Public Health, University of North Carolina, Chapel Hill.
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  • Janice R. Brewington R.N., M.S.N.

    1. Arnold D. Kaluzny, Barnett Parker, Young Moon Chae, and Janice R. Brewington are members of the Department of Health Policy and Administration of the School of Public Health, University of North Carolina, Chapel Hill.
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  • This project was supported in part by grant HS 01971 to the Health Services Research Center at the University of North Carolina at Chapel Hill from the National Center for Health Services Research, Department of Health and Human Services, and by funds from the Division of Health Services, North Carolina Department of Human Services.

Address correspondence to S. Robert Hernandez, Webb Building, Room 503, 1629 University Boulevard, University of Alabama at Birmingham, Birmingham, Alabama 35294.

Abstract

A major determinant of organizational productivity is the design of structures and processes within a functioning organization. Research has focused on structures that contribute to productivity, but has given much less attention to the processes that occur particularly in health service organizations. We examined the relationships of organizational process and productivity in 20 nursing work groups in a sample of local health departments in North Carolina. Analysis focused on level of organizational climate (communication flow, decision-making practices, motivational conditions, concern for human resources), leadership behaviors, and quality of group interactions. The relationships of these processes to productivity (number of services produced per unit of staff time available) across a series of major departmental services were evaluated, together with implications of findings for strategies to improve the functioning of nursing work groups.

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