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Title: | Moving Past the Loss: A Longitudinal Qualitative Study of Health Care Staff Experiences of Disinvestment. | Authors: | O'Brien L.;Mitchell D. ;Haines T. ;Bardoel A. | Institution: | (Mitchell) Allied Health, Monash Health, Dandenong, VIC, Australia (O'Brien, Haines) Monash University, Frankston, VIC, Australia (Bardoel) Swinburne University of Technology, Hawthorn, VIC, Australia | Issue Date: | 22-Nov-2020 | Copyright year: | 2020 | Publisher: | SAGE Publications Inc. | Place of publication: | United States | Publication information: | Medical Care Research and Review. (no pagination), 2020. Date of Publication: 2020. | Journal: | Medical Care Research and Review | Abstract: | This longitudinal qualitative study examines staff experience of disinvestment from a service they are accustomed to providing to their patients. It took place alongside a disinvestment trial that measured the impact of the removal of weekend allied health services from acute wards at two hospitals. Data were gathered from repeated interviews and focus groups with 450 health care staff. We developed a grounded theory, which explains changes in staff perceptions over time and the key modifying factors. Staff appeared to experience disinvestment as loss; a key difference to other operational changes. Early staff experiences of disinvestment were primarily negative, but evolved with time and change-management strategies such as the provision of data, clear and persistent communication approaches, and forums where the big picture context of the disinvestment was robustly discussed. These allowed the disinvestment trial to be successfully implemented at two health services, with high compliance with the research protocol.Copyright © The Author(s) 2020. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1177/1077558720972588 | PubMed URL: | 33203314 [http://www.ncbi.nlm.nih.gov/pubmed/?term=33203314] | ISSN: | 1077-5587 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/34755 | Type: | Article | Subjects: | *grounded theory human article *qualitative research perception change management *qualitative research article change management *grounded theory human perception |
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