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A new workforce in the making?
journal contributionposted on 2023-06-09, 18:57 authored by Ceri Butler, Fraser Macfarlane, Trisha Greenhalgh, Charlotte Humphrey, Jane Hughes, Ray Pawson
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.
JournalJournal of Health Organization and Management
Department affiliated with
- Division of Medical Education Publications
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