The social organisation of work, management styles and social relationships in the workplace all matter for health. It is now well recognised that people who have control over their work have better health and that stress in the workplace increases the level of disease. In the context of organisational change, the potential benefits of empowerment strategies are two-fold: a positive impact on t...

BACKGROUND Long-term change in recovery-based practice in mental health rehabilitation is a research priority. METHODS We used a qualitative case study analysis using a blend of traditional 'framework' analysis and 'realist' approaches to carry out an evaluation of a recovery-focused staff training intervention within three purposively selected mental health rehabilitation units. We maximised...

This study investigates the consequences of regulation for management control and organisational change in privatised industries by means of a case study of the gas industry. It particularly focuses on the implications of regulation for accounting systems and systems of accountability, as important management control systems. Giddens’ (1979, 1984) structuration theory is adopted as an analytica...

This paper discusses the theoretical rationale for an empirical study of organisational change arising from introduction of electronic nursing documentation in residential aged care facilities. The study draws on a processual view of organisational change, which is related to the theory of complex adaptive systems. First we review existing literature on electronic nursing documentation with an ...

Despite a substantial increase in midwifery research since the early 1990's, there remains a lack of available research into the everyday practice of midwives. In general, hospitals are striving to reduce costs and increase efficiencies, so many hospital-based midwives are being exposed to hospital restructuring processes. The primary purpose of my research was to learn about the work patterns ...

BACKGROUND Organisational culture is a key factor in both patient and staff experience of the healthcare services. Patient satisfaction, staff engagement and performance are related to this experience. The department of health in the Western Cape espouses a values-based culture characterised by caring, competence, accountability, integrity, responsiveness and respect. However, transformation of...

BACKGROUND Ischaemic heart disease (IHD) is the most common cause of death worldwide. AIM To determine the long-term impact of organisational interventions for secondary prevention of IHD. DESIGN AND SETTING Systematic review and meta-analysis of studies from CENTRAL, MEDLINE(®), Embase, and CINAHL published January 2007 to January 2013. METHOD Searches were conducted for randomised contr...