Assessing hospitals' readiness for clinical governance quality initiatives through organisational climate

Journal of Health, Organisation and Management

Volumn 25, Issue 2, 2011, Pages 214-240

  Karassavidou, Eleonora ^a   Glaveli, Niki ^a   Zafiropoulos, Kostas ^b  

^a ARISTOTLE UNIVERSITY OF THESSALONIKI   (Greece)

^b UNIVERSITY OF MACEDONIA   (Greece)

Author keywords

Clinical governance; Greece; Health services; Hospital management

Indexed keywords

EID: 79955936163     PISSN: 14777266     EISSN: None     Source Type: Journal    
DOI: 10.1108/14777261111134437     Document Type: Article

References (49)

1. Alvanzo, A.H., Ckhen, G.M. and Nettleman, M. (2003), "Changing physician behaviour: half-empty or half-full?" in Clinical Governance: An International Journal, Vol. 8, No. 1, pp. 69-78.
2. Bellou, V. (2008), "Identifying organizational culture and subcultures within Greek public hospitals" in Journal of Health Organisation and Management, Vol. 22, No. 5, pp. 496-509.
3. Bowditch, J.L. and Buono, A.F. (1989), The Human Side of Mergers and Acquisitions: Managing Collisions Between People, Cultures, and Organizations, Jossey-Bass, San Francisco, CA.
4. Brooks, I. (1996), "Using ritual to reduce barriers between sub-cultures" in Journal of Management in Medicine, Vol. 10, No. 3, pp. 23-30.
5. Currie, L., Morell, C. and Scrivener, R. (2003), Clinical Governance: an RCN Resource Guide, Royal College of Nursing, London, available at: www.rcn.org.uk.
6. Davaki, K. and Mossialos, E. (2005), "Health sector reforms in Greece" in Journal of Health Politics, Policy and Law, Vol. 30, Nos 1-2, pp. 143-68.
7. Davies, H.T.O., Nutley, S.M. and Mannion, R. (2000), "Organisational culture and quality of health care" in Quality and Safety in Health Care, Vol. 9, pp. 111-9.
8. Degeling, P., Kennedy, J. and Hill, M. (2001), "Mediating the cultural boundaries between medicine, nursing and management - the central challenge in hospital reform" in Health Services Management Research, Vol. 14, No. 1, pp. 36-48.
9. Degeling, P., Winters, M., Kennedy, J., Carr, A., Maxwell, S., Ricci, L., Tefler, B. and Coyle, B.A. (2003), A Project to Map and Assess the Cultural and Psycho-social Predespositions of Staff in an Australian Hospital and to Assess the Implications for Reform, Center for Clinical Management Development, Durham.
10. Donaldson, L. and Muir-Gray, J.A. (1998), "A clinical governance: a quality duty for health organisation" in Quality Health Care, Vol. 7, Suppl, pp. 37-44.
11. Ekval, C. and Ryhammer, L. (1999), "The creative climate: its determinants and effects at a Swedish University" in Creativity Research Journal, Vol. 12, No. 4, pp. 303-10.
12. Ekvall, G. (1983), Climate, Structure and Innovativeness in Organisations, The Swedish Council for Management and Oganisational Behaviour, Faradet, Stockholm.
13. Freeman, T. (2003), "Measuring progress in clinical governance: assessing the reliability and validity of Clinical Governance Climate Questionnaire" in Health Services Management Research, Vol. 16, pp. 234-50.
14. Gerada, C. and Coulen, R. (2004), "Clinical governance lead: roles and responsibilities" in Quality in Primary Care, Vol. 12, No. 1, pp. 13-18.
15. Hackett, M., Lilford, R. and Jordan, J. (1999), "Clinical governance: culture, leadership and power - the key to changing attitudes and behaviours in hospitals" in International Journal of Health Care Quality Assurance, Vol. 12, No. 3, pp. 98-104.
16. Hallingan, A. (2006), "Clinical governance: assuring the sacred duty and trust to patients" in Clinical Governance: An International Journal, Vol. 11, No. 1, pp. 5-7.
17. Hornblow, A. (1997), "New Zealand's health reforms: a clash of clusters" in British Medical Journal, Vol. 314, pp. 1892-4.
18. Karassavidou, E., Glaveli, N. and Papadopoulos, Ch (2009), "Quality in NHS hospitals: no one knows better than patients" in Measuring Business Excellence, Vol. 13, No. 1, pp. 34-46.
19. Konteh, F.H., Mannion, R. and Davies, H.T.O. (2008), "Clinical governance views on culture and quality improvement" in Clinical Governance: An International Journal, Vol. 14, No. 3, pp. 200-7.
20. Luthans, K.W., Lebsack, S.A. and Lebsack, R.R. (2008), "Positivity in healthcare: relation of optimism to performance" in Journal of Health Organisation and Management, Vol. 22, No. 2, pp. 178-88.
21. McHugh, M., Johnston, K. and McClelland, D. (2007), "HRM and the management of clinicians within the NHS" in International Journal of Public Sector Management, Vol. 20, No. 4, pp. 314-24.
22. Maddock, A., Kralik, D. and Smoth, J. (2006), "Clinical governance improvement initiatives in community nursing" in Clinical Governance: An International Journal, Vol. 11, No. 3, pp. 198-212.
23. Meyer, J.P. and Smith, C.A. (2000), "HRM practices and organizational commitment: test of a mediation model" in Canadian Journal of Administrative Science, Vol. 17, No. 4, pp. 319-31.
24. Moran, R. (2003), "There's no time to learn. like the present" in Clinical Governance: An International Journal, Vol. 8, No. 1, pp. 46-56.
25. Morgan, P.I. and Ogbonna, E. (2008), "Sub-cultural dynamics in transformation: a multi-perspective study of healthcare professionals" in Human Relations, Vol. 61, No. 1, pp. 39-65.
26. Mossialos, E., Allin, S. and Davaki, K. (2005), "Analysing the Greek health system: a tale of fragmentation and interia" in Health Economics, Vol. 14, pp. 151-68.
27. Nichols, S., Cullen, R., O'Neil, S. and Halligan, R. (2000), "Clinical governance: its origins and foundations" in British Journal of Clinical Governance, Vol. 5, No. 3, pp. 172-8.
28. Nunnally, J.C. (1978), Psychometric Theory, 2nd ed., McGraw-Hill, New York, NY.
29. Peak, M., Bruke, R., Ryan, S., Wratten, K., Turnock, R. and Vellenoweth, C. (2005), "Clinical governance - the turn of continuous improvement?" in Clinical Governance: An International Journal, Vol. 10, No. 2, pp. 98-105.
30. Penny, A. (2000), "Clinical governance in Britain defined", Health-care Review - Online, Vol. 4, No. 9.
31. Rose, C.R., Uli, J., Abdul, M. and Ng, K.L. (2004), "Hospital service quality: a managerial challenge" in International Journal of Health Care Quality Assurance, Vol. 17, No. 3, pp. 146-59.
32. Ruppel, C.P. and Harrington, S.J. (2000), "The relationship of communication, ethical work climate and trust to commitment and innovation" in Journal of Business Ethics, Vol. 25, pp. 313-28.
33. Scaly, G. and Donaldson, L.J. (1998), "Looking forward: clinical governance and the drive for quality improvement in the new NHS England" in British Management Journal, Vol. 317, No. 7150, pp. 61-5.
34. Schein, E.H. (1992), Organisational Culture and Leadership, 2nd ed., Jossey-Bass, San Francisco, CA.
35. Schneider, B., Brief, A.P. and Guzzo, R.A. (1996), "Creating a climate for sustainable organisational change", Organisational Dynamics, Vol. 24, Spring.
36. Simpson, J. (1994), "Doctors and management - why bother", British Journal of Medicine, Vol. 309, December.
37. Som, C.V. (2004), "Clinical governance: a fresh look at its definition" in Clinical Governance: An International Journal, Vol. 9, No. 2, pp. 87-90.
38. Som, C.V. (2007), "Exploring the human resource implications of clinical governance" in Health Policy, Vol. 80, pp. 281-96.
39. Storey, J. and Buchanan, D. (2008), "Healthcare governance and organizational barriers to learning from mistakes" in Journal of Health Organisation and Management, Vol. 22, No. 6, pp. 642-51.
40. Swerissen, H. and Jordan, L. (2005), "Clinical governance in community health care settings: evidence and issues" in Australian Journal of Primary Health, Vol. 11, No. 2, pp. 26-31.
41. Tountas, Y., Stefanson, H. and Frissiras, S. (1995), "Health reform in Greece: planning and implementation of a national health system" in International Health Care Planning and Management, Vol. 10, pp. 283-304.
42. Vassalou, L. (2001), "The learning organisation in health-care services: theory and practice" in Journal of European Industrial Training, Vol. 25, No. 7, pp. 354-65.
43. Wallace, L.M., Freeman, T., Latham, L., Walshe, K. and Spurgeon, P. (2001), "Organisational strategies for changing clinical practice: how trusts are meeting the challenges of clinical governance" in Quality in Health Care, Vol. 10, No. 2, pp. 72-86.
44. West, M.A., Guthrie, J.P., Dawson, J.F., Borrill, C.S. and Carter, M. (2006), "Reducing patient mortality in hospitals: the role of human resource management" in Journal of Organizational Behavior, Vol. 27, No. 7, pp. 983-1002.
45. World Health Organization (WHO) (2000), The World Health Report 2000, World Health Organization, Geneva.
46. World Health Organisation (WHO) (2004), "Highlights on health in Greece", available at,www.euro.who.int/document/chh/gre_HIGHLIGHTS.PDF (accessed 5 November, 2008).
47. van Zwanenberg, T. (2001), "Clinical governance in primary care: from blind-eye to no-blame culture in one short leap?" in British Journal of Clinical Governance, Vol. 6, No. 2, pp. 83-5.
48. Barrett, A. and O' Connell, P.J. (2001), "Does training generally work? The return to in company training" in Industrial and Labor Relations Review, Vol. 54, No. 3, pp. 647-62.
49. Xirasagar, S. (2008), "Transformational, transactional and laissez-faire leadership among physician executives" in Journal of Health Organisation and Management, Vol. 22, No. 6, pp. 599-613.