Creating Space for Care: Enhancing Patient-Centered Performance Outcomes Through Organizational Change

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dc.contributor.committeeMemberSalas, Eduardo
dc.contributor.committeeMemberKing, Eden
dc.contributor.committeeMemberKimbro, Rachel T
dc.creatorDinh, Julie Vy
dc.date.accessioned2020-07-27T16:49:16Z
dc.date.available2021-08-01T05:01:13Z
dc.date.created2020-08
dc.date.issued2020-07-24
dc.date.submittedAugust 2020
dc.date.updated2020-07-27T16:49:16Z
dc.description.abstractHospitals present serious challenges to the development of patient-provider relationships, particularly in the pediatric intensive care unit (PICU), where stakes, stress, and entropy are high. However, episodic change, particularly at the environmental and structural levels, can create space for more positive interpersonal dynamics. This series of studies triangulates mixed-methods data, collected in the field, to identify how one such intervention influenced patient-centered performance (PCP) outcomes, including patient trust and satisfaction. Overall, this research seeks to answer the question: how do the supportive design and departmentalization of hospital units impact PCP outcomes? Accordingly, this dissertation draws upon organizational change, supportive design, and classical organization theories, centering them around an intervention. A PICU (a) developed a new, larger, and improved physical space and (b) implemented departmentalization, geographically grouping patients and provider teams by subspecialty disease groups. Study 1 uses qualitative data to describe the psychologically supportive design aspects of the intervention. Study 2 quantitatively examines how this design-based intervention ultimately enhanced PCP outcomes, including patient trust and satisfaction. Study 3 uses numeric indices derived from archival data to investigate the effects of departmentalization on health care team volume and outcomes. This research also involves the validation of a parent satisfaction scale and the development of a novel, quantitative, group-level volume index. Theoretical contributions and practical implications are discussed.
dc.embargo.terms2021-08-01
dc.format.mimetypeapplication/pdf
dc.identifier.citationDinh, Julie Vy. "Creating Space for Care: Enhancing Patient-Centered Performance Outcomes Through Organizational Change." (2020) Diss., Rice University. <a href="https://hdl.handle.net/1911/109108">https://hdl.handle.net/1911/109108</a>.
dc.identifier.urihttps://hdl.handle.net/1911/109108
dc.language.isoeng
dc.rightsCopyright is held by the author, unless otherwise indicated. Permission to reuse, publish, or reproduce the work beyond the bounds of fair use or other exemptions to copyright law must be obtained from the copyright holder.
dc.subjecthealth care
dc.subjectinterventions
dc.subjectpatient satisfaction
dc.subjectpatient trust
dc.subjectpsychological safety
dc.titleCreating Space for Care: Enhancing Patient-Centered Performance Outcomes Through Organizational Change
dc.typeThesis
dc.type.materialText
thesis.degree.departmentPsychology
thesis.degree.disciplineSocial Sciences
thesis.degree.grantorRice University
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy
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