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

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dc.contributor.committeeMemberSalas, Eduardoen_US
dc.contributor.committeeMemberKing, Edenen_US
dc.contributor.committeeMemberKimbro, Rachel Ten_US
dc.creatorDinh, Julie Vyen_US
dc.date.accessioned2020-07-27T16:49:16Zen_US
dc.date.available2021-08-01T05:01:13Zen_US
dc.date.created2020-08en_US
dc.date.issued2020-07-24en_US
dc.date.submittedAugust 2020en_US
dc.date.updated2020-07-27T16:49:16Zen_US
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.en_US
dc.embargo.terms2021-08-01en_US
dc.format.mimetypeapplication/pdfen_US
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>.en_US
dc.identifier.urihttps://hdl.handle.net/1911/109108en_US
dc.language.isoengen_US
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.en_US
dc.subjecthealth careen_US
dc.subjectinterventionsen_US
dc.subjectpatient satisfactionen_US
dc.subjectpatient trusten_US
dc.subjectpsychological safetyen_US
dc.titleCreating Space for Care: Enhancing Patient-Centered Performance Outcomes Through Organizational Changeen_US
dc.typeThesisen_US
dc.type.materialTexten_US
thesis.degree.departmentPsychologyen_US
thesis.degree.disciplineSocial Sciencesen_US
thesis.degree.grantorRice Universityen_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Philosophyen_US
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