This paper proposes a model of how coordinating mechanisms work, and tests it in the context patient care. Consistent with organization design theory, performance effects boundary spanners team meetings were mediated by relational coordination, communication- relationship-intensive form coordination. Contrary to however, routines also Rather than serving as replacement for interactions, anticipated work enhancing interactions among participants. Likewise, all three mechanisms, including...

Abstract How can organizations support employees to engage in learning from failures? In this paper, we draw on the concept of high‐quality relationships explore relational underpinnings failures organizations. We focus coordination as a specific manifestation and examine how dimensions coordination—shared goals, shared knowledge, mutual respect—foster psychological safety thus enable organizational members failures. The results two separate studies our mediation model where mediates link...

In this paper we explore a causal mechanism through which high-performance work systems contribute to performance outcomes. We propose that can improve organizational by strengthening relationships among employees who perform distinct functions, pathway is expected be particularly important in settings characterized highly interdependent work. nine-hospital study of patient care, identify practices positively predict the strength relational coordination doctors, nurses, physical therapists,...

Health care organizations face pressures from patients to improve the quality of and clinical outcomes, as well managed do so more efficiently. Coordination, management task interdependencies, is one way that health have attempted meet these conflicting demands.The objectives this study were introduce concept relational coordination determine its impact on care, postoperative pain functioning, length stay for undergoing an elective surgical procedure. Relational comprises frequent, timely,...

The terrorist attacks of September 11, 2001, affected the U.S. airline industry more than almost any other industry. Certain airlines emerged successful and demonstrated remarkable resilience while others languished. This investigation identifies reasons why some companies recovered successfully after struggled. Evidence is provided that layoffs crisis, although intended to foster recovery, instead inhibited recovery throughout 4 years crisis. But, crisis were strongly correlated with lack...

We describe a hybrid relational bureaucratic form with structures that embed three processes of reciprocal interrelating—relational coproduction, coordination, and leadership—into the roles customers, workers, managers. show how these role-based relationships shared goals, knowledge, mutual respect foster participants' attentiveness to situation one another, enabling caring, timely, knowledgeable responses found in form, along scalability, replicability, sustainability form. Through...

Service operations that are highly uncertain, interdependent and time constrained require a competency I call relational co-ordination – is carried out by front-line workers with an awareness of their relationship to the overall work process other participants in process. Relational characterized frequent, timely, problem solving communication, helping, shared goals, knowledge mutual respect. Previous reports significant positive effects on performance such settings. This paper addresses how...

Relationships between service providers and customers are important for achieving high levels of customer satisfaction loyalty, management scholars have shown. Building from existing theories, the author proposes that relationships another contributor to outcomes. When processes highly interdependent, uncertain, time constrained, integral process coordination therefore an In a study postsurgical care in nine hospitals, finds strong provider-provider directly increase loyalty because overall...

This article develops a relational perspective on the coordination of work. Existing theory suggests that forms should improve performance in settings are highly interdependent, uncertain and time‐constrained. Going beyond previous work, we argue also job satisfaction by helping employees to accomplish their work more effectively serving as source positive connection at Using cross‐sectional sample nursing aides residents 15 homes, investigate impact quality outcomes satisfaction.

There is a rich debate in organizational theory about the contribution of supervisors to group process and performance, span control needed make that contribution. In this paper, I summarize develop competing hypotheses. These hypotheses are tested using multisite survey archival measures, interpreted qualitative data from same study. find small supervisory spans improve performance through their positive effects on process. particular, with smaller achieved higher levels relational...

This book offers management lessons from the world's most profitable airline. 'As a former Southwest insider, I often wondered why other organizations couldn't duplicate business model. Anyone who wants to understand how it works should read this book' - Libby Sartain, Senior VP of Human Resources, Yahoo. 'Professor Gittell has tackled one hottest and important topics in circles today some airlines continually fly high over economic wreckage rest industry' Thomas Winkelmann, The Americas,...

havens d.s., vasey j., gittell j.h. & lin w-t. (2010) Journal of Nursing Management 18, 926–937Relational coordination among nurses and other providers: impact on the quality patient care Aim The present study examined nurse reports relational between providers quality. Background While communication has been traditionally considered important to improve quality, extends this view, emphasising value high-quality relationships exemplified by shared goals, knowledge mutual respect; that is...

To explore how relational coordination, known to enhance quality and efficiency outcomes for patients hospitals, impacts direct care nurse such as burnout, work engagement, job satisfaction, addressing the "Quadruple Aim," improve experience of providing care.Hospitals are complex organizations in which multiple providers interdependently, under conditions uncertainty time constraints, deliver safe despite differences specialization, training, status. Relational coordination-communicating...

In surgical teams, health professionals are highly interdependent and work under time pressure. It is of particular importance that teamwork well-functioning in order to achieve quality treatment patient safety. Relational coordination, defined as "communicating relating for the purpose task integration," has been found contribute coordination also psychological safety ability learn from mistakes. Although extensive research carried out regarding relational many contexts including surgery,...

The rapid spread of Coronavirus disease 2019 (COVID-19) presents China with a critical challenge. As normal capacity the Chinese hospitals is exceeded, healthcare professionals struggling to manage this unprecedented crisis face difficult question how best coordinate medical resources used in highly separated locations. Responding rapidly crisis, National Telemedicine Center (NTCC), located Zhengzhou, Henan Province, has established Emergency Consultation System (ETCS), telemedicine-enabled...

Organizations in the health care industry and beyond face pressures to lower their costs while maintaining quality, resulting high levels of stress for workers. In a nine-hospital study, this article explores role that relationships play enabling resilient responses external organizational practices enable workers respond way when change is required. The argues relational coordination—communicating relating purpose task integration—is response threats require coordinated collective across...

The increased "outsourcing" of care-related tasks to patients and their informal caregivers is part a broader trend in service industries toward engaging customers as "coproducers" outcomes. As both quasi-patients quasi-providers, may play critical role successful coproduction, but they require coordination with care providers this effectively. When are highly interdependent, uncertain, time constrained, often health care, relational forms expected be most effective.This study explores the...

Background: Pressures are increasing for clinicians to provide high-quality, efficient care, leading increased concerns about staff burnout. Purpose: This study asks whether well-being can be achieved in ways that also beneficial the patient’s experience of care. It explores relational coordination contribute both and patient satisfaction outpatient surgical clinics where time constraints paired with high needs information transfer increase need challenge achieving timely accurate...