HRM systems approach
| HR practices that are part of the systems approach | Generic description (Boon et al., 2011) | Specific description | Special aspects in a healthcare setting |
|---|---|---|---|
| Participation and job design | Employees are involved in decisions and have the opportunity to take responsibility for their own tasks | Employees are involved in quality decisions and have the opportunity to take responsibility for their own tasks (e.g. Dal Pont et al., 2008; Zu and Fredendall, 2009) | Professionals are trained to act with autonomy. They are, together with their colleagues, responsible for delivering quality of care |
| Training and development | Employees receive training and there are opportunities to develop new skills and knowledge | Both managers and employees receive training on quality management. There are opportunities to develop new skills and knowledge (e.g. Birdi et al., 2008; Shah and Ward, 2003) | Professionals are highly trained individuals with a specific expertise. Performing tasks or development outside their area of expertise is unusual |
| Performance appraisal and rewards | Employees receive feedback on and are rewarded for their performance | Employees receive feedback on quality performance of their team and are rewarded for quality improvement (e.g. Anand and Kodali, 2009; McKone et al., 2001) | Quality of care is highly appreciated and rewarded in healthcare organizations |
| Team working and autonomy | not applicable | Teams are formed to solve problems. Teams are encouraged to try to solve their problems as much as possible (e.g. Bonavia and Marin, 2006; Cua et al., 2001) | Health care is usually provided by multidisciplinary teams of professionals and support services |
| Employment security | Employees have an employment contract that offers job security (Zacharatos et al., 2007) | not applicable | Increasing expenditures create pressure on organizations |
| Work-life balance | Employees have the possibility to work flexible hours and arrange their work schedule | not applicable | Consumers are increasingly putting higher demands and expectations on healthcare professionals. Therefore, it is challenging to balance the needs of work and life for professionals |
| HR practices that are part of the systems approach | Generic description ( | Specific description | Special aspects in a healthcare setting |
|---|---|---|---|
| Participation and job design | Employees are involved in decisions and have the opportunity to take responsibility for their own tasks | Employees are involved in quality decisions and have the opportunity to take responsibility for their own tasks (e.g. | Professionals are trained to act with autonomy. They are, together with their colleagues, responsible for delivering quality of care |
| Training and development | Employees receive training and there are opportunities to develop new skills and knowledge | Both managers and employees receive training on quality management. There are opportunities to develop new skills and knowledge (e.g. | Professionals are highly trained individuals with a specific expertise. Performing tasks or development outside their area of expertise is unusual |
| Performance appraisal and rewards | Employees receive feedback on and are rewarded for their performance | Employees receive feedback on quality performance of their team and are rewarded for quality improvement (e.g. | Quality of care is highly appreciated and rewarded in healthcare organizations |
| Team working and autonomy | not applicable | Teams are formed to solve problems. Teams are encouraged to try to solve their problems as much as possible (e.g. | Health care is usually provided by multidisciplinary teams of professionals and support services |
| Employment security | Employees have an employment contract that offers job security ( | not applicable | Increasing expenditures create pressure on organizations |
| Work-life balance | Employees have the possibility to work flexible hours and arrange their work schedule | not applicable | Consumers are increasingly putting higher demands and expectations on healthcare professionals. Therefore, it is challenging to balance the needs of work and life for professionals |