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Article| Volume 53, ISSUE 6, P317-323, November 2005

The contribution of organization theory to nursing health services research

      We review nursing and health services research on health care organizations over the period 1950 through 2004 to reveal the contribution of nursing to this field. Notwithstanding this rich tradition and the unique perspective of nursing researchers grounded in patient care production processes, the following gaps in nursing research remain: (1) the lack of theoretical frameworks about organizational factors relating to internal work processes; (2) the need for sophisticated methodologies to guide empirical investigations; (3) the difficulty in understanding how organizations adapt models for patient care delivery in response to market forces; (4) the paucity of attention to the impact of new technologies on the organization of patient care work processes. Given nurses’ deep understanding of the inner workings of health care facilities, we hope to see an increasing number of research programs that tackle these deficiencies.
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      References

      1. Freidson E. The hospital in modern society eleven studies of the hospital today. The Free Press, New York1963
      2. Merton R.K. Gray A.P. Hockey B. Selvin H.C. Reader in bureaucracy. The Free Press, New York1952
        • Revans R.W.
        Research into hospital management and organization.
        in: Zola I.K. McKinlay J.B. Organizational issues in the delivery of health services. Milbank Memorial Fund/PRODIST, New York1974: 271-309
        • Thompson J.D.
        Organizations in action. McGraw-Hill, New York1967
        • Woodward J.
        Industrial organization. Oxford University Press, London1965
        • Mintzberg H.
        Structure in fives. Prentice-Hall, Englewood Cliffs (NJ)1983
        • Perrow C.
        Complex organizations a critical essay. 2nd ed. Scott, Foresman and Company, Glenview (IL)1979
        • Duff R.S.
        • Hollingshead A.B.
        Sickness and society. Harper & Row, New York1968
        • Emery F.E.
        • Trist E.L.
        The causal texture of organizational environments.
        Hum Relat. 1965; 18: 21-31
        • Terreberry S.
        The evolution of organizational environments.
        Administrative Sciences Quarterly. 1967; 12: 590-613
        • Lawrence P.R.
        • Lorsch J.W.
        Organization and environment. Harvard University Press, Boston1967
        • Pfeffer J.
        • Salancik G.R.
        The external control of organizations. Harper & Row, New York1978
        • Thompson J.D.
        The history of the development of DRGs.
        in: White W.D. Compelled by data John D. Thompson. Yale University School of Medicine, New Haven (CT)2003: 71-84
        • Thompson J.D.
        Epidemiology and health services administration.
        Milbank Mem Fund Q. 1978; 56: 253-273
        • Witt Associates
        Today’s nurse executive.
        Survey cosponsored by the American Organization of Nurse Executives. Witt/Kieffer, Ford, Hadelman & Lloyd, Oak Brook Terrace (IL)1990
        • American Nurses Association
        Survey finds loss of RNs jeopardizes patient safety.
        Am Nurse. 1995;
        • Shamian J.
        • Hagen B.
        • Hu T.
        • Fogarty T.E.
        The relationship between length of stay and required nursing hours of care.
        J Nurs Adm. 1994; 24: 52-58
        • Alexander J.A.
        • Randolph W.
        The fit between technology and structure as a predictor of performance in nursing subunits.
        Acad Manag J. 1985; 28: 844-859
        • Mark B.
        • Hagenmueller A.
        Technological and environmental characteristics of intensive care units.
        J Nurs Adm. 1994; 24: 65-71
        • Mitchell P.
        • Shannon S.
        • Cain K.
        • Hegyvary S.
        Critical care outcomes.
        Am J Crit C. 1996; 5: 353-363
        • Mark B.A.
        • Salyer J.
        • Wan T.T.H.
        Professional nursing practice.
        J Nurs Adm. 2003; 33: 224-234
        • Vahey D.C.
        • Aiken L.H.
        • Sloane D.M.
        • Clarke S.P.
        • Vargas D.
        Nurse burnout and patient satisfaction.
        Med Care. 2004; 42: 1157-1166
        • Aiken L.H.
        • Clarke S.P.
        • Sloane D.M.
        Hospital staffing, organization, and quality of care.
        Nurs Outlook. 2002; 50: 187-194
        • Harrington C.
        • Woolhandler S.
        • Mullan F.
        • Carrillo H.
        • Himmelstein D.
        Does investor-ownership of nursing homes compromise quality of care?.
        Am J Public Health. 2001; 91;: 1452-1455
        • Harrington C.
        • Swan J.H.
        Nursing home staffing, turnover, and casemix.
        Med Care Res Rev. 2003; 60: 366-392
        • Clarke S.P.
        • Sloane D.M.
        • Aiken L.H.
        Effects of hospital staffing and organizational climate on needlestick injuries to nurses.
        Am J Public Health. 2002; 92: 1115-1119
        • Clarke S.P.
        • Rockett J.L.
        • Sloane D.M.
        • Aiken L.H.
        Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses.
        Am J Infect Control. 2002; 30: 207-216
        • Aiken L.H.
        • Clarke S.P.
        • Sloane D.M.
        Hospital restructuring.
        J Nurs Adm. 2000; 30: 457-465
        • Potter P.
        • Boxerman S.
        • Wolf L.
        • Marshall J.
        • Grayson D.
        • Sledge J.
        • et al.
        Mapping the nursing process.
        J Nurs Adm. 2004; 34: 101-109
        • Shortell S.M.
        • Rundall T.G.
        Physician-organization relationships.
        in: Mick S.S. Wyttenbach M.E. Advances in health care organization theory. Jossey-Bass, San Francisco (CA)2003: 141-173
        • Wholey D.R.
        • Burns L.R.
        Understanding health care markets.
        in: Mick S.S. Wyttenbach M.E. Advances in health care organization theory. Jossey-Bass, San Francisco (CA)2003: 99-139
        • Blegen M.
        • Goode C.
        • Reed L.
        Nurse staffing and patient outcomes.
        Nurs Res. 1998; 47: 43-50
        • Mark B.
        • Harless D.
        • McCue M.
        • Xu Y.
        A longitudinal examination of hospital registered nurse staffing and quality of care.
        Health Serv Res. 2004; 39: 279-300
        • Kovner C.
        • Gergen P.
        Nurse staffing levels and adverse events following surgery in US acute care hospitals.
        Image. 1998; 30: 315-321
        • Kovner C.
        • Jones C.
        • Zhan C.
        • Gergen P.
        • Basu J.
        Nurse staffing and post-surgical adverse events.
        Health Serv Res. 2002; 37: 611-629
        • Needleman J.
        • Buerhaus P.
        • Mattke S.
        • Steward M.
        • Zelevinsky K.
        Nurse staffing levels and the quality of care in hospitals.
        N Engl J Med. 2002; 346: 1715-1722
        • Scott K.A.
        Creating highly reliable hospitals through strengthening nursing.
        J Nurs Adm. 2004; 34: 170-172
        • Aiken L.H.
        • Sochalski J.
        • Lake E.T.
        Studying outcomes of organizational change in health services.
        Med Care. 1997; 35: NS6-NS18
        • Georges J.M.
        • McGuire S.
        Deconstructing clinical pathways.
        Adv Nurs Sci. 2004; 27: 2-11
        • Berman H.
        Getting critical with children.
        Adv Nurs Sci. 2003; 26: 102-113
        • Fraser K.D.
        • Strang V.
        Decision-making and nurse case management.
        Adv Nurs Sci. 2004; 27: 32-43
        • Kimberly J.R.
        • Minvielle E.
        Quality as an organizational problem.
        in: Mick S.S. Wyttenbach M.E. Advances in health care organization theory. Jossey-Bass, San Francisco (CA)2003: 205-232
        • Crozier M.
        The bureaucratic phenomenon. University of Chicago Press, Chicago (IL)1964
        • Institute of Medicine
        Crossing the quality chasm. National Academy Press, Washington (DC)2001
        • Wachter R.M.
        • Shojania K.G.
        Internal bleeding. Rugged Land, New York2004
        • McGillis Hall L.
        • Doran D.
        • Baker G.
        • Pink G.
        • Sidani S.
        • O-Brien-Pallas L.
        • et al.
        Nurse staffing models as predictors of patient outcomes.
        Med Care. 2003; 41: 1096-1109
        • Rice T.
        The economics of health reconsidered. 2nd ed. Health Administration Press, Chicago (IL)2002
        • Nichols L.M.
        • Ginsburg P.G.
        • Berenson R.A.
        • Christianson J.
        • Hurley R.E.
        Are market forces strong enough to deliver efficient health care systems? Confidence is waning.
        Health Aff. 2004; 23: 8-21
        • Zytkowski M.
        Nursing informatics.
        AACN Clin Iss. 2003; 14: 271-281
      3. Gerth H.H. Mills C.W. From Max Weber essays in sociology. Oxford University Press, 1946

      Biography

      Stephen S. Mick, PhD, CHE, is Arthur Graham Glasgow Professor and Chair, Department of Health Administration, Virginia Commonwealth University, Richmond, VA.

      Biography

      Barbara A. Mark, PhD, RN, FAAN, is Sarah Frances Russell Distinguished Professor, School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC.