The Clinical Setting and Pathogenic Organizational Structures : a Survey Based on a Sociological Health Theory

Kurzfassung/Abstract

Work intensification” should be considered in the context of pathogenic organizational structures, including clinical settings. These work environments are especially notable in clinical areas concerning “multitasking”, “insufficient human resource” and “unplanned additional tasks”. A preliminary literature review revealed that few studies had been conducted related to the prevention of increasing workload. The current study used action field method in seven Munich settings (timeframe: one month) and a document analysis of relevant (focus-) health reports (inclusion criteria: ≥ 2012) which were analysed in parallel using Grounded Theory method. Results showed that the risk exposition in clinical settings is increased significantly if multiple distinctive characteristics of pathogenic organizational structures are present and which deviate substantially with regard to the work areas. The consequences seem to be that employees leave clinics or young talents show a lack of interest in engaging with these organizations. The discussion focus lies on immediate and proactive action in the clinical setting. In particular, it seems that this concerns the psychological risk exposures elucidated in a case example where possible solutions and modes of action are pointed out. Notably, a change in management processes cannot repair pathogenic organizations alone as they ought to be realized in its own contextual setting, which should finally lead to the development of desirable work environments for young talents in particular.