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Using High-Performance Work Practices in Health Care Organizations: A Perspective for Nursing

McAlearney, Ann Scheck ScD, MS; Robbins, Julie PhD, MHA

doi: 10.1097/NCQ.0b013e3182a813f3

Studies suggest that the use of high-performance work practices (HPWPs) may help improve quality in health care. We interviewed 67 administrators and clinicians across 5 health care organizations and found that the use of HPWPs was valued and salient for nurses. Communication appeared particularly important to facilitate HPWP use. Enhancing our understanding of HPWP use may help improve the work environment for nurses while also increasing care quality.

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Department of Family Medicine, College of Medicine (Drs McAlearney and Robbins), and Division of Health Services Management and Policy, College of Public Health (Dr McAlearney), The Ohio State University, Columbus.

Correspondence: Ann Scheck McAlearney, ScD, MS, Department of Family Medicine, College of Medicine, The Ohio State University, 2231 North High St, 273 Northwood and High, Columbus, OH 43201 (

This research was supported by a grant from the Agency for Healthcare Research and Quality (#HHSA290200600022). The authors thank members of our research team at Ohio State University and Rush University.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: August 5, 2013

Published ahead of print: September 18, 2013

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins