Abstract

There is a growing appreciation in the healthcare field of the importance of complementing physician expertise with more effective organisational processes and procedures (Flood 1994). Gowen et al (2006) suggest that Strategic Human Resource Management (SHRM) can effectively address hospital errors in tandem with quality management processes and procedures. To date, there is a growing wealth of research investigating how SHRM practices can increase organisational performance and competitiveness in the private sector. Unfortunately, this is not true of the healthcare sector, or indeed the Intellectual Disability Care (IDC) Sector where there remains a dearth of research addressing the linkages between HRM and organisational effectiveness. The purpose of this paper is two fold. Firstly, the paper will examine the literature investigating SHRM in healthcare, with reference to the IDC Sector where possible, focussing specifically on High Performance Work Systems (HPWS). Secondly, the paper will focus on how far HPWS have expanded in the sector at an organisational level from a management perspective. A postal questionnaire was chosen as the means of gathering this information. One questionnaire was sent to the human resource manager in each IDC centre in Ireland. The findings provide us with some important insights into the differential utilisation of the components of HPWS across the sector. The areas of HPWS in which the centres achieved the highest score were service user focus and teamwork. The area scored least favourably was communication between management and employees.

Highlights

  • The Health Service Executive (HSE) provides a wide range of services for people with intellectual disabilities in Ireland

  • The objective of this research is to identify the managerial perceptions of High Performance Work Systems (HPWS) within the Intellectual Disability Care (IDC) centres in Ireland at an organisational level

  • This research aims to address this gap in the literature, investigating the linkages between the effective management of human resources, with specific reference to HPWS, and organisational effectiveness in the IDC sector in Ireland

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Summary

Introduction

The Health Service Executive (HSE) (note 1) provides a wide range of services for people with intellectual disabilities in Ireland. This represents a prevalence rate of 6.51 per 1,000 population in Ireland. The percentage of over 35 year olds registered with intellectual disabilities has increased from 29% in 1974, to 38% in 1996 to some 48% in 2007 This increase in the number of people over 35 registered with intellectual disabilities has significant implications for resources and an increasing level of demand for residential services along with support services for caregivers (Barron & Mulvany, 2004). 97% of those registered with intellectual disabilities are in receipt of services This is the highest number of people in receipt of services since the database was established in 1995. There is currently an ongoing demand for new intellectual disability services and a growing requirement to enhance existing services

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