دانلود مقاله با موضوع بررسی شکست در مدیریت تغییر

دانلود مقاله با موضوع بررسی شکست در مدیریت تغییر

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موضوع به انگلیسی:Case study: examining failure in
change management

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Abstract
Purpose – This case study aims to shed light on what went wrong with the introduction of new surgical suture
in a Dutch hospital operating theatre following a tender. Transition to working with new surgical suture was
organized in accordance with legal and contractual provisions, and basic principles of change management
were applied, but resistance from surgeons led to cancellation of supplies of the new suture.
Design/methodology/approach – Researchers had access to all documents relevant to the tendering
procedure and crucial correspondence between stakeholders. Seventeen in-depth, 1 h interviews were
conducted with key informants who were targeted through maximum variation sampling. Patients were not
interviewed. The interviews were recorded, transcribed and analysed by discourse analysis.Atrial session and
workshop were participatively observed. A cultural psychological perspective was adopted to gain an
understanding of why certain practices appear to be resistant to change.
Findings – For the cardiothoracic surgeons, suture was more than just stitching material. Suture as a tactile
element in their day-to-day work environment is embedded within a social arrangement that ties elements of
professional accountability, risk avoidance and direct patient care together in a way that makes sense and feels
secure. This arrangement is not to be fumbled with by outsiders.
Practical implications – By understanding the practical and emotional stakes that medical professionals
have in their work, lessons can be learned to prevent failure of future change initiatives.
Originality/value – The cultural psychological perspective adopted in this study has never been applied to
understanding failed change in a hospital setting.
Keywords Case study, Emotion, Operating theatre, Cultural psychological perspective, Failed change,
Surgical suture
Paper type Case study