Values and strategies: management of radical organizational change in a university hospital

The International Journal of Health Planning and Management
Arne Orvik

Abstract

Managers' experiences of radical change were studied in a Norwegian university hospital, which was relocated from a traditional building to a new, high-tech building. The university hospital was also accredited as a health promoting hospital. Thirteen managers at different levels in the organization and a personnel safety representative were interviewed as part of a trailing research project. The aim of the study was to elucidate the managers' value orientation and strategies for dealing with value tensions. A combination of a hermeneutical, reflective method and a template for quality, efficiency and integrity guided the analysis. The template was based not only on the main findings but also on the core values of a model of organizational health. The results show that clinical managers focus on quality and top managers, not unexpectedly, focus on efficiency. Managers at both levels were concerned about their own integrity, and also about the integrity of their clinician colleagues, as well as showing concern for the hospital's mission, in terms of organizational effectiveness. The discussion was conducted in terms of dominance, cycling and balancing strategies, of which the last was the most prevalent. However, sustainable str...Continue Reading

References

Mar 10, 2001·Health Care Management Review·S Glouberman, H Mintzberg
Dec 26, 2001·Health Promotion International·S WhitelawE Witney
Oct 5, 2007·Quality & Safety in Health Care·Tina C FosterPaul B Batalden
May 12, 2009·Qualitative Health Research·Laura M Funk, Kelli I Stajduhar
Oct 30, 2009·Journal of Health Organization and Management·Ewa Wikstrøm, Lotta Dellve
Dec 22, 2009·Journal of Health Organization and Management·Louise Kippist, Anneke Fitzgerald
Jul 6, 2010·International Journal of Nursing Studies·Denise F Polit, Cheryl Tatano Beck
Jul 21, 2010·Research in Nursing & Health·Denise F Polit, Brigid M Gillespie
Dec 16, 2010·Nursing Administration Quarterly·Chantal M CaraSylvain Brousseau
Aug 19, 2011·Journal of Advanced Nursing·Susanne SalmelaLisbeth Fagerström
May 11, 2012·Scandinavian Journal of Caring Sciences·Arne Orvik, Runo Axelsson
Jul 7, 2012·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Rune Slagstad
Jul 18, 2012·Journal of Psychosocial Nursing and Mental Health Services·Mette Holme IngebergArild Berg
Mar 21, 2013·Qualitative Health Research·Susanne SalmelaLisbeth Fagerström
Jul 19, 2013·Journal of Nursing Management·Arne OrvikRuno Axelsson
Sep 12, 2013·Nursing Research and Practice·Gro BentzenBerit Støre Brinchmann
Jun 27, 2014·International Journal of Integrated Care·Runo AxelssonJanne Seemann

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Citations

May 24, 2019·The International Journal of Health Planning and Management·Kathy EljizSimon Radmore

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