| Operating room: relational spaces and microinstitutional change in surgery. | |
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MedLine Citation:
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PMID: 20503740 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One of the great paradoxes of institutional change is that even when top managers in organizations provide support for change in response to new regulation, the employees whom new programs are designed to benefit often do not use them. This 15-month ethnographic study of two hospitals responding to new regulation demonstrates that using these programs may require subordinate employees to challenge middle managers with opposing interests. The article argues that relational spaces--areas of isolation, interaction, and inclusion that allow middle-manager reformers and subordinate employees to develop a cross-position collective for change--are critical to the change process. These findings have implications for research on institutional change and social movements. |
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Authors:
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Katherine C Kellogg |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: AJS; American journal of sociology Volume: 115 ISSN: 0002-9602 ISO Abbreviation: Am. J. Sociol. Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2010-05-27 Completed Date: 2010-06-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0234014 Medline TA: AJS Country: United States |
Other Details:
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Languages: eng Pagination: 657-711 Citation Subset: QIS |
Affiliation:
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Massachusetts Institute of Technology, USA. kkellogg@mit.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Decision Making, Organizational* Female Hospitals, Teaching / organization & administration* Humans Internship and Residency Interpersonal Relations* Interprofessional Relations* Male Operating Rooms Organizational Innovation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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