Abstract：
PURPOSE:The purpose of this paper is to investigate the relationship between permanent tensions and organizational change. DESIGN/METHODOLOGY/APPROACH:This study used paradox theory and a case study. The case organization is a public university hospital in Finland involving several stakeholders. FINDINGS:The analysis suggests that the relationship between permanent tensions and organizational change is a paradox that is part of organizational reality. As an organization learns to live with its permanent tensions, the renewal paradox settles into equilibrium. When tensions are provoked, the paradox is disturbed until it finds a new balance. This flexible nature of the paradox is the force that keeps the different stakeholders simultaneously empowered to maintain their unique missions and cohesive in order to benefit from the larger synergy. PRACTICAL IMPLICATIONS:This research suggests that identification and evaluation of each permanent tension within an organization is important when executing organizational change. The fact that certain tensions are permanent and cannot be solved may have an influence on how planned change initiatives are executed. The results show that permanent tensions may be harnessed for the benefit of an organizational change. ORIGINALITY/VALUE:This research demonstrates originality by offering an alternative view of tensions, a view which emphasizes not only their permanent and plural nature but their importance for enabling the organization to change at its own, non-disruptive pace. The research also proposes a new concept, the "renewal paradox", to enhance understanding of the relationship between permanent tensions and organizational change.
journal_name
J Health Organ Managjournal_title
Journal of health organization and managementauthors
Jansson Ndoi
10.1108/JHOM-11-2013-0257subject
Has Abstractpub_date
2015-01-01 00:00:00pages
654-69issue
6eissn
1477-7266issn
1758-7247journal_volume
29pub_type
杂志文章abstract：PURPOSE:The purpose of this paper is to identify ways for organizationally complex, community-based health improvement initiatives to avoid "failures" with regard to client outcomes. DESIGN/METHODOLOGY/APPROACH:Organizational research on errors, failures and high reliability organizations led Weick and Sutcliffe to ar...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260710736859
更新日期：2007-01-01 00:00:00
abstract：PURPOSE:The purpose of this paper is to evaluate the outcomes of a workplace learning intervention on organizational learning and to identify factors influencing the creation of organizational learning in residential care of older people. DESIGN/METHODOLOGY/APPROACH:The study consisted of a quasi-experimental interven...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-Sep-2012-0163
更新日期：2013-01-01 00:00:00
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journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777261111161860
更新日期：2011-01-01 00:00:00
abstract：:Purpose Physician stress and burnout is a serious and common concern in healthcare, with over half of physicians in the USA meeting at least one criterion for burnout. The paper aims to discuss these issues. Design/methodology/approach A review on current state of physician stress and burnout research, from 2008 to 20...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-11-2016-0212
更新日期：2017-06-19 00:00:00
abstract：PURPOSE:As healthcare often is studied in relation to operational rather than socio-technical aspects of Lean such as teamwork, the purpose of this paper is to explore how a Swedish hospital Lean intervention was related to changes in teamwork over time. DESIGN/METHODOLOGY/APPROACH:Teamwork was measured with the Group...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-03-2013-0065
更新日期：2014-01-01 00:00:00
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journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260310469328
更新日期：2003-01-01 00:00:00
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journal_title：Journal of health organization and management
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doi：10.1108/14777261011054581
更新日期：2010-01-01 00:00:00
abstract：PURPOSE:The purpose of this paper is to examine a bold and ambitious scheme known as the North East transformation system (NETS). The principal aim of the NETS is the achievement of a step-change in the quality of health services delivered to people living in the North East region of England. The paper charts the origi...
journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-01-2014-0019
更新日期：2015-01-01 00:00:00
abstract：:Purpose Close collaboration between NHS clinicians and managers is essential in providing effective healthcare, but relationships between the two groups are often poor. Paired learning is a peer-peer buddying tool that can break down barriers, increase knowledge and change attitudes. Paired learning has been used with...
journal_title：Journal of health organization and management
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journal_title：Journal of health organization and management
pub_type： 杂志文章
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更新日期：2005-01-01 00:00:00
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journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/jhom-02-2013-0035
更新日期：2014-01-01 00:00:00
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journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260310505147
更新日期：2003-01-01 00:00:00
abstract：:The rise of evidence-based medicine and more recently evidence-based policy reflect the increasing importance of evidence as a basis for the organisation and delivery of health care. Evidence-based practice is central to the "modernisation" of health care in current UK policy. The latest manifestation of this process ...
journal_title：Journal of health organization and management
pub_type： 杂志文章
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更新日期：2004-01-01 00:00:00
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journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777261311321798
更新日期：2013-01-01 00:00:00
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journal_title：Journal of health organization and management
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更新日期：2012-01-01 00:00:00
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journal_title：Journal of health organization and management
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更新日期：2010-01-01 00:00:00
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journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/JHOM-06-2012-0101
更新日期：2013-01-01 00:00:00
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journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260510592112
更新日期：2005-01-01 00:00:00
abstract：:Purpose The purpose of this paper is to investigate the relationship between patient safety culture and two attitudinal constructs: affective organizational commitment and structural empowerment. In doing so, the main and interaction effects of the two constructs on the perception of patient safety culture were assess...
journal_title：Journal of health organization and management
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更新日期：2017-03-20 00:00:00
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更新日期：2019-03-18 00:00:00
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更新日期：2019-11-19 00:00:00
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journal_title：Journal of health organization and management
pub_type： 杂志文章,评审
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更新日期：2018-05-21 00:00:00
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journal_title：Journal of health organization and management
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更新日期：2003-01-01 00:00:00
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journal_title：Journal of health organization and management
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doi：10.1108/JHOM-01-2012-0005
更新日期：2015-01-01 00:00:00
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journal_title：Journal of health organization and management
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更新日期：2019-09-05 00:00:00
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journal_title：Journal of health organization and management
pub_type： 杂志文章
doi：10.1108/14777260410548400
更新日期：2004-01-01 00:00:00
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journal_title：Journal of health organization and management
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更新日期：2015-01-01 00:00:00
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journal_title：Journal of health organization and management
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更新日期：2012-01-01 00:00:00
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journal_title：Journal of health organization and management
pub_type： 杂志文章
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更新日期：2009-01-01 00:00:00
abstract：PURPOSE:The purpose of this article is to explore factors influencing career deciding amongst pharmacy students and graduates in the U.K. DESIGN/METHODOLOGY/APPROACH:Group interviews were used to devise a topic guide for five subsequent focus groups with pharmacy students and graduates. Focus groups were tape-recorded...
journal_title：Journal of health organization and management
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