144 pages | 1 B/W Illus.
This book explores the hospital via organisational ethnography (OE), an approach that involves a mix of fieldwork methods designed to analyse the hospital which also includes participatory observation, qualitative interviews and shadowing.
One way to define a hospital is by its high level of formal organisation, resulting in written or digital communication as the main source of communication in patient journals, minutes and medical and quality guidelines. In contrast, in this book, the aspects of the informal organisation will be the focus. In spite of the many formal regulations of healthcare, hospitals are also chaotic organising places where many different groups of people interact in order to negotiate, to practice and to make sense of daily work tasks. The underlying argument is that, in the mundane everyday life of hospitals, frontline workers and their interactions with patients and local managers remain at the core of organising hospitals. The overall purpose of this book is to report stories back from the field of healthcare, demonstrating how people, spaces and work (as examples of events) become important elements of organising hospitals.
The book will be of interest to students and scholars in and across healthcare management, organisation studies, ethnography, sociology, qualitative methods, anthropology, service management and cultural studies.
1. Introduction. Making sense of organizational change and innovation in health care: An everyday ethnography 2. A theoretical narrative approach to organizational change studies: Towards everyday organizing 3. Making sense of everyday innovation at a clinical ward through individual narratives of visitation routines 4. A resistance and everyday view on health care professionals: Meeting encounters with patients and professionals 5. Designing and driving collaborative, everyday innovation using combined narratives of internal and external participation 6. Organizational change through administrative coordination: Shared narratives of politicians and administrators 7. Policy expectations of innovation: Policy narratives drawing on different public management perspectives 8. Concluding remarks
The health care sector is now of major significance, economically, scientifically and societally. In many countries, health care organizations are experiencing major pressures to change and restructure, while cost containment efforts have been accentuated by global economic crisis. Users are demanding higher service quality, and health care professions are experiencing significant reorganization whilst operating under increased demands from an ageing population.
Critically analytic, politically informed, discursive and theoretically grounded, rather than narrowly technical or positivistic, the series seeks to analyse current health care organizations. Reflecting the intense focus of policy and academic interest, it moves beyond the day to day debate to consider the broader implications of international organizational and management research and different theoretical framings.
The series welcomes proposals on the following themes: