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Culture as a predictor of resistance to change: A study of competing values in a psychiatric nursing context

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  • Johansson, Catrin
  • Åström, Sture
  • Kauffeldt, Anders
  • Helldin, Lars
  • Carlström, Eric

Abstract

It is well known that a conservative organizational culture can hinder the implementation of new organizational models. Prior to introducing something new it is important to identify the culture within the organization. This paper sets out to detect the feasibility of reform in a psychiatric clinic in a Swedish hospital prior to implementation of a new working method – a structured tool based on the International Classification of Functioning Disability and Health. A survey consisting of two instruments – an organizational values questionnaire (OVQ) and a resistance to change scale (RTC) – was distributed to registered and assistant nurses at the clinic. The association between the organizational subcultures and resistance to change was investigated with regression analysis. The results revealed that the dominating cultures in the outpatient centers and hospital wards were characterized by human relation properties such as flexibility, cohesion, belongingness, and trust. The mean resistance to change was low, but the subscale of cognitive rigidity was dominant, reflecting a tendency to avoid alternative ideas and perspectives. An instrument like the one employed in the study could be a useful tool for diagnosing the likelihood of extensive and costly interventions.

Suggested Citation

  • Johansson, Catrin & Åström, Sture & Kauffeldt, Anders & Helldin, Lars & Carlström, Eric, 2014. "Culture as a predictor of resistance to change: A study of competing values in a psychiatric nursing context," Health Policy, Elsevier, vol. 114(2), pages 156-162.
    • Handle: RePEc:eee:hepoli:v:114:y:2014:i:2:p:156-162
    DOI: 10.1016/j.healthpol.2013.07.014
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    References listed on IDEAS

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    1. Paul D. Bush, 1987. "The Theory of Institutional Change," Journal of Economic Issues, Taylor & Francis Journals, vol. 21(3), pages 1075-1116, September.
    2. Richard Whittington, 1992. "Putting Giddens Into Action: Social Systems And Managerial Agency," Journal of Management Studies, Wiley Blackwell, vol. 29(6), pages 693-712, November.
    3. Robert E. Quinn & John Rohrbaugh, 1983. "A Spatial Model of Effectiveness Criteria: Towards a Competing Values Approach to Organizational Analysis," Management Science, INFORMS, vol. 29(3), pages 363-377, March.
    4. Björn Broström & Sven Siverbo, 2004. "Deeply Rooted Traditions and the Will to Change—Problematic Conflicts in Three Swedish Health Care Organizations," Journal of Economic Issues, Taylor & Francis Journals, vol. 38(4), pages 939-952, December.
    5. Scapens, Robert W., 2006. "Understanding management accounting practices: A personal journey," The British Accounting Review, Elsevier, vol. 38(1), pages 1-30.
    6. Jos Benders & Geert Van Hootegem, 1999. "Teams and their Context: Moving the Team Discussion Beyond Existing Dichotomies," Journal of Management Studies, Wiley Blackwell, vol. 36(5), pages 609-628, September.
    7. Thorbj, rn Knudsen, 2002. "Economic selection theory," Journal of Evolutionary Economics, Springer, vol. 12(4), pages 443-470.
    8. Andrew M. Pettigrew, 1990. "Longitudinal Field Research on Change: Theory and Practice," Organization Science, INFORMS, vol. 1(3), pages 267-292, August.
    9. Alharbi, Tariq Saleem J. & Ekman, Inger & Olsson, Lars-Eric & Dudas, Kerstin & Carlström, Eric, 2012. "Organizational culture and the implementation of person centered care: Results from a change process in Swedish hospital care," Health Policy, Elsevier, vol. 108(2), pages 294-301.
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