Cultural tensions in lean healthcare implementation: A paradox theory lens
| Autor: | Alice Erthal, Marianna Frangeskou, Leonardo Marques |
|---|---|
| Přispěvatelé: | Research Group: Information & Supply Chain Management, Department of Management |
| Rok vydání: | 2021 |
| Předmět: |
Economics and Econometrics
021103 operations research Knowledge management business.industry organisational culture 05 social sciences Perspective (graphical) 0211 other engineering and technologies Organizational culture Resistance (psychoanalysis) 02 engineering and technology lean healthcare Management Science and Operations Research Single-subject design General Business Management and Accounting paradox theory Industrial and Manufacturing Engineering Paradoxes of set theory 0502 economics and business Health care Lean healthcare Sociology business Implementation 050203 business & management |
| Zdroj: | International Journal of Production Economics, 233:107968. Elsevier Science BV |
| ISSN: | 0925-5273 |
| DOI: | 10.1016/j.ijpe.2020.107968 |
| Popis: | The purpose of this research is to use a paradox theory lens to investigate in greater depth how to manage cultural tensions in a healthcare organisation implementing lean. Conducting an in-depth single case study at a private specialized hospital, we classify cultural tensions according to the four categories proposed by paradox theory – namely learning, organizing, belonging and performing. Our study scrutinizes the role of the dimensions of organisational culture (OC) as antecedents to both defensive mechanisms (i.e. resistance to change) and managerial actions (lean practices). From a theoretical perspective, this research offers key implications. We expose a nuanced view of how different OC traits may act as either drivers or barriers to lean implementation. In addition, we show how lean practices act as managerial actions that can help mitigating defensive mechanisms and thus help managing the four types of paradoxes. We also offer a specific discussion of the paradox of learning, previously missing in prior studies of lean. From a managerial perspective, the study offers a guide to managers dealing with cultural resistance that naturally emerges during lean implementations. To the best of our knowledge, no previous study has explored the interplay of lean implementation and OC using a paradox theory lens. |
| Databáze: | OpenAIRE |
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