War and peace in hospitals: Humans, objects and paradoxes

Autor: Patrick Gilbert, Marie-Eve Laporte
Přispěvatelé: LAPORTE, Marie-Eve, IAE Paris - Sorbonne Business School
Rok vydání: 2022
Předmět:
Zdroj: 14th Academy of Innovation, Entrepreneurship, and Knowledge Conference (ACIEK
14th Academy of Innovation, Entrepreneurship, and Knowledge Conference (ACIEK, Jun 2021, Paris Sorbonne virtual, France
Journal of Business Research
Journal of Business Research, Elsevier, 2022, 141, pp.253-263. ⟨10.1016/j.jbusres.2021.12.015⟩
HAL
ISSN: 0148-2963
DOI: 10.1016/j.jbusres.2021.12.015
Popis: International audience; Patient-centered care (PCC) in French hospitals has become highly topical. As it challenges people's roles and positions in the health care system, it generates tensions that can produce paradoxes when elements perceived as contradictory are both present and persistent. However, the actors most often learn to deal with them. The aim of this research is to examine how actors cope with the paradoxes created by PCC. Linking the theory of paradox to the concepts of situated action and object agency, this paper studies the orthopedics department of a major PCC public hospital in Paris based on shadowing, interviews and secondary documents. It highlights three ways in which technical objects play a key role in managing belonging, learning, organizing and performing paradoxes generated by PCC: enactment, mediation and interpretive flexibility. It thus extends the dynamic equilibrium model of organizing in the theory of paradox developed by Smith and Lewis (2011).
Databáze: OpenAIRE