Culture and Climate in Health Care Organisations

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This book showcases international research on health care organizations. It presents diverse and multidisciplinary approaches to studying differing health care settings, in international context. These approaches range from in depth observation to questionnaire based measures, investigating a spectrum of health care professionals.

Author(s): Jeffrey Braithwaite, Paula Hyde, Catherine Pope
Publisher: Palgrave Macmillan
Year: 2010

Language: English
Pages: 243

Contents......Page 6
List of Tables......Page 8
List of Figures......Page 9
List of Boxes......Page 10
Acknowledgement......Page 11
Notes on Contributors......Page 12
Preface......Page 23
Introduction: Why Focus on Culture and Climate?......Page 26
Part I: Culture and Climate in Changing Health Systems......Page 30
1 Converging and Diverging Concepts in Culture and Climate Research: Cultate or Climure?......Page 32
2 Changing Management Cultures in the English National Health Service......Page 44
3 Culture Made Flesh: Discourse, Performativity and Materiality......Page 56
Part II: Relationships and Collaboration......Page 68
4 Organizational-Professional Conflict in Medicine......Page 70
5 People, Place and Innovation: How Organizational Culture and Physical Environment Shaped the Implementation of the NHS TC Programme......Page 85
6 Interpersonal Relationships and Decision-Making about Patient Flow: What and Who Really Matters?......Page 95
7 Bullying, Culture, and Climate in Health Care Organizations: A theoretical Framework......Page 107
8 Changing Relationships between Health Service Managers: Confrontation, Collusion and Collaboration......Page 122
9 HRM Practice Systems in Employer-of-Choice Health Care Organizations......Page 134
10 Team Climate and Clinical Information Systems......Page 151
11 Health Network Culture and Reform......Page 163
12 Primary Health Care Innovation Sites: Learning to Create New Cultures of Care......Page 174
Part III: Research into Practice......Page 186
13 A Shared Vision: Using Action Research for Work Culture Change in a Cardiology Department......Page 188
14 Creating a Climate for Service Improvement through Role Structures......Page 199
15 Accountability and Transparency through the Technologization of Practice......Page 210
16 The Role of Cultural Performance in Health Care Commissioning......Page 221
Conclusion: Culture and Climate in Health Care Organizations – Evidentiary, Conceptual and Practical progress......Page 233
C......Page 238
H......Page 239
N......Page 240
P......Page 241
S......Page 242
W......Page 243