Relationships and Resilience
Tóm tắt
Organizations in the health care industry and beyond face pressures to lower their costs while maintaining quality, resulting in high levels of stress for their workers. In a nine-hospital study, this article explores the role that relationships play in enabling resilient responses to external pressures and the organizational practices that enable workers to respond in a resilient way when organizational change is required. The article argues that relational coordination—communicating and relating for the purpose of task integration—is a resilient response to external threats that require a coordinated collective response across multiple functions or roles. Findings suggest that workers engage in higher levels of relational coordination when they perceive this type of threat but that the presence of a particular type of high performance work system—a relational work system—greatly strengthens this resilient response.
Từ khóa
Tài liệu tham khảo
Adler, P., 2007, The evolving organization of professional work
Bryk, A.S., 1992, Hierarchical linear models: Applications and data analysis methods
Burns, T., 1961, The management of innovation
Fayol, H., 1925, Industrial and general administration
Galbraith, J. (1972). Organization design: An information processing view. In J. W. Lorsch & R. R. Lawrence (Eds.), Organization planning: Cases and concepts (pp. 49-74). Burr Ridge, IL: Irwin.
Gittell, J.H. (2003). A theory of relational coordination. In K. S. Cameron, J. E. Dutton, & R. E. Quinn (Eds.), Positive organizational scholarship: Foundations of a new discipline (pp. 279-295). San Francisco: Berrett-Koehler.
Gittell, J.H. (2006). Relational coordination: Coordinating work through relationships of shared goals, shared knowledge and mutual respect. In O. Kyriakidou & M. Ozbilgin (Eds.), Relational perspectives in organizational studies: A research companion (pp. 74-94). Cheltenham, UK: Edward Elgar Publishers.
Gittell, J.H., Human Resource Management Journal
Gray, B.H., 1989, Controlling costs and changing patient care: The role of utilization management
Heckscher, C. (1994). Defining the post-bureaucratic type. In C. Heckscher & A. Donnellon (Eds.), The post-bureaucratic organization (pp. 14-62). Thousand Oaks, CA: Sage.
Ichniowski, C., 1996, American Economic Review, 87, 291
Kochan, T., 1986, The transformation of American industrial relations
Lawrence, P.R., 1967, Organization and environment
Managed Care Digest Series., 2000, HMO/PPO Medicare-Medicaid Managed Care Digest. Center for Medicare and Medicaid Services
1994, QRC Advisor, 10, 1
Nunnally, J., 1978, Psychometric theory
O'Leary, D., 1998, Management, 28, 110
Piore, M., 1992, The social embeddedness of labor markets and cognitive processes
Sutcliffe, K.M. & Vogus, T.J. (2003). Organizing for resilience. In K. S. Cameron, J. E. Dutton, & R. E. Quinn (Eds.), Positive organizational scholarship: Foundations of a new discipline (pp. 94-110). San Francisco: Berrett-Koehler.
Vogus, T.J., 2004, In search of mechanisms: How do HR practices affect organizational performance? Unpublished doctoral dissertation
Weinberg, D.B., 2000, Why are the nurses crying? Restructuring, power, and control in an American hospital. Unpublished doctoral dissertation
Weinberg, D.B., 2003, Code green: Money-driven hospitals and the dismantling of nursing
Wicks, D., 1998, Nurses and doctors at work: Rethinking professional boundaries
Wildavsky, A., 1988, Searching for safety