Topic
Organizational culture
About: Organizational culture is a research topic. Over the lifetime, 31507 publications have been published within this topic receiving 926787 citations. The topic is also known as: corporate culture & organisational culture.
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TL;DR: Examination of users' attitudes to implementation of an electronic medical record system in Kaiser Permanente Hawaii found a transient climate of conflict was associated with adoption of the system, and organisational factors such as leadership, culture, and professional ideals played complex roles.
Abstract: Objective To examine users9 attitudes to implementation of an electronic medical record system in Kaiser Permanente Hawaii. Design Qualitative study based on semistructured interviews. Setting Four primary healthcare teams in four clinics, and four specialty departments in one hospital, on Oahu, Hawaii. Shortly before the interviews, Kaiser Permanente stopped implementation of the initial system in favour of a competing one. Participants Twenty six senior clinicians, managers, and project team members. Results Seven key findings emerged: users perceived the decision to adopt the electronic medical record system as flawed; software design problems increased resistance; the system reduced doctors9 productivity, especially during initial implementation, which fuelled resistance; the system required clarification of clinical roles and responsibilities, which was traumatic for some individuals; a cooperative culture created trade-offs at varying points in the implementation; no single leadership style was optimal—a participatory, consensus-building style may lead to more effective adoption decisions, whereas decisive leadership could help resolve barriers and resistance during implementation; the process fostered a counter climate of conflict, which was resolved by withdrawal of the initial system. Conclusions Implementation involved several critical components, including perceptions of the system selection, early testing, adaptation of the system to the larger organisation, and adaptation of the organisation to the new electronic environment. Throughout, organisational factors such as leadership, culture, and professional ideals played complex roles, each facilitating and hindering implementation at various points. A transient climate of conflict was associated with adoption of the system.
271 citations
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TL;DR: In this paper, a case study of an international subsidiary was conducted to explore the extent to which knowledge sharing is dependent on national culture and found that language differences can create knowledge blocks and cross-cultural differences can explain the direction of knowledge flows.
Abstract: Organizational culture has been shown to influence the success of knowledge management practices Hofstede's theory specifies that organizational culture is not independent of national culture A case study of an international subsidiary was conducted to explore the extent to which knowledge sharing is dependent on national culture Results indicate that language differences can create knowledge blocks, and cross-cultural differences can explain the direction of knowledge flows
270 citations
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TL;DR: In this article, the authors surveyed recent criticisms of the practical relevance of organizational behavior, organization development, and organization theory research, for the purpose of identifying key components of research relevance.
Abstract: Recent criticisms of the practical relevance of organizational behavior, organization development, and organization theory research are surveyed for the purpose of identifying key components of research relevance Five such components are identified, corresponding to dimensions of practitioner needs: descriptive relevance, goal relevance, operational validity, nonobviousness, and timeliness General implications are discussed for the interaction between researcher and practitioner
270 citations
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TL;DR: In this paper, the authors describe and characterize these instruments and discuss the implications for nurse administrators, and identify twelve instruments that may have applicability in measuring organizational constructs in the healthcare setting.
Abstract: Although there is increasing interest in the relationship between organizational constructs and health services outcomes, information on the reliability and validity of the instruments measuring these constructs is sparse. Twelve instruments were identified that may have applicability in measuring organizational constructs in the healthcare setting. The authors describe and characterize these instruments and discuss the implications for nurse administrators.
270 citations
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TL;DR: In this paper, the authors examined how organizational culture is related to outcomes associated with advanced manufacturing technology (AMT) implementation and found that cultural characteristics, as defined by the competing values model, are significantly related to AMT implementation outcomes.
269 citations