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ArtikelOperating Room: Relational Spaces and Microinstutional Change in Surgery  
Oleh: Kellogg, Katherine C.
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: AJS: American Journal of Sociology vol. 115 no. 03 (Nov. 2009), page 657-711.
Topik: Institutional Change; Operating Room
Fulltext: The American Journal of Sociology, Vol. 115, No. 3 (November 2009), pp. 657-711 (win).pdf (367.76KB)
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    • Nomor Panggil: A13
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Isi artikelOne of the great paradoxes of institutional change is that even when top managers in organizations provide support for change in response to new regulation, the employees whom new programs are designed to benefit often do not use them. This 15-month ethnographic study of two hospitals responding to new regulation demonstrates that using these programs may require subordinate employees to challenge middle managers with opposing interests. The article argues that rational spaces areas of isolation, interaction, and inclusion that allow middle manager reformers and subordinate employees to develop a cross position collective for change are critical to the change process. these findings have implication for research on institutional change and social movements.
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