Operating Room: Relational Spaces and Microinstitutional Change in Surgery
One 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...
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| Format: | Article |
| Language: | en_US |
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Wiley Blackwell
2017
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| Online Access: | http://hdl.handle.net/1721.1/107898 https://orcid.org/0000-0003-4372-3498 |
| _version_ | 1826193016746934272 |
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| author | Kellogg, Katherine C. |
| author2 | Sloan School of Management |
| author_facet | Sloan School of Management Kellogg, Katherine C. |
| author_sort | Kellogg, Katherine C. |
| collection | MIT |
| description | One 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 relational 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 implications for research on institutional change and social movements. |
| first_indexed | 2024-09-23T09:32:21Z |
| format | Article |
| id | mit-1721.1/107898 |
| institution | Massachusetts Institute of Technology |
| language | en_US |
| last_indexed | 2024-09-23T09:32:21Z |
| publishDate | 2017 |
| publisher | Wiley Blackwell |
| record_format | dspace |
| spelling | mit-1721.1/1078982022-09-30T15:10:09Z Operating Room: Relational Spaces and Microinstitutional Change in Surgery Kellogg, Katherine C. Sloan School of Management Kellogg, Katherine C. Kellogg, Katherine C. One 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 relational 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 implications for research on institutional change and social movements. Alfred P. Sloan Foundation 2017-04-06T15:26:54Z 2017-04-06T15:26:54Z 2009-11 Article http://purl.org/eprint/type/JournalArticle 0002-9602 1537-5390 http://hdl.handle.net/1721.1/107898 Kellogg, Katherine C. “Operating Room: Relational Spaces and Microinstitutional Change in Surgery.” American Journal of Sociology 115.3 (2009): 657–711. © 2009 by The University of Chicago https://orcid.org/0000-0003-4372-3498 en_US http://dx.doi.org/10.1086/603535 American Journal of Sociology Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. application/pdf Wiley Blackwell Prof. Kellogg |
| spellingShingle | Kellogg, Katherine C. Operating Room: Relational Spaces and Microinstitutional Change in Surgery |
| title | Operating Room: Relational Spaces and Microinstitutional Change in Surgery |
| title_full | Operating Room: Relational Spaces and Microinstitutional Change in Surgery |
| title_fullStr | Operating Room: Relational Spaces and Microinstitutional Change in Surgery |
| title_full_unstemmed | Operating Room: Relational Spaces and Microinstitutional Change in Surgery |
| title_short | Operating Room: Relational Spaces and Microinstitutional Change in Surgery |
| title_sort | operating room relational spaces and microinstitutional change in surgery |
| url | http://hdl.handle.net/1721.1/107898 https://orcid.org/0000-0003-4372-3498 |
| work_keys_str_mv | AT kelloggkatherinec operatingroomrelationalspacesandmicroinstitutionalchangeinsurgery |