Creating a sustainable model for stroke system change

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Elizabeth Linkewich ◽  
Shelley Sharp ◽  
Denyse Richardson ◽  
Jocelyne McKellar
Keyword(s):  
Change Process ◽  
Leadership Skills ◽  
Transformational Change ◽  
System Change ◽  
Change Leadership ◽  
Leadership Capacity ◽  
Process Change ◽  
Content Type ◽  
Tailored Approach ◽  
Capacity For Change

PurposeThe purpose of this paper is to develop an infrastructure and leadership capacity for a sustainable approach to collaborative change in a complex health-care system.Design/methodology/approachAn infrastructure for system change and a mechanism to build capacity for change leadership was developed. This involved (1) using a community of a practice model to create a change community, (2) developing an iterative engagement and change process and (3) integrating collaborative change leadership skills and knowledge development within the process. Change leadership was evaluated using Wenger's phases of value creation.FindingsA change community of 62 members across 19 organizations codeveloped a change process that aligns with Cooperrider's 4D Cycle. The change community demonstrated application of change leadership learnings throughout the change process.Originality/valueA tailored approach was required to support sustainable transformational change in the Toronto stroke system. This novel methodology provides a framework for broader application to systems change in other complex systems that support both local and system-wide ownership of the work.

scholarly journals Transformational change process in a large corporation – case of a prominent Indian public sector undertaking

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Anu Singh Lather ◽  
Shilpa Jain ◽  
Yogesh Verma
Keyword(s):  
Public Sector ◽  
Change Management ◽  
Change Process ◽  
Transformational Change ◽  
Transformation Process ◽  
Leadership Role ◽  
Content Type ◽  
High Performing ◽  
The Future

Purpose This study aims to discuss what prompted this organization to embark on the journey of transformational change, challenges faced strategies adopted to overcome challenges, leadership role and outcomes. Design/methodology/approach The descriptive approach is used to comprehend the transformational change process in this gigantic public sector undertaking (PSU). To have an idea of the effectiveness of the change process, the pre- and post-change performance of the company was taken into account through collection and analysis of physical and financial parameters. However, focus of this paper is concentrated on the transformation process and its chronological sequence only. Human resource productivity trend and organization development interventions adopted over the years were also observed along with conducting a sentiment analysis of the employees who lived through this entire change process in the organization. Findings The case study describes how this Indian PSU went through the process of transformational change management and leaves the reader to assess the degree and extent of success of the approach and strategy of the company in this regard. There may be many what-if situations and contingencies in this case for readers to explore for suggestions and solutions and finding new possibilities. Originality/value Change management is not a new exercise for the Indian corporate sector. What makes this case unique is the pro-active action initiated by a traditional high-performing and well-protected PSU to anticipate the future challenges and initiate action to overcome these. Change agents must “rewire” the plane while it is flying if the organization hopes to survive and perhaps prosper in the future. This case study is a first-hand account of the change process happening in a gigantic Indian PSU with Maharatna status.

Exploring member readiness for change in manufacturing industries using phenomenology

2019 ◽  
Vol 43 (7) ◽  
pp. 847-861
Author(s):  
Jayne E. Costello ◽  
Vishal Arghode
Keyword(s):  
Manufacturing Industry ◽  
Employee Attitudes ◽  
Change Leadership ◽  
Readiness For Change ◽  
Process Change ◽  
Internal Factors ◽  
Content Type ◽  
Upper Management ◽  
Northeast Us ◽  
The Relationship

Purpose This paper aims to explore member readiness for change in manufacturing industry. Design/methodology/approach The authors interviewed 14 upper management professionals in Northeast US state companies. Inductive analysis and creative synthesis were used for identifying important patterns, themes and relationships pertaining to external and internal factors influencing employee attitudes related to change processes. Findings The findings suggest relationship between process change and member readiness for change. Leadership and communication channels play a significant role in determining how members adapt and respond to organizational process changes. Companies can achieve desirable outcomes when members trust organizational leadership and perceive management as fair and transparent. Originality/value Currently, there is little known about the relationship between process change and member readiness for change in manufacturing industry. The study advances the theoretical literature and provides practical information for manufacturing professionals.

scholarly journals Transformational change by a post-conventional leader

2019 ◽  
Vol 40 (4) ◽  
pp. 457-471 ◽  
Author(s):  
Eva Norrman Brandt ◽  
Sofia Kjellström ◽  
Ann-Christine Andersson
Keyword(s):  
Change Process ◽  
Design Methodology ◽  
Organizational Transformation ◽  
Transformational Change ◽  
Change Processes ◽  
Structured Interviews ◽  
Content Type ◽  
Roles And Responsibilities ◽  
Holistic Understanding ◽  
Practical Implications

Purpose The purpose of this paper is to examine people’s experience of a change process and if and how post-conventional leadership principles are expressed in the change process. Design/methodology/approach The study used a retrospective exploratory qualitative design. In total, 19 semi-structured interviews and 4 workshops were conducted and analyzed in accordance with a thematic qualitative analysis. Findings The post-conventional leadership appears to have facilitated an organizational transformation where explorative work methods aimed at innovation and improvement as well as holistic understanding was used. Dispersed power and mandate to employees, within set frames and with clear goals, created new ways of organizing and working. The leader showed personal consideration, acknowledged the importance of the emotionally demanding aspects of change and admitted the leader’s own vulnerability. Balance between challenge and support created courage to take on new roles and responsibilities. Most employees thrived and grew with the possibilities given, but some felt lack of support and clear directions. Practical implications Inspiration from this case on work methods and involvement of employees can be used on other change efforts. Social implications This study provides knowledge on leadership capabilities needed for facilitation of transformational change. Originality/value Few transformational change processes by post-conventional leaders are thoroughly described, and this study provides in-depth descriptions of post-conventional leadership in transformational change.

The complexity of wicked problems in large scale change

2015 ◽  
Vol 28 (6) ◽  
pp. 993-1012 ◽  
Author(s):  
Sandra Waddock ◽  
Greta M. Meszoely ◽  
Steve Waddell ◽  
Domenico Dentoni
Keyword(s):  
Large Scale ◽  
Change Agents ◽  
Transformational Change ◽  
System Change ◽  
Wicked Problems ◽  
Large System ◽  
Change Initiatives ◽  
Content Type ◽  
Theories Of Change ◽  
Complexity Theories

Purpose – The purpose of this paper is to extend and elaborate the notion of successful organizational change to incorporate the concept of large system change (LSC), by developing a framework that brings together complexity and wicked problems theories to understand how individual organizations and change agents can better influence LSC. Design/methodology/approach – This conceptual paper integrates wicked problems and complexity theories to understand and cope with large system initiatives from the perspective of change agents in organizations, and uses the case of the electricity system as an illustrative example for these concepts. Findings – The paper provides implications for LSC and action steps for change agents in organizations, arguing that by understanding change initiatives through the lenses of complexity and wicked problems, change agents are likely to be more effective. Research limitations/implications – The integration of complexity science and wicked problems underpins the development of a comprehensive framework for creating effective LSC solutions, however, these ideas still need to be grounded in practice and empirical research. Practical implications – Using these ideas, change agents in organizations can enhance their influence and use the power of system dynamics to support positive action for sustainable change. This paper provides a foundation to help think through the cross-sectoral, inter-organizational, and change dynamics involved in LSC efforts needed to bring about a more sustainable, secure, and equitable world for all. Social implications – The world greatly needs system change; however, there is limited theory on effective LSC. This paper hopes to contribute to understanding the ways in which the difficulties of such change can be harnessed to move in positive directions with minimal disruption and greatest effectiveness. Originality/value – Theories of change management that position the organization in the context of a broader system and define its role in creating change do not yet articulate the nature of the problems at hand in relation to the large systems where they are embedded. This paper builds upon wicked problems and complexity theories to shed light on the role of change agents and organizations in effective transformational change.

Contesting the dominant narrative: expanding the multistory cultural change approach

2020 ◽  
Vol 33 (2) ◽  
pp. 217-228
Author(s):  
Martijn van Ooijen ◽  
Antonie van Nistelrooij ◽  
Marcel Veenswijk
Keyword(s):  
Organizational Culture ◽  
Cultural Change ◽  
Change Process ◽  
Design Methodology ◽  
Construction Safety ◽  
Change Processes ◽  
Research Approach ◽  
Organizational Field ◽  
Content Type

PurposeThe purpose of this paper is to expand the theory on multistory cultural change by showing how a dominant narrative on construction safety dynamically interrelates and is contested on multiple intertextual levels in an organizational field of organizations contributing to the recovery of houses in an earthquake region.Design/methodology/approachAn ethnoventionist research approach was adopted in which interpretation of data to find narratives and designing interventions went hand-in-hand.FindingsWe found four distinctive composite narratives besides the dominant narrative to which five actors refer in their accounts, thereby contributing to three types of story patterns. These narratives disclose the taken-for-granted ideas and beliefs that characterize the challenge of changing organizational culture. One intervention, which intended multiple stories to touch the surface, was highlighted as a multistory intervention.Research limitations/implicationsFurther research could extend the knowledge on other change interventions that contribute to multistory cultural change processes.Originality/valueAdopting an ethnoventionist approach to provide deep insights on an unfolding cultural change process for both scholars and practitioners.

School performance trajectories and the challenges for principal succession

2015 ◽  
Vol 53 (2) ◽  
pp. 262-286 ◽  
Author(s):  
Linda C. Lee
Keyword(s):  
Elementary School Principals ◽  
Transformational Change ◽  
Urban School District ◽  
New Principals ◽  
New Schools ◽  
Principal Succession ◽  
Content Type ◽  
New Principal ◽  
The Usa ◽  
Practical Implications

Purpose – The purpose of this paper is to use empirical data on new principals to clarify the connection between different succession situations and the challenges their successor principals face. Design/methodology/approach – The study draws on two waves of interview data from a random sample of 16 new elementary school principals in a major urban school district in the USA. Findings – New principals face distinct practice challenges depending on the nature of their successions. The less planned the succession, the less information and knowledge the new principal tends to possess. The more discontinuous the new administration’s trajectory is with the previous administration, the greater the staff resistance that the successor principal tends to face. Research limitations/implications – Few studies systematically examine how succession situations differ in schools that are in need of transformation vs those in need of stability. This study addresses this gap by illuminating the varied processes of succession and highlighting specific mechanisms that link these processes to different organizational trajectories. Practical implications – For district officials, this study suggests that principals in unplanned successions need greater support in quickly gathering information about their new schools while principals in discontinuous successions need greater expertise in how to balance trust-building and accountability in their attempts to promote transformational change. Originality/value – This study’s primary value is its detailed articulation of how certain characteristics of succession situations are associated with specific types of challenges. Only studies at this level of specificity can be effective guides to practitioners and policymakers who are charged with preparing, selecting, and supporting new principals and their schools.

Size does matter – span of control in hospitals

2017 ◽  
Vol 31 (2) ◽  
pp. 192-206 ◽  
Author(s):  
Christina Holm-Petersen ◽  
Sussanne Østergaard ◽  
Per Bo Noergaard Andersen
Keyword(s):  
Design Methodology ◽  
Hospital Staff ◽  
Leadership Capacity ◽  
Decision Makers ◽  
Span Of Control ◽  
Content Type ◽  
Frontline Leaders ◽  
Practical Implications

Purpose Centralization, mergers and cost reductions have generally led to increasing levels of span of control (SOC), and thus potentially to lower leadership capacity. The purpose of this paper is to explore how a large SOC impacts hospital staff and their leaders. Design/methodology/approach The study is based on a qualitative explorative case study of three large inpatient wards. Findings The study finds that the nursing staff and their frontline leaders experience challenges in regard to visibility and role of the leader, e.g., in creating overview, coordination, setting-up clear goals, following up and being in touch. However, large wards also provide flexibility and development possibilities. Practical implications The authors discuss the implications of these findings for decision makers in deciding future SOC and for future SOC research. Originality/value Only few studies have qualitatively explored the consequences of large SOC in hospitals.

Cultivating School Counseling Leaders Through District Leadership Cohorts

2017 ◽  
Vol 21 (1b) ◽  
pp. 2156759X1877327
Author(s):  
Marcy G. Miller Kneale ◽  
Anita A. Young ◽  
Colette T. Dollarhide
Keyword(s):  
School Counseling ◽  
School Counselors ◽  
Effective Leadership ◽  
Leadership Skills ◽  
District Leadership ◽  
Leadership Capacity ◽  
Training Methods ◽  
Counseling Supervisors ◽  
K 12

Demonstrating effective leadership skills is a necessity for school counselors seeking to achieve a systemic vision that influences change. The challenge becomes the delivery of training methods that allow school counselors and school counseling supervisors to develop leadership skills, gain confidence, and maximize their potential. This article presents district cohort training approaches that can enhance the leadership capacity of pre-K–12 school counselors and school counseling supervisors.

Network change processes for environmental practices

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lyndie Bayne ◽  
Sharon Purchase ◽  
Geoffrey N. Soutar
Keyword(s):  
Life Cycle ◽  
Change Process ◽  
Business Case ◽  
Process Theory ◽  
Change Processes ◽  
Business Networks ◽  
Environmental Practices ◽  
Content Type ◽  
Network Change ◽  
Network Process

Purpose The purpose of this study is to develop an understanding of how change in environmental practices occurs in business networks. The study examines what types of network change processes occur in bringing about environmental change. Further, the basic change process theory types (life-cycle, teleology, dialectics and evolution) involved in the change processes are analyzed. Design/methodology/approach A multiple, embedded, network case study was undertaken in the Australian agrifood sector, focusing on the pork and dairy industries. Findings Change was found to occur through the interaction of multiple network processes operating simultaneously and sequentially over time. Thirteen network process categories were identified, grouped further into legislative, business case and altruistic overarching motivations. Legislative change processes emphasize the need for continued government intervention through enforced legislation. Teleology and dialectics were common at the beginning of many change processes, followed by life-cycle theory types. Originality/value The study brings together change process conceptualizations from prior unconnected literatures into a comprehensive change process categorization framework. Examining changes in the activity dimension adds to network dynamics literature previously focusing on changes in the actor and resource dimensions. Contributions are made to processual research methods by theoretically and empirically clarifying connections between events, activities and processes. Analyzing the underlying change process theory types at the network level adds to both management and business network literature. Finally, the study answers calls to study sustainability issues at a network level.

A sustainability internship program: strategies for creating student stewards for sustainability

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hongor Miller ◽  
Byron Ronald Miller Jr ◽  
Jeffrey Spoelstra
Keyword(s):  
Local Community ◽  
Leadership Skills ◽  
Study Data ◽  
Behavior Changes ◽  
University Campus ◽  
Content Type ◽  
Assessment Scores ◽  
Post Test ◽  
Internship Programs ◽  
Method Of Evaluation

Purpose The purpose of this paper is to explore the strategies and an effective model for creating and implementing a sustainability internship program at a university campus. Design/methodology/approach This study assessed Western Michigan University’s sustainability program’s interns’ gain of environmental knowledge on sustainability topics via pre- and post-test assessments. A sample of 50 interns between fall 2016 and spring 2019 comprising six cohorts participated in this study. Data were analyzed using statistical package for social sciences to calculate descriptive statistics and sign tests. Findings The sign tests of the accumulative internship pre- and post-test assessment scores significantly increased for all 14 sustainability knowledge dimensions. Research limitations/implications The pre- and post-test assessments of the internship program are unable to track and predict the long-term behavior changes of the interns after the completion of the program. Therefore, a future longitudinal study is needed. Practical implications This sustainability internship program’s content and experiential learning model has been proven to be effective in increasing interns’ knowledge of sustainability issues and creating sustainability stewards. Institutions and universities should consider creating their own sustainability internship program based on Western Michigan University's program using pre- and post-test assessments as a method of evaluation. Social implications The internship programs’ main strength is that it offers students from all academic backgrounds an opportunity to dig deep into sustainability issues, build new social networks, gain knowledge, develop leadership skills, become sustainability stewards and immediately apply what they have learned on campus and in their local community. On-campus internships are unique learning opportunities worthy of study and refinement. Originality/value This research paper is unique because it analyzes the combined pre- and post-test scores of six cohorts of interns’ across multiple knowledge dimensions of sustainability. This study empirically shows that the combined interns’ sustainability knowledge across all dimensions significantly increased from the pre- to post-test over the semester-long program.

Sign in / Sign up

Export Citation Format

Share Document