Call My Bluff: Multiple Interpretations of an Organizational Process
通过英国NHS信托医院的多技能化变革案例，展示从管理、文化和政治三种视角解读组织过程的价值，避免单一范式解释，邀请读者判断最合理的解读。
This paper attempts to illustrate the value of interpreting organizational processes from a variety of perspectives. It demonstrates that this approach reflects the natural richness of organization and avoids the rather blinkered search for single‐paradigm explanations. It does not seek to offer the answer, but rather some possible insights. By combining both actor and researcher frames, it sheds light upon a particular process of social interaction within an organization. Both the context, an NHS trust hospital, and the content, a significant change scenario, brings richness and relevance to the debate. The paper outlines the macro and micro context before focusing on the interpretative methodological approach. The research involved collecting and analysing over thirty hours of taped, semi‐structured interview discourse with senior and middle management and some junior staff. After describing the change initiative, an attempt at multi‐skilling and the response of recipient actors to the proposals, the paper outlines three readings which seek to explain the events that occurred. The reader is invited to play the game ‘Call my Bluff’ and to choose the scenario that represents the most plausible explanation. The three interpretative frames employed are a managerial, a cultural and a political perspective. The paper concludes by raising some important issues in research, organizational change and the NHS.