使悖论可见与不可见:医院执行委员会互动过程研究

Visibilizing and Invisibilizing Paradox: A process study of interactions in a hospital executive board

ORGANIZATION STUDIES · 2018
被引 61
人大 AFT50ABS 4

中文导读

基于社会系统理论,研究医院执行委员会在变革中如何通过互动使悖论显现或隐藏,解释悖论凸显与潜伏的内生机制。

Abstract

Studies on organizational paradoxes often explain paradox salience exogenously, as a state of latency awaiting detection. Based on social systems theory, this process study develops an explanation of paradox salience and latency beyond an actor’s cognitive ability to think paradoxically. Such an explanation lies endogenously within the interactions of actors coping with paradox. Analysing the discussions of a hospital executive board during a change initiative reveals how factual, social and temporal references surface and submerge contradictory tensions. The proposed model for visibilizing and invisibilizing paradox explains salience and latency – even if individuals are aware of paradox – as integral to coping with paradox. As a paradox invisibilizes in an interaction it resurfaces somewhere along the line and thereby transforms within an organization.

组织悖论社会系统理论医院管理组织变革