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非道德管理与偏差正常化:斯塔福德医院的案例

Amoral Management and the Normalisation of Deviance: The Case of Stafford Hospital

Journal of Business Ethics · 2023
被引 17
人大 AABS 3

中文导读

研究了管理层的非道德行为如何导致偏差正常化,以英国斯塔福德医院为例,分析管理层对绩效的专注、责任分散和组织认同如何促成不当行为。

Abstract

Abstract Inquiries into organisational scandals repeatedly attribute wrongdoing to the normalisation of deviance. From this perspective, the cause of harm lies not in the actions of any individual but rather in the institutionalised practices of organisations or sectors. Although an important corrective to dramatic tales of bad apples, the normalisation thesis underplays the role of management in the emergence of deviance. Drawing on literatures exploring ideas of amoral (Carroll in Bus Horiz 30(2):7–15, 1987) or ethically neutral leadership (Treviño et al. in Calif Manag Rev 42(4):128–142, 2000) we seek to bring management back into the explanation of organisational wrongdoing. Amoral theorists point to management’s ethical silence, but they also describe the way in which that silence is sustained by a series of organisational characteristics. We build on this work in arguing that it is management’s deliberate focus on bottom line performance, the diffusion of responsibility and high levels of organisational identification that explain the emergence of wrongdoing. We apply these ideas to the case of the UK’s Stafford hospital which hit the headlines in 2009 when it was reported that poor standards of care had led to a mortality rate markedly above that expected for a hospital of its type. We conclude with a discussion of the circumstances which translate amoral management into unethical outcomes.

组织行为商业伦理医疗管理组织丑闻