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Culture as a predictor of resistance to change: a study of competing values in a psychiatric nursing context
Umeå University, Faculty of Medicine, Department of Nursing. Department of Nursing, Health and Culture, University West, Trollhättan, Sweden.
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2014 (English)In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 114, no 2-3, 156-162 p.Article in journal (Refereed) Published
Abstract [en]

It is well known that a conservative organizational culture can hinder the implementation of new organizational models. Prior to introducing something new it is important to identify the culture within the organization. This paper sets out to detect the feasibility of reform in a psychiatric clinic in a Swedish hospital prior to implementation of a new working method - a structured tool based on the International Classification of Functioning Disability and Health. A survey consisting of two instruments - an organizational values questionnaire (OVQ) and a resistance to change scale (RTC) - was distributed to registered and assistant nurses at the clinic. The association between the organizational subcultures and resistance to change was investigated with regression analysis. The results revealed that the dominating cultures in the outpatient centers and hospital wards were characterized by human relation properties such as flexibility, cohesion, belongingness, and trust. The mean resistance to change was low, but the subscale of cognitive rigidity was dominant, reflecting a tendency to avoid alternative ideas and perspectives. An instrument like the one employed in the study could be a useful tool for diagnosing the likelihood of extensive and costly interventions.

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 114, no 2-3, 156-162 p.
Keyword [en]
Organizational culture, resistance to change, psychiatry, ICF, Sweden
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:umu:diva-81058DOI: 10.1016/j.healthpol.2013.07.014ISI: 000331159300007PubMedID: 23932351OAI: oai:DiVA.org:umu-81058DiVA: diva2:652545
Note

First published online 7 August 2013.

Available from: 2013-10-01 Created: 2013-10-01 Last updated: 2017-12-06Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf