Culture and Climate in Health Care Organisations

Contents......Page 6
List of Tables......Page 8
List of Figures......Page 9
List of Boxes......Page 10
Acknowledgement......Page 11
Notes on Contributors......Page 12
Preface......Page 23
Introduction: Why Focus on Culture and Climate?......Page 26
Part I: Culture and Climate in Changing Health Systems......Page 30
1 Converging and Diverging Concepts in Culture and Climate Research: Cultate or Climure?......Page 32
2 Changing Management Cultures in the English National Health Service......Page 44
3 Culture Made Flesh: Discourse, Performativity and Materiality......Page 56
Part II: Relationships and Collaboration......Page 68
4 Organizational-Professional Conflict in Medicine......Page 70
5 People, Place and Innovation: How Organizational Culture and Physical Environment Shaped the Implementation of the NHS TC Programme......Page 85
6 Interpersonal Relationships and Decision-Making about Patient Flow: What and Who Really Matters?......Page 95
7 Bullying, Culture, and Climate in Health Care Organizations: A theoretical Framework......Page 107
8 Changing Relationships between Health Service Managers: Confrontation, Collusion and Collaboration......Page 122
9 HRM Practice Systems in Employer-of-Choice Health Care Organizations......Page 134
10 Team Climate and Clinical Information Systems......Page 151
11 Health Network Culture and Reform......Page 163
12 Primary Health Care Innovation Sites: Learning to Create New Cultures of Care......Page 174
Part III: Research into Practice......Page 186
13 A Shared Vision: Using Action Research for Work Culture Change in a Cardiology Department......Page 188
14 Creating a Climate for Service Improvement through Role Structures......Page 199
15 Accountability and Transparency through the Technologization of Practice......Page 210
16 The Role of Cultural Performance in Health Care Commissioning......Page 221
Conclusion: Culture and Climate in Health Care Organizations – Evidentiary, Conceptual and Practical progress......Page 233
C......Page 238
H......Page 239
N......Page 240
P......Page 241
S......Page 242
W......Page 243