Dissertations / Theses on the topic 'Continuous organizational change'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 35 dissertations / theses for your research on the topic 'Continuous organizational change.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
Mehta, Anju Armenakis Achilles A. "Examining the role of personal, social exchange, and contextual fit variables in employee work outcomes under continuous change a Field Investigation /." Auburn, Ala, 2009. http://hdl.handle.net/10415/1864.
Full textMcMillan, Kimberly. "A Critical Organizational Analysis of Frontline Nurses’ Experience of Rapid and Continuous Change in an Acute Health Care Organization." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37980.
Full textSwartz, Alberto Asiscio. "Factors influencing a culture of continuous improvement in the pharmaceutical environment." Thesis, Nelson Mandela University, 2018. http://hdl.handle.net/10948/23448.
Full textHussain, Syed Tajammul. "A study of unlearning IT Instruments in health organization." Thesis, Linnaeus University, School of Computer Science, Physics and Mathematics, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-6436.
Full textNothing has been that consistent as the change is for the knowledge revolution to nourish and cultivate. Different forms of changes are occurring in organizations with the aim to improve the output performances. Health organizations have been more attached to the changes and the consequences that are brought with such changes. Such consequences are primarily connected with concepts of unlearning and learning. Any form of the change if initiated in organization asks for new routines learning, tasks conductions and the organizational cultural revolution. These new routines have been occurring at individual and organizational levels. The unlearning at any level in the organizational culture can be performed through investigating a primary connection between the organizational and individual routines. At the individual level unlearning brings a number of psychological, cognitive, social and moral hurdles. These hurdles at individual level basically help the organizational unlearning to occur. All of the routines occurring at individual level encompass the necessary information that goes from lower levels to upward, strengthening and holding the organizational memory firm.
This research was about to find how the health organizations unlearn the older practices and learn the new practices in IT change. This research had two streams i) finding whether there had been any connection between the organizational and individual unlearning in the cases of IT change, ii) For unlearning what kind of hurdles had been there at the individual level. Kalmar hospital pediatric department had been chosen for the empirical investigations. The research streams were about how and what parts which helped the researcher to go for the qualitative data gathering techniques.
The Results showed there had been a very thin connectivity between the organizational and individual unlearning. The results revealed and unfolded that many of the new learning are occurring simultaneously with discarding the older ways of practices. The impression of absorbing the change with respect to the unlearning had been varied from person to person. There had been a numbers of individual hurdles observed at individual level of unlearning. Apart from them, many individual routines (performative tasks) had the primary connectivity with the organizational routines (Ostensive routines) and shaping and reshaping of the organizational memory.
It is important to understand the unlearning notions with the type of change. In this research each of the interviewee had shared his thoughts of how the things could have been done differently by revealing the consequences with new learning. Literature suggests that for a profound and successful implementation of change more formal and informal trainings, clear strategy for shuffling the older individuals in the camp, more social and cognitive meetings and fast and quick actions in the cases of technical difficulties are to be taken.
Thesis
LaPlante, Kimberly A. "A focus on continuous improvement of research advisors at the University of Wisconsin-Stout." Online version, 2009. http://www.uwstout.edu/lib/thesis/2009/2009laplantek.pdf.
Full textKuljancic, Adina, Cecilia Khalaf, and Jenny Andersson. "Exploring Lean in the Swedish Service Sector : Applicability, Success Factors and Challenges." Thesis, Internationella Handelshögskolan, Högskolan i Jönköping, IHH, Företagsekonomi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-30256.
Full textGoerlich, Daniel Lee. "The Value of Cooperative Extension's Public Benefit Explored through Enhancements to Forest Ecosystem Services Provision." Diss., Virginia Tech, 2018. http://hdl.handle.net/10919/92586.
Full textPh. D.
McAllister, Rozane Ronardo. "An evaluation of the implementation of Mercedes Benz production system (MPS) and the employee change readiness at Mercedes Benz commercial vehicles South Africa." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1017518.
Full textForsberg, Pauline, and Amanda Vogiatzi. "En resa utan slutdestination : En fallstudie om chefers användning av symboler och meningsskapande vid kontinuerlig organisationsförändring." Thesis, Linnéuniversitetet, Institutionen för organisation och entreprenörskap (OE), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-56437.
Full textIntroduction: Continuous organizational change is increasing in today's organizations, and is characterized by change having no beginning nor end. In liaison with the ongoing organizational change being implemented in organizations it can cause employees feeling confused and ambiguous, since change occurs all the time. In these situations, sensemaking constitute an essential factor, which is a key aspect of symbolic leadership. The study therefore examines symbolic leadership in this context, and focuses on how managers use symbols and sensemaking to reduce the ambiguity that arises. Purpose: The purpose of the study is to develop an understanding of in what way leaders practice symbols and sensemaking during continuous organizational change Method: By using a qualitative research method, we conducted a case study with an abductive approach. The empirical material was collected through semi-structured interviews and from the inspiration of an ethnographic study. In order to create a developed understanding of how managers are working in the daily activities, the study use a hermeneutic approach. Conclusion: The findings of the study has concluded that symbols are utilized by managers in order to create meaning, but also to transmit togetherness, security and a mutual vision. The symbols are utilized through communication, visibility and by organizing various events. Sensemaking is thus important since it mediates how employees can feel meaningfulness for the tasks to be executed.
Ferreira, Rita Augusta Trindade. "Mudança organizacional e motivação : um estudo qualitativo sob a ótica do colaborador." Master's thesis, Instituto Superior de Economia e Gestão, 2019. http://hdl.handle.net/10400.5/18028.
Full textO estudo teve como objetivo compreender, através de uma metodologia qualitativa, como são experienciados processos de mudança organizacionais. Pretende-se compreender de que forma processos de mudança afetam a motivação dos colaboradores, identificando os principais elementos que têm um impacto nessa motivação, seja este positivo ou negativo. O acesso aos 17 sujeitos que compõem a amostra foi realizado através do método bola de neve e a recolha de dados através de entrevistas semi-diretivas. Os resultados permitiram concluir que os colaboradores, quando se deparam com mudanças organizacionais não se sentem motivados. No geral, os colaboradores tendem a resistir à mudança desde a sua fase inicial, sendo que a resistência tende a ser expressiva nessa fase, perdendo intensidade com o tempo. A falta de motivação nestes processos é explicada tanto por aspetos extrínsecos, como a perceção de inexistência de uma relação de troca equitativa entre esforço para a mudança e o salário auferido; como por aspetos intrínsecos, como a falta de reconhecimento e valorização pela organização no processo de mudança. Apesar da desmotivação geral, existem elementos que tem um efeito positivo sobre a motivação dos colaboradores, nomeadamente a comunicação e a liderança. Os resultados permitem compreender que os processos de mudança podem ser otimizados no que toca à forma como são geridos, investindo na melhoria de um conjunto de elementos de natureza extrínseca e intrínseca que podem aumentar a motivação dos colaboradores, levando a que estes participem de forma mais positiva nos processos de mudança, contribuindo como resultado para o sucesso desses processos.
The main goal of the present study was to understand, using a qualitative methodology, how organizational change processes are experienced. It is intended to understand how change processes affect the motivation of employees, identifying the main elements that have an impact on this motivation, whether positive or negative. Access to the 17 subjects included in the sample was performed using the snowball method and data collection through semi-directive interviews. The results allowed to conclude that employees, when faced with organizational changes, are not motivated. In general, employees tend to resist change from the initial phase, and resistance tends to be expressive at this stage, losing intensity over time. The lack of motivation in these processes is explained both by extrinsic aspects, and the perception of the absence of an equitable exchange ratio between effort for change and the salary earned; as by intrinsic aspects, such as the lack of recognition and appreciation by the organization in the process of change. Despite the general lack of motivation, there are elements that have a positive effect on employee motivation, namely communication and leadership. The results allow to understand that the management of change processes can be optimized, investing in the improvement of a set of elements of extrinsic and intrinsic nature which can lead to a rise in the collaborators motivation, making their participation in the change processes more positive, and contributing to the overall success of these processes.
info:eu-repo/semantics/publishedVersion
Nesheim, Astrid K. "A qualitative study on employees who have been inflicted by the adversity of continuous successful organizational change processes and downsizing in a key company now undergoing downsizing during a world economy in crisis : The effects of organizational rearrangements and downsizing in a key company." Thesis, Norges teknisk-naturvitenskapelige universitet, Psykologisk institutt, 2011. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-17333.
Full textOlsen, Lynn William. "Edge Leadership: Using Senior Leadership Perceptions to Explore Organizational Turnarounds." Antioch University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1284085292.
Full textFransson, Martin. "Självbeskrivning och tjänstekognition : Om processkartläggning på Arbetsförmedlingen." Doctoral thesis, Karlstad University, Service Research Center, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-1647.
Full textWhen duties are documented, new ideas are often created regarding how the work should be carried out. Writing is an important source of development, but unfortunately the possibilities are limited when it comes to transferring new ways of thinking to personnel. As with organizational change in general, employees tend to neglect new instructions. On the basis of their personal ways of thinking, they might find that the new order is incorrect, requires more resources, lacks contact with reality, or cannot be understood. The people who have prepared the new directives think they are surely justified and easy to understand. In their eyes, those who stick to what used to be correct and reasonable seem resistant to change.
The aim of this dissertation is to understand the influence of self-assessment on service cognition and to propose how this influence can be utilized to attain strategic aims. The term self-assessment refers here to the activity whereby employees, in a structured manner, collectively assess and document their own instructions. The concept of service cognition refers to individual employee’s conceptions on how to carry out their own tasks, on how colleagues carry out theirs, and on connections between activities in the common workflow. The object of study is self-assessment as business process modeling at the local offices of the Swedish Employment Service.
What is explored is the crass but fruitful understanding that new ways of thinking more easily arise among those who define organizational design than among those who are expected to change. Using socio-cognitive theory as well as longitudinal and extensive action research, the reasons are investigated behind the inevitable development of units which are trusted to write their own instructions and, in so doing, start to talk about the way work is done. Despite the independence needed to coordinate by consensus, it seems that the collective mind thereby induced actually enhances opportunities for central control and change: Units designing their own routines surely become better coordinated, but also more controllable and adaptive to strategic change. Furthermore, some principles are presented to support self-assessment regarding organization and change.
Izutsu, Roman. "Příčiny častého neúspěchu v prosazování kaizenu u českých zaměstnanců." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-17203.
Full textViktorsson, Marcela Elizabeth. "Why change implementation failed in a continuously changing organization. : A case study of a governmental organization." Thesis, KTH, Tillämpad maskinteknik (KTH Södertälje), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-148448.
Full textWilander, Mia. "Och det är motivationen i en, tror jag, som tänds av att man faktiskt gör saker gemensamt : En grundad teori om medarbetares perspektiv på delaktighet i förbättringsarbete inom grundskola." Thesis, Mittuniversitetet, Avdelningen för kvalitets- och maskinteknik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-40679.
Full textRegarding compulsory school staff’s participation in their school’s improvement activity, the area of research is thin, especially regarding research approaches which allows unconditional multidisciplinary findings. To fill this gap this study has been using Grounded Theory, with interviews, focus group interviews and observations, to achieve the purpose of this study, which was to, with an unconditionally approach, provide a new theory from an employee perspective, of employee’s participation in improvement activity, within compulsory school. More specific, this meant investigating the factors that influence compulsory schools staff participation in their work of improvement. It also included examining possible correlations between these factors, as well as how these possible correlations affect compulsory school staff's participation in their improvement activities. The findings showed that prerequisites need to be met to improve the probability of employees participating in work of improvement. The kind of leadership practiced also have great impact. However, employees can develop both negative and positive attitudes towards change if the prerequisites are not met, in part depending of their personality traits, which also determine their needs as well as how they need to be matched up with co-workers. Leaders therefore need to take personality traits into consideration regarding both needs of the employees and team composition. Furthermore, the phenomenon of teamwork has, as the result shows, a greatly positive impact on compulsory school staff’s participation in improvement activities. With these findings this study recognizes established theories and previous research, as valid even within the domain of compulsory school.
2020-06-26
Cho, Richard S. 1976. "Building a continuum of care through boundary spanning and organizational change : corrections and HIV/AIDS supported housing in Massachusetts." Thesis, Massachusetts Institute of Technology, 2000. http://hdl.handle.net/1721.1/65256.
Full textIncludes bibliographical references (leaves 103-105).
In the current context of federal devolution, practitioners in supported housing systems and other diverse organizational contexts increasingly face the challenge of fostering coordination and managing conflicts of values and perspectives within organizations tied together in networks. Such coordination is problematic, just as conflicts are inevitable, within such networks and other inter-organizational systems because of the historically evolved structures and specialization of organizations. These specialized structures or 'domains' imply certain boundaries defining what activities can be considered internally coherent and consistent with organizational goals. Yet it is too often the case that these structures are "incomplete" in fulfilling all of society's needs. In situations where this is the case, "'gaps" can be said to exist between the domains of two organizations, and can have serious consequences for individuals and communities proximate to them. In this light, homelessness as a result of de-institutionalization, or unemployment among post-secondary school youth, may be seen as social problems generated by structural gaps between organizational domain boundaries. Solving these problems, I argue, requires that practitioners undertake roles in their own organizations that are 'boundary spanning.' Boundary spanning becomes a means of building ties across vast inter-organizational distances, inventing programmatic solutions to structural problems, and creating organizational change. In this thesis, I examine organizational change as it occurred within a specific interorganizational network of providers and institutions: a continuum of care for ex-offenders living with HIV/AIDS in Massachusetts. The case presented here is one in which I am both an observer/researcher and a practitioner. Reflecting upon the activities of myself and others working to expand access to HIV/AIDS supported and other housing opportunities, I analyze the attributes of our boundary spanning roles as examples of successful practice in creating organizational change towards our goal of homelessness prevention among ex offenders living with HIV/AIDS. From these attributes emerges a theory of practice for boundary spanning towards organizational change.
by Richard S. Cho.
M.C.P.
Barnes, Cynthia A. "A Case Study on Learning Transfer in a Social Service Organization." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5161.
Full textEidolf, Jenny. "Psykologisk trygghet som möjliggörare för att vara i ständig förnyelse : Hur byggs kapacitet i en organisation för att möta kraven i en komplex, oförutsägbar och snabbföränderlig omvärld?" Thesis, Mittuniversitetet, Avdelningen för kvalitets- och maskinteknik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-40646.
Full textVUCA is the term used to describe the complex, uncertain and rapid changing world we live in today. Often it is described as a new paradigm with needs for new management models to continue to be successful. In order to be able to meet the new requirements, organizations need to develop ability to smoothly adapt to change, constantly work with improvement and development to increase their power to innovate. Psychological safety is a phenomenon that got more attention in business and research in recent years, due to its high correlation to the ability of individuals and teams to face change and to be high performance units. Psychological safety is a shared belief held by members of a team that the team is safe for interpersonal risk taking. The purpose of this thesis was to contribute with knowledge about how companies work to build capacity in organizations to meet the requirements of VUCA, as well as understanding how psychological safety can be an enabler in this work. A qualitative interview study was conducted with six interviews at two larger organizations. The result of the study highlights six important focus areas for being in continuous renewal and successfully meeting the new requirements. These six focus areas are described as follows: Storytelling - “why” as an enabler for motivation and meaning, Ability to learn - curiosity as an enabler for innovation, Leadership behaviours - to be a role model as an enabler for behaviour change, People centric approach - self-awareness as an enabler for self-leadership, Ownership - autonomy as an enabler for responsibility and empowerment and “Way of working” - trust the process as an enabler for structure and endurance. The study further shows that there is a strong link between psychological safety and the six focus areas. Psychological safety is an enabler to build capacity in these areas. The focus areas contribute in return to increase psychological safety and at the same time support the ability to meet the complex, uncertain and rapidly changing world.
2020-11-26
Göthe, Melanie, and Carola Andersson. "Erfarenhetsåterföring i projekt inom LKAB Södra samt kommunikation gällande förändringar uppkomna till följd av projekt." Thesis, Uppsala universitet, Institutionen för teknikvetenskaper, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-385634.
Full textThe purpose of this degree project was to develop and improve two earlier identified areas within LKAB in which there was potential for improvement. Thiswas done by the use of earlier acquired and newly obtained knowledge. To ensure that the purpose of this degree project was fulfilled two questions was designed: “How can the organization’s knowledge management improve?” and “How can the organization’s communication to employees affected by changes resulting from projects improve”. When the degree project was initiated there was no structured way of work for knowledge management nor was there any guidelines concerning how this type of communication was to be executed. Literature studies were accomplished by the use of already obtained course literature, libraries and databases. Data was collected through semi-structured interviews with six subjectively selected employees within the organization. The collected data was mapped out and categorized with the use of a template. The results showed thatthe majority of the employees saw multiple flaws within the identified areas and wished for improvement. The tiny part of the knowledge management that was structured was the one within the final project reports. The shared knowledge within the project reports was very thin and not always helpful for others as well as hard to find due to the reports not being searchable by the use of key words. The employees had many suggestions regarding how the knowledge managementcould improve. These included adding a search function, more structure andspecial gatherings for sharing knowledge only. Regarding the communication surrounding changes resulting from projects it was said that it varies and as far asthe employees knew there was no policy or guidelines to follow. All employees preferred verbal communication when being informed about changes that would affect their daily work but also shared that information often came to them through their intranet Arena or e-mail. The conclusions drawn from this was that structural improvements was needed in both areas, improvements must be established amongst the employees and a better understanding for the profits made possibleby the implementation of these improvements must be acquired. To improve the knowledge management the final project reports must be searchable, knowledge must be documented continuously throughout the project, project reports must be transferred in the event of a change of archive structure, the contents mustspecified and include both hard and soft topics and lastly the avail of knowledge management must be established amongst the management as well as theemployees and seen as a natural part of the project delivery. To improve the communication to employees affected by changes resulting from projects a communication policy must be established, the communication plan within projects must be based on a thorough stakeholder analysis, the communication should be verbal and a deeper understanding regarding how communication becomes a powerful tool must be obtained.
Blaise, Pierre J. "Culture qualité et organisation bureaucratique, le défi du changement dans les systèmes publics de santé: une évaluation réaliste de projets de qualité en Afrique." Doctoral thesis, Universite Libre de Bruxelles, 2004. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/211123.
Full textDepuis une quinzaine d'années en Afrique, cercles de qualité, audits cliniques, cycles de résolution de problèmes et autres 'projets qualité' ont été mis en oeuvre dans les services publics de santé pour améliorer la qualité des soins. Ces projets ont souvent mis l'accent sur des approches participatives, la résolution locale de problèmes et le changement, bousculant les pratiques managériales traditionnelles. A court terme, les évaluations montrent l'amélioration des résultats de programmes ou d'activités. Mais la pérennité de la dynamique reste largement à prouver. Le véritable aboutissement d'un programme d'assurance qualité devrait être apprécié à l'aune de sa capacité à mettre la préoccupation pour la qualité au cœur du management et du fonctionnement du système, et ce de façon continue. C'est en effet la vision moderne de l'assurance qualité déclinée dans les approches du management de la qualité totale, de l'amélioration continue de la qualité ou de l'organisation apprenante.
Méthode
La définition, la mesure et le management de la qualité en santé se révèlent être beaucoup plus qu'une simple procédure technique: c'est un processus social dans un système complexe dont l'étude requiert une approche méthodologique appropriée (Chapitre 1). Notre objectif est d'explorer dans quelle mesure les projets qualité ont permis aux systèmes de santé d'adopter les principes du management de la qualité.
Nous proposons de conduire une 'évaluation réaliste' de projets qualité en Afrique (Chapitre 2). Conceptualisée par Pawson et Tilley (1997) dans le domaine des sciences sociales, l'évaluation réaliste ('realistic evaluation') est une approche méthodologique de la famille des theory based evaluations. Au-delà du constat d'un effet produit par une intervention, l'évaluation réaliste cherche à comprendre ce qui marche, pour qui, dans quelles circonstances et comment. Alors que les résultats issus de la 'grounded theory', de la recherche action et d'autres méthodes de recherche sur les systèmes de santé restent très liés à un contexte, l'évaluation réaliste génère des théories intermédiaires ('middle range theories') qui permettent d'étendre la validité des interprétations au-delà d'un contexte particulier. Construite autour d'études de cas menées dans des contextes multiples et variés, l'évaluation réaliste met en effet l'accent sur l'interaction entre le contexte et la logique d'une intervention.
Résultats
Afin de construire une théorie initiale, nous comparons les systèmes de santé Européens et Africains à l'aide des configurations organisationnelles de Mintzberg (chapitre 3). Nous mettons ainsi en évidence le rôle joué par la nature bureaucratique ou professionnelle de la configuration des organisations de santé dans les résistances à l'introduction des principes du management de la qualité.
Nous menons ensuite une série d'études de cas au Niger, en Guinée, au Maroc et au Zimbabwe pour étudier cette interaction. Dans une première série comparative de trois études de cas (Chapitre 4), nous mettons en évidence la tension qui existe entre la logique de commande et de contrôle des organisations bureaucratiques et la logique de l'assurance qualité valorisant la prise d'initiative de changement par des équipes non hiérarchisées. Nous explorons ensuite cette tension dans trois études de cas distinctes au Zimbabwe et au Maroc. Laissées à la merci des contraintes bureaucratiques, les initiatives locales pour améliorer la qualité apparaissent dépendantes de la capacité des acteurs à développer des stratégies de contournement (Chapitre 6). Faute de quoi elles doivent réduire fortement leurs ambitions à moins qu'elles ne bénéficient d'un soutien émanant d'une institution située hors de la ligne hiérarchique mais reconnue légitime (Chapitre 5). Les systèmes publics de santé de ces pays, conçus comme des organisations bureaucratiques structurées autour de relations hiérarchiques de commande et de contrôle tolèrent une démarche qualité, valorisant l'innovation, la créativité, la prise d'initiative locale et le travail en équipes non hiérarchisées, à la condition qu'elle se déroule à l'abri d'un projet. Force est de constater que ces dimensions clé de la culture qualité n'ont pas fondamentalement ni durablement imprégné des pratiques de management restées bureaucratiques. L'émergence d'une véritable 'culture qualité', un produit attendu de l'introduction de projets qualité, ne semble pas s'être produite au niveau organisationnel (Chapitre 7).
Nous procédons ensuite à la synthèse 'réaliste' de l'ensemble de nos études de cas (Chapitre 8). Nous en tirons les leçons sous la forme d'un enrichissement progressif de notre théorie initiale. Nous pouvons alors formuler une théorie améliorée, toujours intermédiaire et provisoire, dérivée de nos théories intermédiaires successives.
Discussion
Notre discussion s'organise autour de deux thèmes (chapitre 9).
Dans une première partie, nous discutons le potentiel et les limites de nos résultats et de l'approche réaliste de l'évaluation. Nous montrons que nos résultats sont des théories provisoires et incomplètes, deux caractéristiques d'une middle range theory. En dépit de ces limites, l'approche réaliste est potentiellement très riche pour interpréter les effets d'interventions dans des systèmes complexes. Elle se situe dans une perspective d'aide à la décision pour orienter l'action sur le terrain plutôt que dans une perspective de genèse de lois universelles. Elle représente une avancée méthodologique particulièrement pertinente pour la recherche sur les systèmes de santé dans un monde turbulent où de multiples initiatives se télescopent.
Dans une deuxième partie, nous discutons les conséquences de nos résultats pour le futur de l'assurance qualité dans les systèmes de santé. Les projets qualité étudiés ne parviennent pas à changer une culture organisationnelle bureaucratique qui compromet pourtant leur pérennisation. Nous envisageons alors les stratégies susceptibles de permettre à la culture qualité de s'épanouir et au contexte organisationnel d'évoluer en conséquence. Décentralisation et nouveau management public, en vogue hier et aujourd'hui, montrent leurs limites. Il faut probablement trouver un équilibre entre trois idéaux-types décrits par Freidson: l'idéal-type bureaucratique, malmené par les stratégies de débrouille locale, l'idéal-type du marché, valorisant l'initiative, et l'idéal-type professionnel, émergent mais encore embryonnaire en Afrique. Finalement, à côté des mécanismes du contrôle et de la compétition, un troisième mécanisme régulateur devrait prendre toute sa place: la confiance.
Introduction
For nearly two decades in Africa, quality circles, clinical audits, problem solving cycles and other quality projects have been implemented in public health services to improve quality of care. Challenging traditional managerial practices, these projects usually emphasized participatory approaches, local problem solving and change. At short term, evaluation shows improvement in programs and activities output. However the capacity to put quality at the heart of system's management should be considered as the genuine achievement of a quality assurance program. Did quality projects contribute to the adoption of quality management principles by health systems ?This is the question addressed in the present thesis.
Method
Our methodology belongs to the realistic evaluation paradigm conceptualized by Pawson and Tilley and focuses on the interaction between an intervention mechanism and its context in order to understand what works, for whom, in what circumstances and how ?Based on case studies in various contexts in Niger, Guinea, Morocco and Zimbabwe, we build a middle range theory, that explains organizational behavior towards quality management.
Results
Based on Mintzberg's models, we show the role of health care organizational configuration in resisting to quality management principles. We then explore the tension between the bureaucratic organization's command and control approach and the quality assurance approach promoting initiative and change through team work. Local initiative had to develop coping strategies to overcome bureaucratic constraints. Failing to do so, ambitions had to be reduced unless there was support from an external, yet legitimate institution. Public health systems of these countries, structured as command and control hierarchical organizations, allowed innovation, creativity, local initiative and non hierarchical relationships as long as they developed within the boundaries of a project. However, these key characteristics of a quality culture did not permeate routine management. The quality culture shift expected from quality projects does not seem to have happened at organizational level.
Discussion
We first discuss the potential and limitation of realistic evaluation which appear particularly relevant for complex health systems research. We then discuss consequences of our results on the future of quality assurance in health systems. Since quality projects fail to transform a bureaucratic organizational culture, which in turn undermines their sustainability, alternative strategies must be sought to promote quality culture and relevant organizational change. Decentralization and new public management show their limitations. We suggest a balance between three ideal-types described by Freidson: The bureaucratic ideal-type, challenged by local coping strategies, the market ideal-type, which is fashionable today and promote initiative, and the professional ideal-type, emerging and promising, yet still embryonic in Africa.
Doctorat en Sciences de la santé publique
info:eu-repo/semantics/nonPublished
Pietilä, H. (Heli). "Strategiatyöhön osallistuminen:strategistit ja strategiaselviytyjät." Doctoral thesis, Oulun yliopisto, 2015. http://urn.fi/urn:isbn:9789526209609.
Full textTiivistelmä Tämän tutkimuksen tavoitteena on lisätä ymmärrystä siitä, millaiseksi strategiatyöhön osallistuminen määrittyy, kun sitä tarkastellaan toisaalta organisaation hierarkian jäsenyytenä ja toisaalta organisaation strategiadiskurssin subjektiviteetteina. Tutkimus kiinnittyy organisaatiotutkimuksen näkökulmasta strategy-as-practice (SasP) -kenttään tarkastellessaan strategiatoimijuutta osallistumisena strategiakäytäntöön, mutta valitsee kuitenkin kriittisen tarkastelukulman siihen, että strategiatyö kuuluisi vain johdolle. Tämä tutkimus perustuu haastatteluihin, joissa kartoitettiin strategiatyöhön osallistumisen kokemuksia kuntaorganisaatiossa. Yksi tutkimuksen havainnoista oli, että strategisen suunnittelun ja päätöksenteon tapahtuessa suhteellisen kaukana työn arjesta organisaatiossa näytti muodostuvan kaksi erilaista strategiamaailmaa: konseptuaalinen ja käytännöllinen. Konseptuaalisen strategiamaailman hyvässä tarkoituksessa tekemät strategiset linjaukset edellyttivät usein käytännöllisen strategiamaailman toimijoilta erilaisia selviytymismekanismeja ja selviytymisstrategioita. Lisäksi strategiatradition näkemys strategiasta johdon suunnitelmana näytti johtavan jakoon strategiasubjekteihin ja strategiaobjekteihin sekä osallistujiin ja osallistettaviin. Subjektiviteettien osalta jako ei kuitenkaan ollut näin dikotominen, vaan yksilöt liikkuivat dynaamisemmin strategiadiskurssissa tunnistettujen subjektiviteettien välillä. Näitä strategiakäytännössä ja strategiadiskurssissa muotoutuvia asemointeja ja subjektiviteetteja tutkittiin diskurssi- ja positiointianalyysia hyödyntämällä. Tutkimuksessa avataan keskustelua myös siitä, kuinka strategistin toimijuus voitaisiin nähdä strategiakäytännöissä määrittyvänä sen sijaan, että se määrittyy hierarkkisen aseman myötä tulevana oletuksena. Tällöin strategiaan osallistumista tarkastellaan organisaatiokansalaisuuteen liittyvänä toimijuutena ja strategia nähdään jatkumosta, epäjatkuvuuskohtiin havahtumisesta ja epäjatkuvuuskohtiin liittyvistä muutoksista muodostuvana kokonaisuutena
Zamith, José Luis Cardoso. "Gestão de riscos e prevenção de perdas: um novo paradigma para a segurança nas organizações." reponame:Repositório Institucional do FGV, 2006. http://hdl.handle.net/10438/3395.
Full textThis study analyzes the possibility of organizational change in the security activity in organizations, assuming a new paradigm: management of risks and loss prevention. Based in this, two different analytical problems had structuralized the research: A) To demonstrate the absence of an activity regulated between the public and private security, presenting as it is played and justifying by means of historical and methodological aspects the responsibility of the actors on the losses generated for the current form of management; B) the challenge of the management of risks and loss prevention, leaving of the estimated one that the acceptability of treatment of the risks is based not only by the evaluation technique, but mainly in the involved intuitive aspects in the decision made. In general lines, the intention to carry through a theoretical quarrel and an analysis of the speech of controllers of organizations, to the end, is to arrive at the conclusion of that if it cannot more admit the different sides of security and a bigger universe, where if does not have to look for to only decide the urgent problem, but also to participate and to contribute in the life of the organization, by means of a cycle of accompaniment of risks based in preventive activities. Moreover, a new involved approach in the process of understanding of the heuristically ones of the organization brings the possibility of uneven benefits in that it concerns to provide actions that if locate inside of one continuum, whose extremities are in playing activities with a maximum degree of risks displaying the life of the organization the concretion of a starter fact of damages and keeping the activity end of the organization stopped in the search of a degree of risk next to zero.
Esta dissertação analisa a possibilidade de mudança organizacional na atividade de segurança dentro das organizações, assumindo um novo paradigma: gestão de riscos e prevenção de perdas. Baseado nisto, dois diferentes problemas analíticos estruturaram a pesquisa: A) Demonstrar a ausência de uma atividade regulamentada entre a segurança pública e privada, apresentando como é desempenhada e justificando por meio de aspectos históricos e metodológicos a responsabilidade dos atores sobre as perdas geradas pela atual forma de gestão; B) O desafio da gestão de riscos e prevenção de perdas, partindo do pressuposto que a aceitabilidade de tratamento dos riscos é fundamentada não somente pela avaliação técnica, mas principalmente nos aspectos intuitivos envolvidos na tomada de decisão. Em linhas gerais, a intenção de realizar uma discussão teórica e uma análise do discurso de dirigentes de organizações, ao final, é chegar à conclusão de que não se pode mais admitir a atividade de segurança dissociada de um universo maior, onde não se deva procurar apenas resolver o problema emergencialmente, mas também participar e contribuir na vida da organização, por meio de um ciclo de acompanhamento de riscos pautado em atividades preventivas. Além disso, um novo enfoque envolvido no processo de compreensão das heurísticas da organização traz a possibilidade de benefícios ímpares no que concerne a prover ações que se posicionem dentro de um continuum, cujos extremos estão em desempenhar atividades com um grau máximo de riscos expondo a vida da organização à concretização de um fato originador de danos e manter a atividade fim da organização estagnada na busca de um grau de risco próximo de zero.
Cândido, João Carlos da Luz. "A CAF como instrumento de mudança : a aplicação do modelo Common Assessment Framework na Direção de Apoio Social da Marinha." Master's thesis, Instituto Superior de Economia e Gestão, 2014. http://hdl.handle.net/10400.5/8281.
Full textO presente trabalho tem como desígnio iniciar a fase de diagnóstico previsto no Modelo de Estrutura Comum de Avaliação na Direção de Apoio Social da Marinha Portuguesa nos critérios liderança, planeamento estratégico, pessoas e seus resultados e verificar a utilização deste modelo como instrumento de mudança. A metodologia empregue de intervenção organizacional teve em vista a implementação de mudança planeada na organização em causa, tendo sido utilizadas, para o efeito, várias técnicas de recolha de dados, designadamente, a entrevista semiestruturada, com o intento de compreender a situação real da Direção de Apoio Social, a análise documental e os questionários realizados aos colaboradores desta direção. De igual modo os dados recolhidos durante a autoavaliação efetuada constituem-se também como parte do diagnóstico organizacional efetuado, seguindo uma metodologia da mudança planeada. Com base na informação recolhida através das várias técnicas utilizadas é apresentado um plano de melhorias ao nível dos critérios estudados com as áreas de ação e ações a desenvolver que se crê que vão contribuir para a melhoria dos serviços prestados pela Direção de Apoio Social da Marinha Portuguesa.
The main goal of the presented assignment is to start the diagnostic phase in the model of common assessment framework applied to the Social Support Board of Portuguese Navy in what concerns the leadership criteria, strategic planning, people and their results and check the use of the model as a changing instrument. The methodology for organizational intervention was applied in order to implement a planned changing in this organization, so many techniques of collecting data were used, namely a semi-structure interview so that the real situation of the Social Support of the Board could be understood, the documental analysis and the questionnaires to the employees of this direction. The collected data during the self ? assessment constitutes an organizational diagnosis as well and it also follows the planned changing methodology. Based on gathered information obtained through various techniques, an improvement plan is performed, following the studied criteria with the action area or the actions to be developed which, we believe, will lead to the improvement of the Social Support Board of Portuguese Navy performance.
"Exploring the experience of organizational transformation: Contrasting episodic change with continuous change." REGENT UNIVERSITY, 2008. http://pqdtopen.proquest.com/#viewpdf?dispub=3292263.
Full textHsu, Jui-Yuan, and 徐瑞源. "An Explorative Case Study on Organizational Change and Continuous Growth." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/u42gm4.
Full text國立臺灣大學
國際企業管理組
105
Constant changes due to internal and external environment brings up needs for organizational change. Facing both challenges and opportunities, companies have to adjust itself through redirecting strategy, calibrating organization structure in order to maintain continuous growth. The main purpose of this thesis is to explore some of practical managerial measures adopted in the process of organizational changes through an in-depth case study on a trouble-making department within the context of a large established corporation. There are many factors causing organization change failure; for example, organization structure, communication, people mindset, attitude, role and response…etc. One of the critical task for managers during change process is to align goals and interests between employees and the organization. By redefining performance contents in terms of hard measures and attitude and behaviors, change managers are able to ensure new strategies can be executed in an aligned and systematic manner. In order to further enhance organization performance, organization changes usually adopt performance management tools in different forms of score cards, which connect personal outcomes with the overall organization. The present thesis undertakes an in-depth case study based on a notebook computer business unit of a large power supply company (D Corp.). Due to a very significant quality failure occurred in the year of 2000, the case company decided to re-organize various business units that have engaged in designing and manufacturing notebook computers into one unified unit. Different culture and management style of these re-organized units were then potentially conflicting and organizational tension occurred accordingly. This induced high employee turnover rate in the following years. After a series of change efforts, the focal business unit was then recovered with expected performance and eventually sustained continuous growth. Based on the case exploration, we synthesize findings into the CSOP framework, i.e., Culture, Strategy, Organization, and People. Discussion on the findings and managerial implications are also provided.
Repenning, Nelson. "Meanings, Measures, Maps, and Models: Understanding the Mechanisms of Continuous Change." 2000. http://hdl.handle.net/1721.1/3805.
Full textMIT Center for Innovation in Product Development under NSF Cooperative Agreement Number EEC-9529140
Rodrigues, Carlos Alexandre Pinto. "Model to assess organizational readiness for a continuous improvement culture: The case of Rangel." Master's thesis, 2020. http://hdl.handle.net/10071/21674.
Full textAo longo dos anos, tem existido um número crescente de empresas que tentam criar uma cultura de melhoria contínua entre os seus funcionários devido às suas vantagens. Este tipo de mindset permite às empresas reduzir os seus custos, aumentar a sua eficiência e melhorar a qualidade dos seus produtos (Kasivisvanathan & Chekairi, 2014). Infelizmente, bastantes empresas têm falhado ao implementar este tipo de mudança organizacional devido ao facto de não considerarem a complexidade do fator humano (Almanei, Salonitis, & Tsinopoulos, 2018). Com quase quatro décadas no mercado, a Rangel é atualmente uma referência nacional no que diz respeito a fornecer soluções logísticas com padrões de excelência. A Rangel desenvolveu um modelo Lean, mas deparou-se com algumas dificuldades ao implementá-lo. Isto deveu-se à falta de preparação para implementar esta mudança organizacional. Assim, o principal objetivo deste projeto passa por encontrar a melhor forma de a Rangel implementar este modelo e estabelecer uma cultura de melhoria contínua na empresa. Este projeto teve lugar num dos clientes da Rangel, a Tabaqueira, a maior produtora de tabaco em Portugal. Aqui a Rangel é responsável pela maioria dos processos logísticos internos. Este projeto começou pela definição da área de melhoria contínua da Rangel e posteriormente avaliou-se a empresa relativamente à sua preparação para implementar Lean. Esta avaliação foi feita através de um questionário aos colaboradores. Assim, oportunidades de melhoria foram identificadas no sistema da empresa para que posteriormente fosse possível propor medidas para apoiar a Rangel nesta mudança organizacional.
Ribeiro, Célia Margarida Pinheiro. "Mudança organizacional e sistemas de informação na saúde." Master's thesis, 2009. http://hdl.handle.net/10071/1678.
Full textConsidering changes in work environment and the technological revolution of the last decade, it’s imperative for organizations to become more competitive in a sustainable way, perfecting the quality of its management aiming to continuous improvement of its performance. Literature and several organizational experiences have showed that successful changes depend mostly on the model used to its implementation. This study pretends to introduce a reference model to allow organizations to implement initiatives of quality improvement of its processes subjects to change. The selection of a healthcare centre and in particular the circuit of primary health care / general practice for the purpose of this study is related to the relevance that these healthcare centers have today in Portugal. Today, they are the bases of national healthcare system. The model shows the relationship between the implementation of information system (IS) and processes of organizational change. In order to increase the quality of services provided by a healthcare center it’s necessary to optimize the circuit of primary health care / general practice. This change base on IS will only succeed if the entire organization gets involved on the process of change. The organization state of the healthcare center was studied using the following instruments: Leadership and Culture from Quinn; FMEA and Stream Analysis from Jerry Porras. It can be inferred that there are opportunities of change and these can be achieved or enhanced through the implementation of new processes. The results obtained recognize that workers from the organization are searching for innovation and initiative spirit that can be reflected on quality improvement results. Organizational change will occur starting on people and not on technology.
Carvalho, Sara Isabel dos Santos. "Projecto de formação profissional numa empresa cimenteira:concepção e organização da formação." Master's thesis, 2008. http://hdl.handle.net/10071/12423.
Full textO presente projecto incide sobre a criação de um plano de formação estratégico de suporte à internacionalização de uma Empresa Portuguesa para o mercado angolano pela construção de uma nova fábrica de cimento – L.A. A viabilidade da construção desta nova fábrica foi positivamente influenciada pelo enquadramento macroeconómico do país, assente na crescente procura de materiais de construção, mas negativamente afectado pelos constrangimentos estruturais que bloqueiam a oferta, mais concretamente na disponibilidade de Recursos Humanos com formação adequada. Neste sentido, foram criados sete programas de formação continuada para os diferentes grupos funcionais Quadros Superiores, Chefias e Operacionais. A metodologia utilizada teve um carácter essencialmente qualitativo, compreendendo, análise documental, observação in loco, observação da realidade das fábricas portuguesas, bem como de outras experiências de internacionalização do Grupo e relatos de especialistas da Empresa. Este projecto encontra-se estruturado em três partes. Na primeira parte, contextualiza-se o projecto descrevendo o macro projecto de construção da nova fábrica de Cimento L.A.. Na segunda parte encontra-se uma revisão de literatura sobre a formação profissional no desenvolvimento das organizações. Na terceira parte, descreve-se a cultura formativa da Empresa em questão e apresentam-se os programas de formação continuados para Quadros Superiores, Chefias e Operacionais.
This project focuses on the creation of a training strategic plan as support of the internationalization of a Portuguese Company for the Angolan market by building a new cement plant – L.A.. The feasibility of building this new plant was positively influenced by the country's macroeconomic framework, based on the increasing demand for building materials, but adversely affected by structural constraints that block the bid, specifically the availability of Human Resources with adequate training. In this sense, seven programs of Continuous Training for the different functional groups Higher Technicians, Chiefs and Operational were created. The methodology was essentially qualitative, containing documentary analysis, on-site observation, Portuguese plants reality and other internationalization experiences of the Group analysis and reports of specialists of the Company. This project is structured in three parts. In the first one, the project is contextualized by describing the macro project for the construction of new cement plant. The second one focuses a review of literature regarding vocational training in the development of organizations. In the last one, a description of Company’s training culture and a presentation of the continuing training programs for Higher Technicians, Chiefs and Operational were done.
Carlier, Patricia. "Déconstruction et reconstruction des communautés de pratique dans les organisations de santé professionnelles : le cas des fusions d'hôpitaux universitaires." Thèse, 2009. http://hdl.handle.net/1866/3040.
Full textThis study, which draws on the situated action approach, aims to understand the (re)construction of communities of practice (CoPs) in the context of a hospital merger. Combining documentary sources, semi-open ended interviews and observations data, the analysis strategy is twofold. A first method takes into account the merging process itself and the situation of action in time and place. A second method is guided by grounded theory as data are continuously categorized and compared throughout the data collection phase. Within this perspective, where the notion of process is a key figure, we have identified, in link with current literature, interrelated characteristics, such as mutual engagement, a joint enterprise, shared repertoire that intervene in the reconstruction of a community of practice (CoP). Our analysis points to the action domain as the common denominator of community practices, domain where tacit and explicit knowledge tend to converge in time. This shared practice, eminently social in nature, generates knowledge and negotiated rules that are upheld by its members within the framework of their meetings. This perspective has also brought forth how communities of practice take shape within processes of continuous learning that combine phases of intense participation that favor a shared understand of the action domain and the reification of their representations. In this specific study, the participation/reification dialectic reveals a “making sense” process where meaning of action and social regulation are intricately linked. Nevertheless, the resulting social regulation does not de facto, imply the encounter of a shared regulation. Rather, our results reveal an ensemble of regulations, sometimes concurrent, sometimes in equilibrium, in relation of the context within actors are situated. These findings on the dynamics of the reconstruction of communities of practice offer a new way of thinking changes within organizations such as the hospital, not only in respect to strategic dimensions and changes amongst team leaders but also in taking into account the lay actors and their capacities of thinking and acting out change.
Oschman, Jacobus Johannes. "A framework for the implementation of total quality management in the South African Air Force." Thesis, 2004. http://hdl.handle.net/10500/2024.
Full textPublic Administration
DADMIN (PUBLIC ADMIN)
Masejane, Thamae Paulus. "Total quality management and organisational performance in the Maluti-A-Phofung municipality in the Free State Province." Diss., 2012. http://hdl.handle.net/10500/6045.
Full textPublic Administration and Management
(M. Admin. (Public Admin.)
Pires, João Miguel Rodrigues. "Process reengineering in an online gambling organization: an action research application in a portuguese company." Master's thesis, 2020. http://hdl.handle.net/10071/21698.
Full textA indústria de apostas online tem assistido a um crescimento exponencial nesta última década, o que tem suscitado um aumento de conteúdo académico sobre as temáticas desta indústria. Este desenvolvimento é explicado devido ao crescimento contínuo das tecnologias de informação que têm drasticamente modificado os hábitos comportamentais, promovendo o acesso às redes sociais, jogos e apostas online. Esta nova tendência tem impulsionado mudanças contínuas nos regulamentos legais que envolvem esta indústria, o que requer agilidade das empresas em se adaptarem a constantes mudanças na sua realidade e ainda assim se manterem competitivas. A reengenharia de processos compreende as principais metodologias e ferramentas para sustentar esta capacidade de adaptação das empresas no longo prazo, promovendo uma cultura de melhoria contínua. Lean desempenha um papel principal, suportando a implementação de melhores práticas nos processos, capacitando as empresas de agilidade na adaptação à mudança. O objetivo deste caso de estudo passa por ligar estes dois universos e assim perceber como uma empresa de apostas online pode redesenhar os seus processos com o objetivo de atingir a excelência operacional e melhoria contínua. Para atingir esse objetivo, este trabalho contém um suporte científico nos temas de reengenharia de processos, lean e melhoria contínua a serem considerados nas fases da metodologia que vão conduzir o caso de estudo. Este caso de estudo permite um conhecimento extensivo nas metodologias anteriormente mencionadas e como podem impactar positivamente uma indústria com características singulares como a indústria de apostas online.
Hayward, Richard Pleydell Drury. "Action research on total quality education in a South African primary school." 1998. http://hdl.handle.net/10500/16925.
Full textEducational Leadership and Management
D. Ed. (Educational Management)