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The double spiral of change—experiences of privatization in a Swedish hospital
✍ Scribed by Agneta Kullén Engström; Runo Axelsson
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 96 KB
- Volume
- 25
- Category
- Article
- ISSN
- 0749-6753
- DOI
- 10.1002/hpm.968
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
ObjectivesPrivatization is a trend in countries with a public health system. It involves organizational change, a cultural transformation and changes for the employees as well as a more strictly controlled work. The objective of this study is to describe, analyse and interpret how privatization is perceived by the employees of a health care organization in Sweden.
Methodology In‐depth interviews have been performed with physicians, paramedics, secretaries, nurses, assistant nurses and local managers, in all 14 respondents, after a private entrepreneur had taken over the management of a hospital. The interviews were tape‐recorded and have been analysed and interpreted following a grounded theory approach.
Findings The transcribed interviews show that trust is a core category and linked with emotions, commitment and security. The analysis shows that employees' experience of privatization within a health care organization differs and is full of nuances and complexities.
Conclusion A simultaneous virtuous and a vicious circle of experiences and reactions may describe how employees experience privatization. It can also be concluded that leadership is an important factor in the success of organizational change. Copyright © 2010 John Wiley & Sons, Ltd.
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