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Culture as a predictor of resistance to change: A study of competing values in a psychiatric nursing context

Journal article
Authors Catrin Johansson
Sture Åström
Anders Kauffeldt
Lars Helldin
Eric Carlström
Published in Health Policy
Volume 114
Issue 2-3
Pages 156-162
ISSN 0168-8510
Publication year 2014
Published at Institute of Health and Care Sciences
Pages 156-162
Language en
Links dx.doi.org/10.1016/j.healthpol.2013...
Keywords ICF, Organizational culture, Psychiatry, Resistance to change, Sweden
Subject categories Psychiatry, Nursing

Abstract

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. © 2013 Elsevier Ireland Ltd.

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