Abstract
This mixed-methods case study describes the experiences of a rural health organization in Canada that was a pioneer in undergoing institutionally driven radical change. This change was advocated by senior managers and physicians with the strong backing of the government. The senior managers and physicians made a strong case for the radical change and argued that a focus on efficiency and wellness would lead to improved service and quality of patient-care. However, this radical change initiative was resisted by nurses and support staff who perceived that these changes were being driven by market-based institutional logics and questioned their ethical appropriateness in a public system. They also expressed a lack of trust given the large-scale layoffs in a prior restructuring. These findings run counter to extant theory by highlighting the role of agency despite institutional pressures. Specifically, change implementers not only face the burden of justifying ethical appropriateness of institutional logics, but also are required to engage in persuasive discourse that these institutional logics protect the interests of the members.
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This research was supported by a grant from Canadian Foundation for Health Research Service. We also acknowledge the support received from several members of the Faculty of Management at the University of Lethbridge in Canada.
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Karan Sonpar is Assistant Professor of Strategy at Instituto de Empresa Business School. He earned his PhD in strategic management from University of Alberta in Canada in 2008. His current research interests include institutional theory, stakeholder theory, top managerial attention, and use of qualitative methods for theory-elaboration. His work has appeared or is appearing in publications such as Journal of Management, Human Relations, and Organizational Research Methods.
Jay M. Handelman is Associate Professor of Marketing at Queen’s School of Business. Jay’s research focuses on the cultural, institutional, and ethical aspects of branding and consumer behavior. His publications have appeared in the Journal of Marketing, Journal of Consumer Research, Journal of Retailing as well as other journals and international conferences.
Ali Dastmalchian is Professor of Organizational Analysis and Dean of the Faculty of Business, University of Victoria, Canada. His current research interests are on cross-national leadership and organizational practices, organizational change, teamworking, and organizational and HR climates. His most recent book is entitled Work Life Integration: International Perspectives on Managing Multiple Roles, Palgrave Macmillan, 2006 (co-authored with Paul Blyton, Betsy Blunsdon and Ken Reed). His publications have appeared in journals including Academy of Management Executive, British Journal of Industrial Relations, International Journal of Human Resource Management, Journal of Management Studies, Human Relations, Industrial and Labor Relations Review, and Organizational Studies.
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Sonpar, K., Handelman, J.M. & Dastmalchian, A. Implementing New Institutional Logics in Pioneering Organizations: The Burden of Justifying Ethical Appropriateness and rustworthiness. J Bus Ethics 90, 345–359 (2009). https://doi.org/10.1007/s10551-009-0045-9
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DOI: https://doi.org/10.1007/s10551-009-0045-9