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引文資料
題名:
以紮根理論探討醫院常規的形成與演化機制
書刊名:
醫護科技學刊
作者:
林秀碧
/
林美珍
/
楊仁壽
作者(外文):
Lin, Hsiu-pi
/
Lin, Mei-chen
/
Yang, Jen-shou
出版日期:
2006
卷期:
8:4
頁次:
頁259-276
主題關鍵詞:
常規
;
紮根理論
;
需要層級理論
;
體制體論
;
Routine
;
Grounded theory
;
Hierarchy of needs theory
;
Institutional theory
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
3
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
3
共同引用:0
點閱:39
本研究目的旨在以紮根理論探討醫院常規形成與演化的動因與動力。研究結果有以下幾點發現:第一,組織常規的形成可以分為來源、形成、執行與結果四個部份。常規的來源有組織內與組織外兩個構面。形成與管理者和體制規定密切相關,分為組織內「從無到有的創新」以及「執行面創造形式面」,以及組織外的「標竿學習」與「完全服膺體制規範」四種。執行是常規形式面與執行面的互動過程,有循規蹈矩、陽奉陰違、創造與修正三種互動類型。結果是執行的產出,當常規的執行面與形式面能充分契合時,對組織運作產生正面效應。反之,當兩者背離程度愈大時,常規會進行廢止或重新修正,構成常規形成與演變的交互循環。第二,常規改變的動因與動力同時受醫院組織內部與醫療體制外部兩個層次的影響。第三,「需要層級理論」可以解釋組織內部改變常規的有效作為背後的動力;「體制理論」的強制、規範與模仿則可提供體制影響醫院常規改變動力的強力註解。最後討論研究結果在理論與實務上的意涵,提供積極有效的常規管理策略供醫療實務者參考。
以文找文
This study applies grounded theory to examine the forces involved in the establishment and evolution of hospital routines. Several major findings are obtained, as follows: (1) there are four aspects to the formation of organizational routine-source, formation, execution, and result. The routine掇 resource divides into two perspectives-internal and external organization perspectives. Execution refers to the interaction between routine formation and execution. This interaction comprises three types: following rules, feigning compliance, and creating/modifying rules. The result refers to the outputs of the performative aspect, and involves a dynamic interaction between the ostensive and performative aspects. This interaction circulates routine formation and evolution. (2) The variation of hospital routine is influenced not only by internal factors, but also by external medical institutes. (3) From the perspective of Hierarchy of needs theory and Institutional theory, safety, love, membership, and the need for respect are an effective motivation for change; force, regulation, and imitation are three motive forces exerted by the institute. Finally, discussion of the results of this research has implications for both theory and practice.
以文找文
期刊論文
1.
Nelson, B. R.、Winter, S. G.(1982)。The Schumpeterian Trade-off Revisited。American Economic Review,72(1),114-133。
2.
Zucker, Lynne G.(1987)。Institutional Theories of Organization。Annual Review of Sociology,13(1),443-464。
3.
Stata, R.(1989)。Organizational Learning: The Key to Management Innovation。Sloan Management Review,30(1),64-73。
4.
Guler, I.、Guillén, M. F.、Macpherson, J. M.(2002)。Global competition, institutions, and the diffusion of organizational practices: the international spread of ISO 9000 quality certificates。Administrative Science Quarterly,47(2),207-232。
5.
Meyer, J. W.、Rowan, B.(1977)。Institutional organizations: Formal structure as myth and ceremony。American Journal of Sociology,83(2),340-363。
6.
March, James G.(1991)。Exploration and exploitation in organizational learning。Organization Science,2(1),71-87。
7.
Prahalad, Coimbatore K.、Hamel, Gary(1990)。The core competence of the corporation。Harvard Business Review,68(3),79-91。
8.
Cohen, M. D.、Burkhart, R.、Dosi, G.、Egidi, M.、Marengo, L.、Warglien, M.、Winter, S. G.(1996)。Routines and other recurring action patterns of organizations: Contemporary research issues。Industrial and Corporate Change,5(3),653-688。
9.
Edmondson, Amy C.、Bohmer, Richard M.、Pisano, Gary P.(2001)。Disrupted Routines: Team Learning and New Technology Implementation in Hospitals。Administrative Science Quarterly,46(4),685-716。
10.
Feldman M. S.、Pentland, B. T.(2003)。Reconceptualizing organizational routines as a source of flexibility and change。Administrative Science Quarterly,48(1),94-118。
11.
Cohen, M. D.、Bacdayan, Paul(1994)。Organizational routines are stored as procedural memory: evidence from a laboratory study。Organization Science,5(4),554-568。
12.
Crossan, Mary M.、Lane, Henry W.、White, Rodrick E.(1999)。An organizational learning framework: From intuition to institution。Academy of Management Review,24(3),522-537。
13.
Stene, E.(1940)。An approach to the science of administration。American Political Science Review,34(6),1124-1137。
14.
Feldman, Martha S.、March, James G.(1981)。Information in Organizations as Signal and Symbol。Administrative Science Quarterly,26(2),171-186。
15.
Huber, George P.(1991)。Organizational Learning: The Contributing Processes and the Literatures。Organization Science,2(1),88-115。
16.
Hannan, Michael T.、Freeman, John H.(1984)。Structural Inertia and Organizational Change。American Sociological Review,49(2),149-164。
17.
Maslow, Abraham H.(1943)。A Theory of Human Motivation。Psychological Review,50(4),370-396。
18.
Levitt, Barbara、March, James G.(1988)。Organizational Learning。Annual Review of Sociology,14(1),319-338。
19.
Ashforth, B. E.,、Fried, Y.(1988)。The mindlessness of organizational behaviors。Human Relations,41(4),305-330。
20.
Mishler, E. G.(1979)。Meaning in context: Is there any other kind?。Harvard Educational Review,49(1),1-19。
21.
Rowan, B.(1982)。Organization structure and the institutional environment: The case of public schools。Administrative Science Quarterly,27,259-279。
22.
Tranfield, D., Duberley, J., Smith, S., Musson, G.,、Stokes. P.(2000)。Organizational learning - its just routine。Management Decision,38(4),253。
圖書
1.
Greve, Henrich R.(2003)。Organizational Learning from Performance Feedback: A Behavioral Perspective on Innovation and Change。Cambridge:Cambridge University Press。
2.
Simon, Herbert A.(1981)。The Sciences of the Artificial。MIT Press。
3.
Glaser, B. G.、Strauss, A. L.(1967)。Grounded Theory。New York:Aldine。
4.
Simon, H. A.(1945)。Administrative behavior。New York, NY:Free Press。
5.
Giddens, Anthony(1984)。The Constitution of Society: Outline of the Theory of Structuration。Cambridge:Polity Press。
6.
Bourdieu, Pierre、Nice, Richard(1977)。Outline of a Theory of Practice。Cambridge:Cambridge University Press。
7.
Miles, Matthew B.、Huberman, A. Michael、Newman, G.(1994)。Qualitative data analysis: an expanded sourcebook。Sage Publications。
8.
March, James G.、Simon, Herbert A.(1958)。Organizations。John Wiley & Sons, Inc.。
9.
Nonaka, Ikujiro、Takeuchi, Hirotaka(1995)。The knowledge-creating company: How Japanese companies create the dynamics of innovation。Oxford University Press。
10.
Strauss, Anselm Leonard、Corbin, Juliet M.、吳芝儀、廖梅花(2001)。質性研究入門:紮根理論研究方法。濤石文化事業有限公司。
延伸查詢
11.
Maslow, Abraham H.(1954)。Motivation and Personality。Harper & Row。
12.
Argote, Linda(1999)。Organizational Learning: Creating, Retaining and Transferring Knowledge。Kluwer Academic。
13.
Bourdieu, Pierre、Nice, Richard(1990)。The Logic of Practice。Stanford University Press。
14.
徐宗國(2005)。質性研究概論。台北:巨流。
延伸查詢
圖書論文
1.
Ilgen, Daniel R.、Hollenbeck, John R.(1991)。The Structure of Work: Job Design and Roles。Handbook of industrial and organizational psychology。Palo Alto, CA:Consulting Psychologists Press。
2.
DiMaggio, Paul J.、Powell, Walter W.(1991)。The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields。The New Institutionalism in organizational Analysis。Chicago:University of Chicago Press。
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