Continuously stepping-back and stepping-in when incorporating lean management in emergency care - advancing a practice view on organizational reflexivity
Type
conference paper
Date Issued
2016-06-16
Author(s)
Research Team
Healthcare Excellence
Abstract (De)
Despite its increasing importance reflection in its collective notion has mainly been studied as a temporary way of actors stepping back to question their daily work and its underlying assumptions. Drawing on recent studies, we ask how reflexive practices become enduring, and integral to the ongoing organizing. Using a practice studies lens, we draw on a longitudinal case study of introducing lean management to a hospital’s pluralistic emergency care unit. Our results show the emergence of different practices of stepping-back (formalizing, empowering and listening to others) and of stepping-in (demonstrating, adding and exploring) that become part of daily organizing at the emergency care unit. As these practices form a duality over time we conceptualize organizational reflexivity as an iterative process of collectively stepping-back and stepping-in. This insight contributes to the existing debate on reflection as a collective, dialogical practice.
Language
English
HSG Classification
contribution to scientific community
Event Title
8th International Symposium on Process Organization Studies (PROS)
Event Location
Corfu, Greece
Event Date
16.-18.06.2016
Subject(s)
Division(s)
Contact Email Address
simone.gutzan@unisg.ch
Eprints ID
248660
File(s)![Thumbnail Image]()
Name
PROS2016_Gutzan&Tuckermann_Org.Reflexivity.pdf
Size
890.27 KB
Format
Adobe PDF
Checksum (MD5)
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