Crisis lessons
Noura Zaghmouri11noura.zaghmouri@univ-reims.fra*
a University of Reims Champagne-Ardenne, France
AcknowledgmentsEthic statement - Not applicableConflict of interest statementThere are no conflicts of interest for specific or individual authors.
Abstract
Organizational transformation is a multifaceted process that involves
altering an organization’s structure, culture, processes, systems, and
strategies to better adapt to internal and external changes. This
transformative process is characterized by interprofessional
interactions that aim to foster collective dynamics. The likelihood of
organizational transformation failure is considerable, especially in
pluralistic organizations. Our study’s research question centered on the
interactional mechanisms that come into play in the dynamics of
organizational transformations within hospitals during a health crisis,
treating the crisis as a valuable learning opportunity. Following a
six-month period of observation, 28 semi-structured interviews were
conducted between September 2021 and December 2022 with various
professionals from different hierarchical levels and professional
categories in two French hospitals. The research emphasizes the
mechanisms that facilitate the development of a social structure and
social systems in pluralistic organizations and govern individual and
collective actions that regulate the process of organizational
transformation.
Keywords
Organizational transformation – Pluralistic organization – Multi level
approach – Processual approach - Structuration theory
Highlights
- The process of organizational transformation is forcing an upheaval in
the hospital’s social systems, based on delegation of power and
professional autonomy.
- The process of organizational transformation within pluralistic
organizations requires a modification of rule definitions based on the
combined expertise of professionals.
- The delegation of power to middle managers, backed by their
organizational expertise and knowledge of the field, facilitates the
implementation of transformation.