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Fiery Spirits in the context of institutional entrepreneurship in Swedish healthcare
Högskolan i Skövde, Institutionen för handel och företagande. Högskolan i Skövde, Forskningsspecialiseringen Framtidens Företagande. (Medarbetarskap och Organisatorisk resiliens (FORE))ORCID-id: 0000-0001-5718-0100
Högskolan i Skövde, Forskningsspecialiseringen Framtidens Företagande. Högskolan i Skövde, Institutionen för handel och företagande. (Medarbetarskap och Organisatorisk resiliens (FORE))
2015 (engelsk)Inngår i: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 29, nr 4, s. 515-531Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose – Clinical governance and leadership concepts can lead to more or less successfulimplementations of new clinical practice. The purpose of this paper is to examine how Fiery Spirits, asinstitutional entrepreneurs can, working in a team, implement sustained change in hospital clinicalpractice.Design/methodology/approach – This paper describes two case studies, conducted at two Swedishhospitals over a period of two years, in which changes in clinical practice were implemented. In bothcases, key-actors, termed Fiery Spirits, played critical roles in these changes. The authors use aqualitative approach and take an intra-organizational perspective with semi-structured in-depthinterviews and document analysis.Findings – The new clinical practices were successfully implemented with a considerable influenceof the Fiery Spirits who played a pivotal role in the change efforts. The Fiery Spirits persuasively,based on their structural and normative legitimacy and the adoption of learning processes, advocated,and supported change.Practical implications – Fiery Spirits, given flexibility and opportunity, can be powerful forcesfor change outside the trajectory of management-inspired and management-directed change.Team members, when inspired and encouraged by Fiery Spirits, are less resistant to change and morewilling to test new clinical practices.Originality/value – The paper complements literature on how the Fiery Spirit concept aligns withconcepts of clinical governance and leadership and how change can be achieved. Additionally, thefindings show the effects of legitimacy and learning processes on change in clinical practice.

sted, utgiver, år, opplag, sider
Emerald Group Publishing Limited, 2015. Vol. 29, nr 4, s. 515-531
Emneord [en]
Clinical governance, Healthcare management, Organizational change, Clinical practice, Fiery Spirit, Institutional entrepreneur
HSV kategori
Forskningsprogram
Humaniora-samhällsvetenskap; Medarbetarskap och organisatorisk resiliens (FORE)
Identifikatorer
URN: urn:nbn:se:his:diva-11042DOI: 10.1108/JHOM-09-2014-0158ISI: 000357394100006PubMedID: 26045193Scopus ID: 2-s2.0-84930592540OAI: oai:DiVA.org:his-11042DiVA, id: diva2:819952
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, Dnr: 2008-0834Tilgjengelig fra: 2015-06-11 Laget: 2015-06-10 Sist oppdatert: 2019-11-08bibliografisk kontrollert

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