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Using ritual to reduce barriers between sub-cultures.

I Brooks1

  • 1Faculty of Management & Business, Nene College, Northampton, UK.

Journal of Management in Medicine
|December 9, 1995
PubMed
Summary

This study explores how workplace rituals in the National Health Service (NHS) can hinder team-based patient care. By understanding and adapting these rituals, the NHS can reduce professional demarcation and improve flexibility.

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Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Sociology of Professions

Background:

  • Demarcation between work groups and professions in the National Health Service (NHS) can lead to dysfunctional consequences.
  • Professional and work group autonomy, while important, can be preserved by rituals that maintain negative aspects, hindering progress.

Purpose of the Study:

  • To examine the potential for reducing dysfunctional consequences of demarcation in the NHS.
  • To explore how interpreting and manipulating rituals can facilitate positive change.
  • To identify how new rituals can challenge current practices and promote team-oriented, patient-centered care.

Main Methods:

  • A case study hospital was researched extensively to observe rituals.
  • Analysis focused on how observed rituals maintain dysfunctional culture norms and behaviors.
  • Exploration of new rituals to question existing practices was undertaken.

Main Results:

  • Rituals were observed to maintain potentially dysfunctional culture norms and behaviors that resist change.
  • These rituals consciously or unconsciously serve to resist moves towards more flexible, team-oriented, patient-centered changes.
  • Attention to rituals in the change process can facilitate desired changes.

Conclusions:

  • Changes confronting unnecessary demarcation, without undermining professional integrity, can benefit NHS hospitals.
  • Interpreting and manipulating rituals offers a pathway to reduce negative professional autonomy and improve patient care.
  • Strategic attention to rituals is crucial for successful organizational change in healthcare settings.

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