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Time and change in health care
1School of Nursing, University of Auckland , Auckland, New Zealand.
This study reveals that time in healthcare change involves multiple dimensions: temporality, timing, and tempo. Understanding these temporal aspects is crucial for effective leadership and participation in health system transformations.
Area of Science:
- Organizational Behavior
- Healthcare Management
- Social Theory of Time
Background:
- Existing literature on leading change often overlooks the multifaceted nature of time.
- Understanding time is critical for navigating complex organizational dynamics.
- The healthcare system's change processes are influenced by temporal factors.
Purpose of the Study:
- To explore the under-researched dimensions of temporality in leading change.
- To analyze the complexities of time (temporality, timing, tempo) in relation to individuals, teams, and organizations.
- To develop a framework for future research on time and change in healthcare.
Main Methods:
- Utilizing Adams' (1995) social theory of time.
- Analyzing the interplay of temporality, timing, and tempo.
- Illustrating temporal complexities within the healthcare context.
Main Results:
- Time in organizational change is multidimensional, encompassing temporality, timing, and tempo.
- Each dimension offers unique insights into the nature and complexity of change in health systems.
- A novel framework for researching time and change is proposed.
Conclusions:
- Recognizing the multidimensionality of time challenges the notion of a singular 'clock time'.
- This perspective enhances understanding of how diverse perceptions of time influence healthcare change.
- Identifies critical areas for future research on temporal dimensions in organizational change.
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