Culture and Climate in Health Care Organizations

PROFESSOR JEFFREY BRAITHWAITE, BA, DipLR, MIR (Hons I), MBA, PhD, FAIM, FCHSE, is Foundation Director, UNSW Institute of Health Innovation, Director, Centre for Clinical Governance Research, and Professor, School of Public Health and Community Medicine, University of New South Wales, Australia. Professor Braithwaite's has presented and published extensively (more than 200 refereed publications) on his research which inquires into the changing nature of health systems and patient safety, particularly the structure and culture of organizations and professions.   DR PAULA HYDE is Senior Lecturer in Leadership and Experiential Learning at Manchester Business School, University of Manchester. Her research interests include workforce modernization, human resource management and psychodynamic approaches to understanding organizational life. She co-edited the previous book in this series (McKee, L., Ferlie, E., Hyde, P. eds. 2008) about organizing and reorganizing health care and has published on workforce development, role redesign, and organizational dynamics in health care.   DR CATHERINE POPE is Reader in Health Services Research in the School of Health Sciences, University of Southampton. Her research focuses on organizational change and professional practice in health services, and she has also written extensively about qualitative methods and evidence synthesis for health research.

• Preface; A.Mark Introduction Why Focus on Culture and Climate?; C.Pope , J.Braithwaite & P.Hyde PART I: CULTURE AND CLIMATE IN CHANGING HEALTH SYSTEMS Converging and Diverging Concepts in Culture and Climate Research: Cultate or Climure?; J.Braithwaite , D.Greenfield & M.Westbrook Management Cultures in the English National Health Service; R.Mannion , H.Davies , S.Harrison , F.Konteh , R.Jacobs & K.Walshe Culture Made Flesh: Discourse, Performativity and Materiality; T.Freeman & E.Peck PART II: RELATIONSHIPS AND COLLABORATION Organizational-professional Conflict in Medicine; A.Fitzgerald & A.Dadich People, Place and Innovation: How Organizational Culture and Physical Environment Shaped the Implementation of the NHS TC Programme; C.Pope, A.le May & J.Gabbay People, Place and Innovation Interpersonal Relationships and Decision-making About Patient Flow: What and Who Really Matters?; K.Eljiz , A.Fitzgerald & T.Sloan Patient Flow Decision-making: Who Really Matters? Bullying, Culture, and Climate in Healthcare Organizations: A Theoretical Framework; J.MacMahon , S.MacCurtain & M.O'Sullivan Changing Relationships Between Health Service Managers: Confrontation, Collusion and Collaboration; P.Hyde Changing Relationships Between Health Service Managers HRM Practice Systems in Employer-of-Choice Health Care Organizations; K.Rondeau & T.Wagar Team Climate and Clinical Information Systems; J.Callen , J.Braithwaite & J.Westbrook Health Network Culture and Reform; R.Sheaff , L.Benson , L.Farbus , J.Schofield , R.Mannion & D.Reeves Primary Health Care Innovation Sites: Learning to Create New Cultures of Care; A.Casebeer , T.Reay , K.Golden-Biddle , B.Hinings & K.Germ PART III: RESEARCH INTO PRACTICE A Shared Vision: Using Action Research for Work Culture Change in a Cardiology Department; S.Long , D.Penny , S.Gold & W.Harding Creating a Climate for Service Improvement Through Role Structures; A.McDermott & M.Keating Accountability and Transparency Through the Technologization ofPractice; D.Greenfield The Role of Cultural Performance in Health Care Commissioning; H.Dickinson , E.Peck , J.Durose & E.Wade Conclusion Culture and Climate in Health Care Organizations: Evidentiary, Conceptual and Practical Progress; P.Hyde , C.Pope & J.Braithwaite