Efforts to improve patient flow are thwarted not only by the complexity of the interlocking processes that must connect and co-ordinate activity to process patients but also by the propensity of senior doctors to actively resist changes to their practice.
I analyzed these, data to address three questions: (1) When did interns try, to change traditional scutwork practices? Lacking concep-, tual frames that defined scutwork as inequitable, interns, interpreted scutwork traditionally—it was a given that, was not amenable to change. The proposed strategy for change includes special work regarding how women and men see each other as human beings, concentrated on cultural and symbolical change, through a participatory and long-term process.
My central question was: Is there a gendered conception and practice of power in the Peruvian NGDO culture? For example, Meyerson (2003) describes, how less powerful members in financial, hi-tech, and, consumer products organizations quietly resisted the sta-. Of the newspaper articles from this period, 27% mention, identity characteristics associated with the new “com-, plete doctor” identity; none had mentioned these identity, In addition to providing new identities that allowed, in nontraditional ways, external reformers offered a ne, repertoire of contentious tactics that interns could draw, on to resist scutwork with their superiors. This book explains how wage discrimination battles have raised public legal consciousness and helped reform activists mobilize working women in the pay equity movement since the 1970s. Social skill and institutional theory. Early cultural approaches to, organizations had difficulty answering these questions. University of Minnesota Press, Minneapolis.
“Some of the chiefs, to know what is going on. Provisional selves: Experimenting with image and. And although cultural tools, provide them with a repertoire of contentious tactics, political tools afford them a sense of security that they can battle, defenders of the status quo without ruining their careers. Hot Lights and Cold Steel: Cultural and Political Toolkits for Practice Change in Surgery. Currently, however, the literature predominantly describes strategic technology framing as a sociopolitical process, and provides only limited insights into how the framing itself is shaped by the material characteristics of the technologies being framed. In addition, no, previous studies (to my knowledge) clarify ho, and political tools available inside organizations f, tate challenge in different ways or document how chal-, lenge is affected by the presence of strong cultural tools. them dramatically changing traditional practices. ment communities: Lesbian feminist mobilization. New public policies can enable change by pres-, suring local authorities to be more open to the solu-. Previous. When Michael Collins decides to become a surgeon, he is totally unprepared for the chaotic life of a resident at a major hospital. Presentation, Annual Meeting of the Academy of Man-, Frame alignment processes, micromobilization, and movement. 3 0 obj
Although each worked in the same, kind of organization and had available to him the same, cultural toolkit, Paul tried to modify scutwork practices, In this article, I argue that to fully understand when, and how less powerful organization members try to, change disadvantageous work practices, in addition to, cultural toolkits we must take into account what I call, political toolkits.
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