5,302 research outputs found
Gorli, M., Piria, M. (2021) "Narro dunque sono. La narrazione come costituzione di conoscenza e intervento organizzativo su più livelli"
No full textIl capitolo traccia l'apporto dell'approccio narrativo negli studi organizzativi, illustrandone la valenza riflessiva, trasformativa e generativa di cambiamenti per l'individuo, il lavoro e l'organizzazione. L'applicazione dell'approccio narrativo nelle sue valenze riflessive e pratiche viene calata in un contesto sanitario di un ospedale, e in particolare nella professione di coordinatore delle professioni sanitarie. Il capitolo affronta la posizione di middle management e le funzioni di leadership in contesti sfidati da emergenze e urgenze continue, dove aprire spazi di narrazione consente l'accesso a dimensioni più profonde di conoscenza e di apprendimento
AUTHORSHIP AS MANAGING/OWNING DIFFERENCES: A RELATIONAL, CULTURAL AND PRACTICAL PERSPECTIVE ON FACILITATORS OF CHANGE IN HEALTHCARE ORGANISATIONS
No full textLa tesi è il risultato di un lavoro di ricerca volto ad esplorare come i professionisti in ruoli di facilitazione del cambiamento in contesti sanitari e sociosanitari esercitino l'autorialità organizzativa. L'autorialità organizzativa, intesa come influenza del professionista sulla propria realtà organizzativa e sul ruolo ricoperto, comporta processi relazionali, culturali e pratici ed è strettamente connessa alla gestione delle tensioni e delle differenze. In contesti fortemente impattati dal cambiamento, i ruoli di facilitazione sono fondamentali per tradurre piani, regolamenti e linee guida in pratiche e azioni che possano essere non solo implementate ma anche interpretate culturalmente e localmente, tenendo in considerazione bisogni, risorse e limiti contestuali. La ricerca ha utilizzato approcci etnografici e narrativi per studiare come i facilitatori del cambiamento all'interno di due organizzazioni sanitarie affrontano le differenze, l'impatto che i facilitatori hanno sui processi di autorialità organizzativa in situazioni di cambiamento organizzativo e quali risorse pratiche, culturali e relazionali vengono utilizzate per promuovere processi critici e riflessivi per un approccio alle differenze più sostenibile e rispettoso. Questo contributo fornisce informazioni su come sostenere più consapevolmente i processi di cambiamento e la comune negoziazione di significati e autorialità organizzativa all'interno delle strutture sanitarie e socio-sanitarie.The thesis is the result of a research work aiming to explore how professionals in roles of facilitation of change in healthcare and social health contexts exercise organisational authorship. Organizational authorship, defined as one’s influence upon organisational reality and role occupied entailing relational, cultural and practical processes, is closely connected to managing tensions and differences; in contexts highly impacted by change, roles of facilitation are fundamental for translating plans, regulations and guidelines into practices and actions that can be not only implemented but also culturally and locally interpreted, considering contextual needs, resources and limitations. The research employed ethnographic and narrative approaches to study how facilitators of change inside two healthcare organisations tackle differences, the impact the facilitators have on authorship processes around organizational change, and what practical, cultural and relational resources are used to foster critical and reflexive processes for a more sustainable and respectful approach to differences. This contribution provides insight into how to support change processes more consciously and the communal negotiation of meaning-making and authorship inside healthcare and social health settings
Embracing differences in organizations: ‘differences work’ as a new theoretical perspective
No full textThe paper presents an expansion of the perspective on 'differences' by proposing a novel theoretical concept: 'differences work'. Differences work is the subjective and intersubjective effort that is put in place to approach differences from a dynamic stance, to encompass the different processes - identity, relational, and cultural - intertwined in experiencing ourselves and the relationship with differences. The concept is illustrated in its cognitive and emotional components. The paper contributes to developing new sensitivities to the in-situ work on differences, advising to investigate empirically how differences work deploys. The paper suggests methodologies for digging into dialogues and conversations, for entering the self-constructions and others' counter-constructions of differences, and for observing their dynamic and fluid evolution as it happens. The new concept enriches the possibility of going beyond category-oriented policies and orientations in organizations, which are generally aimed at proposing activities not always sufficient to represent all the differences circulating in organizations
Il valore dell’opinione delle persone con epilessia. Per migliorare la qualità delle cure
Full text linkAttraverso un questionario inviato a 600 pazienti lo studio tratteggia possibili aree di miglioramento della presa in carico della epilessia
From inside to insight: using emotions to understand the interplay between inner experience and the outside world
No full textFrom inside to insight: using emotions to understand the interplay between inner experience and the outside worl
Renewing the object of work as a trigger for inter-organizational learning
No full textPurpose: The study refers to a health-care organization engaged in adopting “home health care” as a new object of activity. This study aims to explore how the reconfiguration of the object influences the transformative perspective, affecting not just a service but a broader approach and meaning behind patient care. It also investigates the main contradictions at play and the levers to support inter-organizational learning while facing the new challenges and change processes. Design/methodology/approach: The work is based on a qualitative and ethnographic methodology directed to examine cultural, practical and socio-material aspects. The activity theory is assumed as a powerful approach to understand collective learning and distributed agency processes. Findings: The renewal of the new object of work is analyzed as a trigger for shifts in representations, cultural processes and collective support implemented by the organization. Three agentic trajectories – technical, dialogical and collaborative agency – were cultivated by the management to deliver home health care through joint exercises of coordination and control, dialogical spaces and collaborative process. Research limitations/implications: The data collection was disrupted by the pandemic. A follow-up study would be beneficial to inquire how the learning processes shifted or were influenced by the contextual changes. Practical implications: This contribution provides a practical framework for health-care organizations aiming to navigate and explore the physiological tensions and contradictions emerging when the object of work is changed. Originality/value: The paper develops the field of intra- and inter-organizational learning by presenting an intertwined and structural connection between these processes and the renewing of the object of work. It advises that processes of transformation must be handled with attention to the critical and collective dynamics that accompany sustainable and situated changes
Inside out. Opening narrative spaces in the healthcare professional community
No full textIn this editorial, we invite healthcare workers to link the
evidence-based necessity with the necessity of considering
the intrinsic component of it, i.e. uncertainty and vulner
ability. We stimulate our readers and contributors to consider
the concept of antifragility and the exercise of narration, to make sense of our experiences and of the many possibilities
that we have in an uncertain world.
Constructing narratives is a powerful and collective tool
to create a sense of identity as individuals and as communi
ties by enabling people to voice thoughts and feelings about
reality, to give order and sense to the events, and to create
memories of them
La psicologia del lavoro e delle organizzazioni di fronte alla sfida del benessere nei luoghi di lavoro.
No full textLa psicologia del lavoro e delle organizzazioni di fronte alla sfida del benessere nei luoghi di lavoro.
The Practice of Leadership in Healthcare Organisations: Interpretation, Authority, and Organisational Authorship
Full text linkThis chapter explores the emergent unfolding of practical
leading—always located in places, histories, and experiences—as
exercised by clinical professionals who occupy leading roles in healthcare
contexts. We offer a view of leadership as a continuous interaction incorporating
subjectivity, intersubjectivity, interpretation, and meaning-making
based on three intertwined perspectives:
1. The interpretation of one’s organisational role
2. The exercise of authority and power
3. The development of organisational authorship, defined as a relational,
embedded, and contextual activity leaving a mark on working activities
and organisational roles.
We draw our analysis from an ethnographic study on how head nurses
act upon daily challenges and situations related to their leadership. Based
on the data, we propose an overview of how role interpretation, authority,
and authorship unfold. The chapter aims to highlight the value of a
practice-based approach to leadership and to contribute to the understanding
of its intersubjective and relational aspects. These insights could
be helpful for healthcare leaders who seek to reflect on how they can
actively play a leading role (and promote the leadership of others) in their
organisations
La psicologia del lavoro e delle organizzazioni di fronte alla sfida del benessere nei luoghi di lavoro
No full textLa psicologia del lavoro e delle organizzazioni di fronte alla sfida del benessere nei luoghi di lavoro.
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