Nature and nurture: the enabling role of low-status professionals' jurisdiction for micro-institutional change in professional organizations
JOURNAL OF ORGANIZATIONAL CHANGE MANAGEMENT(2024)
摘要
PurposeChanges in regulation systems make professional organizations more likely to undergo rapid, profound and radical change. The issue of how micro-institutional change in professional organizations can be carried out is somewhat ignored.Design/methodology/approachWe conducted a process study of a primary hospital in China to trace a pathway through which low-status professionals successfully proceed with radical change at the micro-level.FindingsWe present a model involving three strategies that, reconfiguring jurisdictional boundaries in combination, activate low-status professionals' long-standing implicit jurisdictions: expertise redefinition, value reorientation and promotion.Research limitations/implicationsOur study contributes to understanding how low-status professionals reconcile needs for change with contradictions from the core attributes and ambiguities of professional work. Rather than mixed practices enhancing the role of dominant professions, a desire to separate jurisdiction space opens up the access of newly dominant experts.Originality/valueChanges in the regulation system make professional organizations more likely to undergo rapid, profound and radical change. The issue of how micro-institutional change in professional organizations can be carried out is somewhat ignored.
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关键词
Jurisdiction,Micro-institutional change,Organizational change,Low-status professional
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