Penn State Milton S. Hershey Medical Center, Department of Obstetrics and Gynecology, The Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA.
J Health Organ Manag. 2009;23(5):505-21. doi: 10.1108/14777260910984005.
The purpose of this paper is to develop a conceptual understanding of organizational consciousness that expands the discussion of organizational analysis, and use a case study to apply it in the analysis of a merger between an academic health center and a regional medical center.
DESIGN/METHODOLOGY/APPROACH: The paper draws on the experiences and insights of scholars who have been exploring complex organizational issues in relationship with consciousness.
Organizational consciousness is the organization's capacity for reflection; a centering point for the organization to "think" and find the degree of unity across systems; and a link to the organization's identity and self-referencing attributes. It operates at three stages: reflective, social, and collective consciousness.
RESEARCH LIMITATIONS/IMPLICATIONS: Translating abstract concepts such as consciousness to an organizational model is complex and interpretive. For now, the idea of organizational consciousness remains mostly a theoretical concept. Empirical evidence is needed to support the theory.
Faced with complicated and compelling issues for patient care, health care organizations must look beyond the analysis of structure and function, and be vigilant in their decisions on where important issues sit on the ladder of competing priorities. Organizational consciousness keeps the organization's attention focused on purpose and unifies the collective will to succeed.
ORIGINALITY/VALUE: If the paper can come to understand how consciousness operates in organizations, and learn how to apply it in organizational decisions, the pay-off could be big in terms of leading initiatives for change. The final goal is to use what is learned to improve organizational outcomes.
本文旨在深入了解组织意识,以拓展组织分析的讨论,并通过案例研究将其应用于学术医疗中心与地区医疗中心合并的分析。
设计/方法/途径:本文借鉴了学者们在探讨与意识相关的复杂组织问题方面的经验和见解。
组织意识是组织的反思能力;是组织“思考”并找到系统间一致性程度的中心点;是组织认同和自我参照属性的联系。它在三个阶段运作:反思意识、社会意识和集体意识。
研究局限性/影响:将意识等抽象概念转化为组织模型是复杂且具有解释性的。目前,组织意识的概念主要还是一个理论概念。需要实证证据来支持该理论。
面对患者护理方面复杂而引人注目的问题,医疗机构必须超越结构和功能的分析,警惕重要问题在竞争优先级阶梯上的位置。组织意识使组织专注于目标,并统一集体成功的意愿。
原创性/价值:如果本文能够了解意识在组织中的运作方式,并学会如何将其应用于组织决策,那么在引领变革举措方面的收获将是巨大的。最终目标是利用所学知识改善组织成果。