000			02125naa a2200193uu 4500
001			0051310180337
003			OSt
005			20190211171518.0
008			100513s2003 xx ||||gr |0|| 0 eng d
100	1		_aWALSTON, Stephen L. _940037
245	1	0	_aPerceptions and misperceptions of major organizational changes in hospitals : _bdo change efforts fail because of inconsistent organizational perceptions of restructuring and reengineering?
260			_aNew York : _bMarcel Dekker, _c2003
520	3		_aOver the past decade, many hospitals have invested in major restructuring and/or reengineering efforts designed to enhance their competitiveness by improving product quality and/or reducing costs. For a variety of reasons, these significant changes have not been systematically evaluated. This research provides an objective look at the results of restructuring/reengineering hospitals and an examination of the influences on employee perceptions of reengineering's outcomes. This research demonstrates that employees, including upper management, had little or no objective knowledge of the outcomes of their change efforts. However, perceptions of all employees involved in a major change effort are critical if their full participation is to be sustained. The ultimate sustainability of many hospital strategic change efforts may rest largely on subjective assessments of its outcomes. The research reported here suggests that such perceptions vary significantly by organizational level and may not be stable over time. While the passage of time sees improvements in managers' perceptions of reengineering results, line personnel become increasingly skeptical and less positive. Further objective research is encouraged to more definitely distinguish the impact of employee perceptions on change efforts' outcomes and sustainability.
700	1		_aCHADWICK, Clint _940038
773	0	8	_tInternational Journal of Public Administration - IJPA _g26, 14, p. 1581-1605 _dNew York : Marcel Dekker, 2003 _xISSN 01900692 _w
942			_cS
998			_a20100513 _b1018^b _cDaiane
998			_a20100514 _b1150^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c33066 _d33066
041			_aeng