Organisational Behaviour Flashcards
Identify the increasing pressures in healthcare
- Social Cultural Pressures
- Financial Economic Pressures
- Technological Pressures
- Public and Political Turmoil
Identify the healthcare trends
- From mono- to multidisciplinary practices
- From supply centered to client centred
- From intramural to extramural services
- From single organisational and practices to networks
Dimensions of professionalism
Unique expertise
Authority
Autonomy
Unique expertise
Professionalism is about applying general, scientific knowledge to specific cases.
- Complex (scientific) knowledge and functional knowledge (reflective skills), both explicit (from papers) and tacit knowledge (from experience)
- Beneficial for society
Authority
- Legitimate power (professional are trusted)
- Based on knowledge: someone who has more knowledge than you
- Based on legal, organisational, professional, personal status
- Authority must be earned by actions
Autonomy
The quality and state of being independent and self-directing, especially in decision making.
Enabling professionals to exercise judgement as they see fit during the performance of their job
Professional autonomy
- individual or group
- Liberty: independence from controlling influences
- Agency: capacity for intentional action
- it is about privilege and ability of self governance
- the state of being independent and self-directing, in decision making
Types of autonomy
Political autonomy
Economical autonomy
Clinical autonomy
- Focussed on the process
- Focussed on content
Different views on classic professionalism
- A list of traits and behaviours
- As a role played in society
- As a social construction
- As a means and affect of social control
Professionalism as a list of traits and behaviours
Of the profession
Organized professional group that defines:
- Standards of training
- Criteria of competence
- Quality criteria
- A code of ethic
- Has exclusive rights to perform certain tasks
Of a professional
- Specialised knowledge
- Altrustic (trying to do whats best)
- Reflexivity (reflect on what they do)
Professionalism as a role played in society
Professions have certain traits and behaviours because of the function they have for the society, they are expected to act in the public interest
The important function comes with certain rights (self regulation) -> Social contract based on trust
Medical professionality
The values, behaviours and relationships with the society that support and justifies the trust people have in doctors
Professionalism as a social construction
- Political perspective: professionals secure a monopoly by carving out a domain, using specific tactics.
- Professions compete with each other for jurisdictional control
- Professional clashes: differences in professional identities
What constitutes evidence
Safe practise
Quality
The use of standard pathways
Importance of teamwork - Boundary work
Boundary work
The range of activities by which professionals seek to lay claim to particular fields of knowledge and to assert their jurisdiction over particular tasks in the face of competition from other professional groups
As a means and affect of social control
The link between power and control and large societal inequities
- The process of professionalization as a means of controlling ‘knowledge production’. Professionals have the power to define and control what is true for example in what constitutes health, sickness and treatment
How do professional identities develop?
Through socialization: construction of the professional identity
- It is not a straightforward process, but rather an on going series
deprofessionalisation
the loss of the unique traits of a profession; autonomy, monopoly, authority
Proletarisation
Loss of power and status
Post professionalism
Loss of exclusiveness of knowledge and skills
the end of professionalism?
Increasing entanglement of professionals and the organizations they work for: professionals are increasingly inhabited by the organization
yet, the guidelines and indicators are invented by the profession, the professional can often deviate, the professional can work around the system
reconfiguration of professionalism
Professionalism changes in terms of form, shape and meaning in the light of societal changes
Professional hybridization
This term refers to situations where a qualified professional holds a position that involved management duties and responsibilities
Connective professionalism
- Expertise, authority and autonomy become relational and procedural
- Not fixed and closed, but constructed and reconstructed with others
- Co-design, share, earning trust
- Are seen as effective, optimal and legitimate
Two types of expertise
Relational expertise
Adaptive expertise
Relational expertise
The ability to attune ones responses to the enhanced interpretation with those being made by other professionals
Adaptive expertise
Flexibility, ability to innovate, continuous learning, creativity
Traits and skills approach
Leaders are people with specific characteristics and skills
Characteristics:
- Intelligence
- Self confidence
- Determination
- Integrity
- Sociability
Skills
- Technical
- Human
- Conceptual
Strong points traits and skills approach
Relates to our intuitive need to see our leaders as a special kind of people
Clear focus
Much research
Critique traits and skills approach
- There is no definitive list of trait and skills
- Fails to take situation into account
- Little research into outcomes
Style approach
Aimed at the behavior of leaders
Task oriented, relationship oriented, change oriented
- Laissez faire
- Transactional leadership
- Transformational leadership
Transactional leadership
Punishment and reward
Management by exception
- Active
- Passive
Transformational leadership
Idealized influence
- Roll modeling, trust, respect
Inspirational motivation
- Symbols and words that inspires people
Intellectual stimulation
- challenge people
Individualized consideration
- individualized support
Contingency approach
Turning your leadership style/behavior to the situation.
The type of leadership depends on the circumstances and situation.
- Contingentie
Leader-member relation (good/poor)
Task structure (high/low)
Position power (strong/weak)
Situational leadership
Depending on your type of leadership on level of competence and commitment. These level can differ over time.
- Cross-cultural leadership
Value approach
Aimed after the values leader represent
Authentic leadership
- Is leadership genuine and real?
- Trustworthy
- Intrapersonal and interpersonal
- Being yourself vs perception of followers
- self-awareness, internalized moral perspective, balanced processing and relational transparency
Servant leadership
Hybrid professional
- Dualism
- Managerial role-taking is facilitated when the hybrid has and maintains, legitimacy within the group of peers
- Organizing becomes embedded within professional action
The divisions of labour
- Task
Can change overtime and you cant control this - Function
Combination of tasks, stable but can vary among organizations - Occupation
Consists of certain types of tasks, stable tasks and the same among organizations - Profession
Professional groups decide themselves, independently decides what is best for their client
Political autonomy
Political decisions, what is best for the professional group and practice
Economical autonomy
deciding own fees, own earnings
Clinical autonomy
Focussed on the process (how can it be organised) and the content (professional discretion, what kind of care/treatment/rules)
Trust vs control
Trust is not unlimited, there is internal control and the autonomy of these professional needs to be evidence based, according to society.
- Protocols, guidelines can reduce the professional autonomy
- Tension between trust and control
re-stratification
the drawing of professional elites into bureaucratic roles
bureaucratization
the standardization of work operating procedures
five strategies of professionals towards the introduction of knowledge management
co-optation
adaptation
circumvent
compliance
resistant
co-optation
Refers to the process of incorporating or integrating external or independent knowledge sources, typically individuals or groups, into an organizations existing knowledge management systems and practices. This process is often used to acquire and leverage external knowledge and expertise for the benefit of the organization.
adaptation
Refers to the process of modifying, adjusting or evolving knowledge management practices, strategies and systems in response to changing internal and external factors.