Managing Change is about implementing health care reforms, policies and programs into everyday practices. The book explores organizational change in health care as influenced by contemporary policy and management concepts, and presents and applies theoretical perspectives.

This book explores the hospital via organisational ethnography (OE), an approach that involves a mix of fieldwork methods designed to analyse the hospital which also includes participatory observation, qualitative interviews and shadowing. One way to define a hospital is by its high level of formal organisation, resulting in written or digital communication as the main source of communication in patient journals, minutes and medical and quality guidelines. In contrast, in this book, the aspects of the informal organisation will be the focus. In spite of the many formal regulations of healthcare, hospitals are also chaotic organising places where many different groups of people interact in order to negotiate, to practice and to make sense of daily work tasks. The underlying argument is that, in the mundane everyday life of hospitals, frontline workers and their interactions with patients and local managers remain at the core of organising hospitals. The overall purpose of this book is to report stories back from the field of healthcare, demonstrating how people, spaces and work (as examples of events) become important elements of organising hospitals. The book will be of interest to students and scholars in and across healthcare management, organisation studies, ethnography, sociology, qualitative methods, anthropology, service management and cultural studies.

This book explores the hospital via organisational ethnography (OE), an approach that involves a mix of fieldwork methods designed to analyse the hospital which also includes participatory observation, qualitative interviews and shadowing. One way to define a hospital is by its high level of formal organisation, resulting in written or digital communication as the main source of communication in patient journals, minutes and medical and quality guidelines. In contrast, in this book, the aspects of the informal organisation will be the focus. In spite of the many formal regulations of healthcare, hospitals are also chaotic organising places where many different groups of people interact in order to negotiate, to practice and to make sense of daily work tasks. The underlying argument is that, in the mundane everyday life of hospitals, frontline workers and their interactions with patients and local managers remain at the core of organising hospitals. The overall purpose of this book is to report stories back from the field of healthcare, demonstrating how people, spaces and work (as examples of events) become important elements of organising hospitals. The book will be of interest to students and scholars in and across healthcare management, organisation studies, ethnography, sociology, qualitative methods, anthropology, service management and cultural studies.

The COVID-19 pandemic has led to radical transformations in the organisation and delivery of health and care services across the world. In many countries, policy makers have rushed to re-organise care services to meet the surge demand of COVID-19, from re-purposing existing services to creating new 'field' hospitals. Such strategies signal important and sweeping changes in the organisation of both 'COVID' and 'non-COVID' care, whilst asking more fundamental questions about the long-term organisation of care 'after COVID'. In some contexts, the pandemic has exposed the fragilities and vulnerabilities of care systems, whilst in others, it has shown how services are organised to be more resilient and adaptive to unanticipated pressures. The COVID-19 pandemic presents a rare opportunity to examine empirically and to develop new theoretical frameworks on how and why health systems adapt to such unusual and intense pressures. International contributors consider how responses to COVID-19 are transforming the organisation and governance of health and care services and explore questions around strategic leadership at local, regional, national and transnational level. The book offers unique insight and analysis on the dynamics of policy-making, the organisation and governance of care organisations, the role of technologies in governing, the changing role of professionals and the possibilities for more resilient care systems.

This book presents a new way of understanding organizational ethnography due to its strong emphasis on what the word organizational means in organizational ethnography. In the past five years, a new organizational studies research field has developed involving organizational ethnographies, which is when organizations are studied using ethnographical methods. This development has shed light on the methods and difficulties of organizational ethnography, and yet we argue that confusion still remains as to what organizational ethnographical approaches are. This edited volume offers students and scholars a profound understanding of organizational ethnography by presenting concrete examples, reflections and discussions of how to understand and adequately conceptualize the word organizational in organizational ethnography. All the chapters illustrate the work of analytically combining different organizational phenomena (e.g. strategy making, policymaking), analytical perspectives (e.g. sensemaking, narratives) and ethnographical methods (e.g. texts, observations, shadowing, interviews) and demonstrate different ways of doing organizational ethnography. At the end of each chapter, an experienced researcher in the field offers comments and discussion on the contributions of the chapter, providing reflections on the implications for research in the field to which they ascribe. In Doing Organizational Ethnography, organizational is defined as polyphonic ways of organizing based on the interactions of the many voices, discourses, practices and narratives in and around organizations and the book provides readers with in-depth reflections on what organizing and organizations become when doing organizational ethnography.

This book presents a new way of understanding organizational ethnography due to its strong emphasis on what the word organizational means in organizational ethnography. In the past five years, a new organizational studies research field has developed involving organizational ethnographies, which is when organizations are studied using ethnographical methods. This development has shed light on the methods and difficulties of organizational ethnography, and yet we argue that confusion still remains as to what organizational ethnographical approaches are. This edited volume offers students and scholars a profound understanding of organizational ethnography by presenting concrete examples, reflections and discussions of how to understand and adequately conceptualize the word organizational in organizational ethnography. All the chapters illustrate the work of analytically combining different organizational phenomena (e.g. strategy making, policymaking), analytical perspectives (e.g. sensemaking, narratives) and ethnographical methods (e.g. texts, observations, shadowing, interviews) and demonstrate different ways of doing organizational ethnography. At the end of each chapter, an experienced researcher in the field offers comments and discussion on the contributions of the chapter, providing reflections on the implications for research in the field to which they ascribe. In Doing Organizational Ethnography, organizational is defined as polyphonic ways of organizing based on the interactions of the many voices, discourses, practices and narratives in and around organizations and the book provides readers with in-depth reflections on what organizing and organizations become when doing organizational ethnography.

The COVID-19 pandemic has led to radical transformations in the organisation and delivery of health and care services across the world. In many countries, policy makers have rushed to re-organise care services to meet the surge demand of COVID-19, from re-purposing existing services to creating new 'field' hospitals. Such strategies signal important and sweeping changes in the organisation of both 'COVID' and 'non-COVID' care, whilst asking more fundamental questions about the long-term organisation of care 'after COVID'. In some contexts, the pandemic has exposed the fragilities and vulnerabilities of care systems, whilst in others, it has shown how services are organised to be more resilient and adaptive to unanticipated pressures. The COVID-19 pandemic presents a rare opportunity to examine empirically and to develop new theoretical frameworks on how and why health systems adapt to such unusual and intense pressures. International contributors consider how responses to COVID-19 are transforming the organisation and governance of health and care services and explore questions around strategic leadership at local, regional, national and transnational level. The book offers unique insight and analysis on the dynamics of policy-making, the organisation and governance of care organisations, the role of technologies in governing, the changing role of professionals and the possibilities for more resilient care systems.

You'll see how beautiful it is in the morning-jungle all around us"" says one of the characters in Anne Raeff's story collection, referring to the way that the jungle that threatens can also provide solace. The jungle in these stories is both metaphorical and real, taking the reader from war-torn Europe to Bolivia and from suburban New Jersey to Vietnam. Raeff examines how war and violence, like the jungle, seep into our lives, even when we are no longer in danger and long after the war is over. While struggling with fear, danger, and displacement, the characters of The Jungle around Us form strange and powerful bonds in distant and unlikely places. A family that has escaped Vienna ends up on the edge of the Amazon, where the parents fight yellow fever and the daughter falls in love with a village boy. Two sisters learn lessons about race and war during the Columbia University riots of1968. A young girl confronts death when her former babysitter is mysteriously murdered. In Paraguay, two adult sisters confront their loneliness while their precocious young charge faces off with a monkey. Raeff 's stories are about embracing the world though the world contains everything we fear.