The nature of internal mediator and moderator influences in a healthcare system in transition a thesis submitted for the degree of Doctor of Philosophy [thesis]

Hdl Handle:
http://hdl.handle.net/10147/141263
Title:
The nature of internal mediator and moderator influences in a healthcare system in transition a thesis submitted for the degree of Doctor of Philosophy [thesis]
Authors:
de Burca, Stiofán
Affiliation:
Brunel University, United Kingdom
Publisher:
Brunel University, United Kingdom
Issue Date:
Jul-2003
URI:
http://hdl.handle.net/10147/141263
Additional Links:
http://www.hsyrc.com
Item Type:
Thesis
Language:
en
Description:
This study explores the nature of internal mediator and moderator influences through the perspectives of two major activity domains in the Mid-Western Health Board as a healthcare system in transition. The general context of this case study relates to reform in the public service and in healthcare systems with particular reference to the Irish experience. Theoretical perspectives clarify the nature of management and the professions and the tensions between them. Models and approaches in the literature on organisational change and leadership are also examined. An inductive grounded research method, in this study, avoids a priori assumptions of leadership in a context of ambiguity and uncertainty. This provides opportunity to discover alternative explanations of internal change influence. The analytic framework is based upon category/paradigm analysis which relies on multiple data streams generated through two major activity domains (managerial and professional). The findings are presented as an emergent model which accounts for the various components, categories and the inter-linkages arising from the analysis of the respondents’ data. These components are external and internal contexts, antecedent and actual experience from the perspectives of two major domains, emerging as three activity strands: mediator influence, mediating through people and the operational system. The model’s holistic framework is therefore grounded in the domains’ interpretation of their experience of internal mediators and moderators of change. The relevant extant literature demonstrates the relevance of the emergent model as an explanatory and developmental framework. It elucidates aspects of the internal logic of the organisation’s influencing capacity as mediators and moderators of change rather than imposing an external reductionist logic on participants’ experience. Some recommendations for future research are indicated.
Keywords:
ORGANISATIONAL CHANGE; ORGANISATIONAL ISSUES; MANAGEMENT AND POLICY
Local subject classification:
HEALTH BOARDS; MEDIATOR; MODERATOR

Full metadata record

DC FieldValue Language
dc.contributor.authorde Burca, Stiofánen
dc.date.accessioned2011-08-30T14:01:20Zen
dc.date.available2011-08-30T14:01:20Zen
dc.date.issued2003-07en
dc.identifier.urihttp://hdl.handle.net/10147/141263en
dc.descriptionThis study explores the nature of internal mediator and moderator influences through the perspectives of two major activity domains in the Mid-Western Health Board as a healthcare system in transition. The general context of this case study relates to reform in the public service and in healthcare systems with particular reference to the Irish experience. Theoretical perspectives clarify the nature of management and the professions and the tensions between them. Models and approaches in the literature on organisational change and leadership are also examined. An inductive grounded research method, in this study, avoids a priori assumptions of leadership in a context of ambiguity and uncertainty. This provides opportunity to discover alternative explanations of internal change influence. The analytic framework is based upon category/paradigm analysis which relies on multiple data streams generated through two major activity domains (managerial and professional). The findings are presented as an emergent model which accounts for the various components, categories and the inter-linkages arising from the analysis of the respondents’ data. These components are external and internal contexts, antecedent and actual experience from the perspectives of two major domains, emerging as three activity strands: mediator influence, mediating through people and the operational system. The model’s holistic framework is therefore grounded in the domains’ interpretation of their experience of internal mediators and moderators of change. The relevant extant literature demonstrates the relevance of the emergent model as an explanatory and developmental framework. It elucidates aspects of the internal logic of the organisation’s influencing capacity as mediators and moderators of change rather than imposing an external reductionist logic on participants’ experience. Some recommendations for future research are indicated.en
dc.language.isoenen
dc.publisherBrunel University, United Kingdomen
dc.relation.urlhttp://www.hsyrc.comen
dc.subjectORGANISATIONAL CHANGEen
dc.subjectORGANISATIONAL ISSUESen
dc.subjectMANAGEMENT AND POLICYen
dc.subject.otherHEALTH BOARDSen
dc.subject.otherMEDIATORen
dc.subject.otherMODERATORen
dc.titleThe nature of internal mediator and moderator influences in a healthcare system in transition a thesis submitted for the degree of Doctor of Philosophy [thesis]en
dc.typeThesisen
dc.contributor.departmentBrunel University, United Kingdomen
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