Views of implementation approaches by top managers in health service organizations

Hospital administrators' views of how to best accomplish change in controlled and participative work environments differ from the views in existing literature. Over 160 hospital administrators responded to eight scenarios about implementation approaches for change. In a participative culture the accommodation approach was expected to be most effective, while managers thought the bargaining and incentive approaches would get the best results in controlled work environments.
Summary This study examined how top managers view the prospects of success and resistance when using four implementation approaches in participative and control cultures that foster climates more or less [...]