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Leadership, Resistance and Innovation
Journal Title: SALUTE E SOCIETÀ 
Author/s: Mervyn Conroy 
Year:  2015 Issue: Language: Italian 
Pages:  22 Pg. 80-101 FullText PDF:  102 KB
DOI:  10.3280/SES2015-001007
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Recent scandals in the health and social care emphasize the need to gain a better understanding of ethics, resistance and leadership in this sector. The Francis enquiry into Mid-Staffordshire Hospital NHS Trust mortality rates found shortcomings in the “care, compassion and humanity” shown by staff towards patients (Francis, 2013). If health professionals had resisted reforms that resulted in corruption to care practices then this and other scandals may not have occurred. However, the author argues that much healthy resistance in organisations often languishes under the radar or occasionally surfaces in whistle blowing scandals that can be damaging to all parties. The author illustrates a way to detect potentially helpful resistance in order to prevent or reduce the impact of such practice scandals. A dramatic lens (Czarniawska, 1997) and a critical perspective from MacIntyre’s (1985) virtue ethics offer a view toward the ideological horizons reflected in practice dilemmas. The author argues that new understandings of "ethical resistance" offered through these dramatic and critical lenses include a reframing to appreciate the social innovation potential. A potential realized through providing early warning signals of practice corruptions and in mobilizing resistance in service of protecting standards of healthcare from the corrupting influences of money, status and power.
Keywords: Leadership, ethics, resistance, whistleblowing, MacIntyre, ethical resistance

  1. Pettigrew A.M. (1992). Shaping strategic change: making changes in large organisations: the case of the National Health Service. London: Sage
  2. Anand V., Ashforth B.E., Joshi M. (2004). Business as usual: The acceptance and perpetuation of corruption in organizations. Academy of Management Executive, 18(2): 39-53., DOI: 10.5465/AME.2004.1383743
  3. Bate P., Robert G., Bevan H. (2004). The Next Phase of Healthcare Improvement: What Can We Learn from Social Movements? Quality and Safety in Healthcare, 13(1): 62-66., DOI: 10.1136/qshc.2003.00696
  4. Berger P.L., Luckmann T. (1967). The social construction of reality: a treatise in the sociology of knowledge. Allen Lane
  5. Boje D.M. (1995). Stories of the storytelling organisation: a postmodern analysis of Disney as “Tamara-Land”. Academy of Management Journal, 38(4): 997-1035., DOI: 10.2307/25661
  6. Bruner J. (1991). The narrative construction of reality. Critical Inquiry, 18: 1-21., DOI: 10.1086/44861
  7. Burrell G., Morgan G. (1979). Sociological Paradigms and Organisational Analysis. London: Heinmann
  8. Cameron M., Cranfield S., Iles V. et al. (2001). Managing Change in the NHS: Making Informed Decisions on Change: Key points for health care managers and professionals. Booklet produced by NHS NCCSDO. London: LSHTM
  9. Casey C. (1999). “Come, Join Our Family”: Discipline and Integration in Corporate Organizational Culture. Human Relations, 52(2): 155-178., DOI: 10.1023/A:101698060203
  10. Conroy M. (2010). An Ethical Approach to Leading Change: An Alternative and Sustainable Application. Basingstoke: Palgrave Macmillan
  11. Czarniawska B. (1997). Narrating the Organisation: Dramas of Institutional Identity. Chicago: UCP
  12. Czarniawska B. (1998). A Narrative Approach to Organisation Studies. London: Sage
  13. Daft R.L., Weick K. (1984). Towards a Model of Organisations as Interpretation Systems. Academy of Management Review, 9(2): 284-95
  14. Dawson P. (2003). Organisational Change Stories and Management Research: Facts or Fiction. Journal of the Australian and New Zealand Academy of Management, 9(3): 37-49
  15. Dawson S. (1999). Managing, Organising and Performing in Health Care: what do we know and how can we learn. In: Mark A.L., Dopson S., a cura di, Organisational Behaviour in Health Care: The Research Agenda. London: Macmillan
  16. Downing S.J. (1997). Learning the plot: emotional momentum in search of dramatic logic. Management Learning, 28(1): 27-44., DOI: 10.1177/135050769728100
  17. du Gay P. (2003). The Tyranny of the Epochal: Change, Epochalism and Organizational Reform. Organization, 10(4): 663-684., DOI: 10.1177/1350508403010400
  18. Fleming P., Spicer A. (2003). Working at a cynical distance: implications for power, subjectivity and resistance. Organisation, 10(1): 157-79
  19. Ford J.D. (1999). Organisational change as shifting conversations. Journal of Organisational Change Management, 12: 480-500 Francis R. (2013). The Mid Staffordshire Foundation Trust Enquiry. London: The Stationary Office
  20. Gabriel Y. (2000). Storytelling in Organisations: Facts, Fictions and Fantasies. London: OUP
  21. Griffiths R., a cura di (1983). NHS Management Inquiry. London: HMSO. Disponibile al sito: (Ultimo accesso 10/10/14)
  22. Iles V., Cranfield S. (2004). Managing Change in the NHS: Developing Change Management Skills - A Resource for Health Care Professionals and Managers. Literature Review Sponsored and Distributed by NHS SDO. London: LSHTM
  23. Iles V., Sutherland K. (2001). Managing Change in the NHS: Organisational Change - A Review for Health Care Managers, Professionals and Researchers. Literature Review produced by Cambridge University Judge Institute for the NHS SDO. London: LSHTM
  24. Kallio J., Saarinen T., Tinnila M. (2002). Efficient Change Strategies: Matching drivers and tracers in Change. Business Process Management Journal, 8(1): 80-92
  25. Kennedy I. (2001). The Bristol Royal Infirmary Inquiry. London: Department of Health Publication
  26. Kotter J.P., Schlesinger L.A. (1979). Choosing Strategies for change. Harvard Business Review, march: 106-114
  27. Kretzmann J.P., McKnight J.L. (1993). Building communities from the inside out: A path toward finding and mobilizing a community’s assets. Evanston, IL: Kretzmann and McKnight
  28. Kunda G. (1992). Engineering Culture: Control and Commitment in a High-Tech Corporation. Philadelphia: Temple University Press
  29. Learmonth M. (2003). Making health services management research critical: a review and a suggestion. Sociology of Health & Illness, 25(1): 93-119., DOI: 10.1111/1467-9566.0032
  30. Lewin K. (1948). Resolving social conflicts; selected papers on group dynamics.In: Gertrude W. Lewin a cura di. New York: Harper and Row
  31. Lewin K. (1951). Field Theory in Social Science. London: Tavistock Publications
  32. MacIntyre A. (1985). After Virtue: a study in moral theory. London: Duckworth
  33. MacIntyre A. (2009). God, Philosophy, Universities: A Selective History of the Catholic Philosophical Tradition. Lanham, MD: Rowman & Littlefield
  34. McCann D., Brownsberger M.L. (1990). Management as a Social Practice: Rethinking Business Ethics after MacIntyre. The Annual of the Society of Christian Ethics: 223-45
  35. Moore G. (2008). Re-Imagining The Morality of Management. Business Ethics Quarterly, 18(4): 483-511., DOI: 10.5840/beq20081843
  36. Moore G., Beadle R. (2006). In search of organisational virtue in business: agents, goods, practices, institutions and environments. Organisation Studies, 27(3): 369-389., DOI: 10.1177/017084060606242
  37. Morgan A., Ziglio E. (2007). Revitalising the evidence base for public health: An assets model. International Journal of Health Promotion and Education, Supplement 2: 17-22., DOI: 10.1177/10253823070140020701
  38. Murray R., Caulier-Grice J., Mulgan G. (2010). The Open Book of Social Innovation. London: The Young Foundation
  39. Øvretveit J. (2009). Leading evidence informed value improvement in health care. Chichester: Kingsham Press Passmore J. (1962). John Anderson and Twentieth-Century Philosophy. In: Passmore J., a cura di, Studies in Empirical Philosophy. Sydney: Angus and Robertson
  40. Pettigrew A.M. et al. (2001). Studying Organisational Change and Development: Challenges for Future Research. Academy of Management Journal, 44(4): 697., DOI: 10.2307/306941
  41. Piccone P. (1978). The Crisis of One-Dimensionality. Telos, 35: 43-54., DOI: 10.3817/037803504
  42. Propp V. (1928). Morphology of the Folktale. Austin: University of Texas Press
  43. Riley P. (1988). The merger of macro and micro levels of leadership. In: Hunt J.G., Baglia B.R., Dachler H.P., Schriesheim C.A., a cura di, Emerging leadership vistas. Lexington, MA: Lexington Books
  44. Royal Liverpool Children’s Inquiry Report (2001). London: The Stationery Office
  45. Schein E.H. (1985). Organisational Culture and Leadership. London: Jossey-Bass
  46. Skoldberg K. (1994). Tales of change: public administration reform and narrative mode. Organisational Science, 5(2): 219-238., DOI: 10.1287/orsc.5.2.21
  47. Smith J., Walshe K., Hunter D.J. (2001). The ‘redisorganisation’ of the NHS. British Medical Journal, 323(7324): 1263-1264
  48. Sturdy A., Grey C. (2003). Beneath and beyond organizational change management: exploring alternatives. Organization, 10(4): 651-662., DOI: 10.1177/1350508403010400
  49. The Shipman Enquiry: fouth report. 2003 & 2004. London: The Stationery Office
  50. Tushman M.L., Newman W.H., Romanelli E. (1986). Convergence and upheaval: managing the unsteady pace of organisational evolution. Californian Management Review, 29: 29-44
  51. Walker R., Ivanhoe P. (2007). Working Virtue: virtue ethics and contemporary moral problems. Oxford: Clarendon Press
  52. Watson T.J. (1982). Group Ideologies and Organisational Change. Journal of Management Studies, 19(3): 259-275
  53. Weick K.E. (1979). The social psychology of organizing (2nd edition). Reading, Mass.: Addison-Wesley Pub. Co
  54. West M., Borrill C.S., Dawson J.F., Brodbeck F., Shapiro D.A., Haward B. (2003). Leadership clarity and team innovation in health care. The Leadership Quarterly, 14(4-5): 393-410., DOI: 10.1016/S1048-9843(03)00044-
  55. White H. (1985). The value of narrativity in the representation of reality. In: Mitchell W.J.T., a cura di, On Narrative. Chicago: Chicago University Press
  56. Willmott H. (1993). Strength is ignorance; slavery is freedom: managing cultures in modern organizations. Journal of Management Studies, 30(4): 515-552., DOI: 10.1111/j.1467-6486.1993.tb00315.
  57. Zizek S. (1989). Sublime Object of Ideology. London: Verso
  58. Zoller H., Fairhurst G.T. (2007). Dissent as Leadership: Discourse, Power, and Resistance. Human Relations, 60: 1331-1360

Mervyn Conroy, Leadership, Resistance and Innovation in "SALUTE E SOCIETÀ" 1/2015, pp. 80-101, DOI:10.3280/SES2015-001007


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