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Article
Publication date: 3 July 2017

Translating improvement methodology into healthcare culture

James Simon and Mishaela Houle

The purpose of this paper is to discuss improvement of the business of health care delivery through the application of systematic problem solving. This was strengthened by…

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Abstract

Purpose

The purpose of this paper is to discuss improvement of the business of health care delivery through the application of systematic problem solving. This was strengthened by recurrence prevention through standardization at every level transforming into culture.

Design/methodology/approach

The methodology utilized is set derived from the true fiber and fabric of Toyota, the Toyota Business Practice (TBP) or eight-step problem solving and its translation into health care thinking by aligning to the process of clinical diagnosis of patients. The methodology that gives energy and direction to TBP is Hoshin Kanri, a Japanese approach to strategic planning. When you combine focus and purpose through strategic direction alongside a culture of systematic problem solving you get results.

Findings

The application of the Toyota mindset resulted in a cultural shift which built on the strength of the current organizational culture. This approach had a broad impact on the program impacting leadership and management roles, improved employee engagement, complete visibility of organizational priorities, improved system performance, visibility and awareness of the vision and defined measures that drive the health care system. This has also resulted in cost diversions of approximately five million dollars CDN.

Originality/value

A grass roots application of real-time problem solving through strategic alignment.

Details

Business Process Management Journal, vol. 23 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/BPMJ-02-2017-0040
ISSN: 1463-7154

Keywords

  • Strategic alignment
  • Toyota Production System
  • Health care improvement
  • Improvement culture
  • Lean health care

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Article
Publication date: 1 April 1992

Designing More Functional Organizations: The 12 Step Model

Lee Robbins

Using strikingly different managerial techniques from conventionalorganizations, 12 Step Fellowships, most prominently AlcoholicsAnonymous, provide useful clues to…

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Abstract

Using strikingly different managerial techniques from conventional organizations, 12 Step Fellowships, most prominently Alcoholics Anonymous, provide useful clues to producing more effective, functional and humane organizations in contrast with our many dysfunctional firms which abuse their employees, behave unethically towards their customers, damage their social and ecological habitat and find it difficult to complete in a turbulent global environment. The founding Fellowship, Alcoholics Anonymous (AA), extends to 131 countries with 1,550,000 members while the second largest, Al‐Anon/Alateen, has 414,000 members in 84 countries. Without advertising, government support or experts, AA is widely considered the most effective method for treating alcoholism. This success story was produced by members who, prior to AA, were themselves severely dysfunctional and often unemployable. Examines facets of the Fellowships (organizational structure, culture, communication and problem solving techniques) to demonstrate a powerful, little studied model for organizational learning and transformation.

Details

Journal of Organizational Change Management, vol. 5 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/09534819210021456
ISSN: 0953-4814

Keywords

  • Alcoholism
  • Organizational behaviour
  • Problem solving
  • Corporate culture

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Article
Publication date: 27 July 2010

Management directed kaizen: Toyota's Jishuken process for management development

Phillip Marksberry, Fazleena Badurdeen, Bob Gregory and Ken Kreafle

The purpose of this paper is to analyze Toyota's management directed kaizen activities named Jishuken. Currently, there are many variations in understanding how Toyota…

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Abstract

Purpose

The purpose of this paper is to analyze Toyota's management directed kaizen activities named Jishuken. Currently, there are many variations in understanding how Toyota develops its managers to support daily kaizen, especially when Toyota managers have different levels of understanding of Toyota production system (TPS) and skills essential in applying TPS.

Design/methodology/approach

This paper will study Toyota's Jishuken process in the context of strengthening TPS and analyze both the technical and management aspects of Toyota's Jishuken process.

Findings

When integrated into plant‐wide long‐term continuous improvement, Jishukens can be extremely effective at developing management's ability to conduct and to teach others to conduct daily kaizen and problem solving. This paper shows how Jishukens function within the TPS system to continuously improve managers' understanding of TPS both for their own concrete problem solving and to support manager's roles in communicating, coaching and teaching problem solving to production workers.

Originality/value

Most attempts to imitate Toyota fail because techniques are adopted piecemeal with little understanding of why they exist or what kind of organizational culture is needed to keep them alive. Jishuken serves as an example of a technique which is successful only when embedded within the right organizational culture.

Details

Journal of Manufacturing Technology Management, vol. 21 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/17410381011063987
ISSN: 1741-038X

Keywords

  • Management development
  • Manufacturing systems
  • Continuous improvement
  • Lean production

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Article
Publication date: 3 February 2020

Systematic problem-solving and its antecedents: a synthesis of the literature

Matin Mohaghegh and Andrea Furlan

This study aims at determining the factors that favor a systematic approach to deal with complex operational and strategic problems. Management literature on…

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Abstract

Purpose

This study aims at determining the factors that favor a systematic approach to deal with complex operational and strategic problems. Management literature on problem-solving makes a clear distinction between either fixing a problem temporarily by eliminating its symptoms or solving it by diagnosing and altering underlying causes. Adopting a cognitive perspective of the dual-processing theory, this study labels these two approaches intuitive problem-solving and systematic problem-solving (SPS). While the superior effectiveness of SPS in fostering organizational learning is widely documented, existing literature fails to provide an overview of the conditions that support the adoption of SPS.

Design/methodology/approach

This paper presents a systematic literature review to shed light on the main supporting factors of SPS in operational as well as strategic domains.

Findings

Seven supporting factors of SPS (namely, nature of the problem, time availability, information availability, collaborative culture, transformational leadership, organizational learning infrastructure and environmental dynamism) are first identified and then discussed in an integrative model.

Originality/value

This work is an original attempt to inclusively address organizational, environmental and problem nature-related factors that favor SPS adoption. By determining the SPS supporting factors, this study highlights why many organizations fail or struggle to implement and sustain SPS over time.

Details

Management Research Review, vol. 43 no. 9
Type: Research Article
DOI: https://doi.org/10.1108/MRR-06-2019-0284
ISSN: 2040-8269

Keywords

  • Cognition
  • Organizational behavior
  • Co-citation analysis
  • Systematic literature review
  • Dual-process theory
  • Intuitive problem-solving
  • Systematic problem-solving

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Article
Publication date: 1 November 1998

Problem solving and culture ‐ exploring some stereotypes

David Crookes and Ivor Thomas

This paper investigates the cultural influences (ethnic and organisational) on management decision making. Using Michael Kirton’s Adaptors and Innovators (1987) as a…

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Abstract

This paper investigates the cultural influences (ethnic and organisational) on management decision making. Using Michael Kirton’s Adaptors and Innovators (1987) as a model, research was undertaken in Hong Kong with four groups of managers. The groups represented the permutations of expatriate and local managers in the private and public sectors. A comparison of national cultures prefaces the research methodology and the instrument used. Assumptions of culturally induced performance and sector styles were examined, producing some interesting results. The findings have implications for the selection and development of managers in multicultural or Chinese environments. Finally, an area for future research is how training can be used to enable managers to switch consciously between a range of problem‐solving and decision‐making styles.

Details

Journal of Management Development, vol. 17 no. 8
Type: Research Article
DOI: https://doi.org/10.1108/02621719810228443
ISSN: 0262-1711

Keywords

  • Cross‐cultural management
  • Expatriates
  • Hong Kong
  • Problem solving

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Article
Publication date: 1 October 1994

Managerial Problem Solving: A Cultural Perspective

Ian Brooks

Illustrates how organizational culture can stifle effective problemsolving and decision making. In the organization in question this hadcritical implications for quality…

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Abstract

Illustrates how organizational culture can stifle effective problem solving and decision making. In the organization in question this had critical implications for quality, staff retention and organizational change. The myopic, non‐innovative generation of apparent solutions to major organizational problems made the organization a victim, not a master, of change. Precedent determined action so that “more of the same” becomes the forte of the organization. Investigates the nature of the organizational culture and the mechanisms of influence it exerted over the problem‐solving process. The research utilized a qualitative methodology well suited to investigating organizational culture and was based in a civil service agency. Suggests an alternative, or model, culture, the adoption of which would enable the organization to cope with environmental and organizational change. Offers recommendations which derive from the research.

Details

Management Decision, vol. 32 no. 7
Type: Research Article
DOI: https://doi.org/10.1108/00251749410068120
ISSN: 0025-1747

Keywords

  • Control
  • Corporate culture
  • Creativity
  • Decision making
  • Managers
  • Organizational change
  • Problem solving
  • Public sector

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Article
Publication date: 1 August 2005

A configurational framework for diversity: socialization and culture

Amy McMillan‐Capehart

To develop hypotheses aimed at finding ways to take full advantage of the benefits associated with selecting and hiring dissimilar employees such as creativity…

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Abstract

Purpose

To develop hypotheses aimed at finding ways to take full advantage of the benefits associated with selecting and hiring dissimilar employees such as creativity, productivity, and problem solving, while avoiding negative consequences such as lower job satisfaction and increased turnover.

Design/methodology/approach

A review of the diversity, socialization, and culture literature was conducted. In addition, this research is based on configurational theory and the idea that all the constructs interact with one another in order to affect outcomes in an organization.

Findings

The literature review and theory development support the idea that, in order to benefit from the positive outcomes related to diversity, organizations should implement individualized socialization tactics within a collectivistic organizational culture.

Research limitations/implications

The hypotheses need to be empirically tested.

Practical implications

This research suggests that it is possible for managers to get the most out of a diverse workforce while minimizing the negative effects. One of the main issues with diversity is the increased conflict and turnover. By implementing individualistic socialization tactics within a collectivistic culture, organizations will benefit from employees' backgrounds and experiences, while promoting teamwork and a cohesive organization.

Originality/value

This paper fills a void in the diversity literature by suggesting that it is through socialization and culture that one can overcome the negative effects of diversity.

Details

Personnel Review, vol. 34 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/00483480510599798
ISSN: 0048-3486

Keywords

  • Equal opportunities
  • Socialization
  • Organizational culture
  • Conflict
  • Employee turnover
  • Job satisfaction

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Article
Publication date: 9 February 2010

Knowledge management structure and human capital development in Indian manufacturing industries

M Birasnav and S Rangnekar

Organizations are constantly striving to develop and enhance knowledge of employees who involve in strategic business processes by which they aim for an organizational…

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Abstract

Purpose

Organizations are constantly striving to develop and enhance knowledge of employees who involve in strategic business processes by which they aim for an organizational knowledge creation to achieve a competitive advantage. Accordingly, they encourage employees to involve in basic knowledge management (KM) processes and establish infrastructure, particularly, supportive culture and communication facilities for knowledge acquisition and sharing in order to broaden both human capital and organizational knowledge base. In this direction, the purpose of this paper is to develop a hierarchical structure of KM that aims to develop or create human capital in an organization and empirically analyzes the model fit with the data.

Design/methodology/approach

Data are collected from 401 employees of Indian manufacturing firms. Factor analyses for identifying and validating the structure of KM and regression analysis for examining the associations of KM dimensions with certain demographic characteristics of employee and organization are performed.

Findings

Organizations show KM concepts' demonstration on developing human capital through tactical KM process and problem‐solving approach, communication‐oriented culture, and innovation‐supportive culture. The results confirm the theoretical hierarchical structure of KM with data. In addition, these dimensions are moderately associated with certain characteristics of employees and organizations.

Research limitations/implications

Firms, which are small and medium in size and particularly private‐owned, create human capital through a hierarchical KM structure.

Originality/value

This paper analyzes the instruments of KM in view of creating human capital.

Details

Business Process Management Journal, vol. 16 no. 1
Type: Research Article
DOI: https://doi.org/10.1108/14637151011017949
ISSN: 1463-7154

Keywords

  • Knowledge management
  • Organizational culture
  • Communication
  • Human capital

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Article
Publication date: 1 June 2004

Culture, intercultural communication competence, and sales negotiation: a qualitative research approach

Sunanta Chaisrakeo and Mark Speece

Many companies are shifting their focus away from individual transactions toward developing long‐term, mutually supportive relationships with their customers. Salespeople…

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Abstract

Many companies are shifting their focus away from individual transactions toward developing long‐term, mutually supportive relationships with their customers. Salespeople are the main implementers of such relationships, as they act as the interface between companies and customers. Negotiation is an important part of relationship development, but salespeople’s negotiating styles are influenced by culture and the ability to adapt to cultures of specific markets and specific customers. This study proposes a simple conceptual model of how cultural issues at three different levels – national, organizational, individual – influence salespeople’s negotiating styles. Qualitative in‐depth interviews were employed to explore the impact of national culture, organizational culture, and individual sales rep competence in dealing with culture on salespeople’s negotiating styles.

Details

Journal of Business & Industrial Marketing, vol. 19 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/08858620410516745
ISSN: 0885-8624

Keywords

  • National cultures
  • Organizational culture
  • Cross‐cultural management
  • Communications
  • Sales
  • Thailand

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Article
Publication date: 2 October 2007

Building trust in construction projects

Malik M.A. Khalfan, Peter McDermott and Will Swan

The objective of this paper is to present different perspectives on building “trust” among supply chain participants working on construction projects.

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Abstract

Purpose

The objective of this paper is to present different perspectives on building “trust” among supply chain participants working on construction projects.

Design/methodology/approach

A case study methodology was adopted; with five construction projects selected as five case studies for the trust in construction project on the basis a selection criteria devised for the research project. Over 40 interviews were conducted with participants operating at different levels in their respective organisations and at different point in the supply chain.

Findings

The information provided by the multiple informants was, to a large extent, consistent with much of the academic literature relating to the importance of and barriers to trust. Specifically, the case studies highlighted: what people within the construction industry understand by trust, reliance, and honest professional relationship; the key factors that contribute towards building trust and factors that result into breakdown of trust; and organisational and project related factors that influence trust and relationships among people within the industry.

Research limitations/implications

The findings from this study are limited due to: a small number of case studies undertaken, focused within the North West Region of England, and limited time and resources available. However, the ideas proposed for ways to develop trust in construction projects as seen from project findings have important implications for not only the clients but also for the main contractors and sub‐contractors who need to pay greater attention to build trusting and long‐term relationship as part of an integrated supply chain in order to deliver the continuous demand for services especially from public sector clients.

Practical implications

If more businesses operating in the construction sector gave more thought to the importance of trust in construction projects then this could have a significant impact on contract design and over all procurement strategy. Specifically the repetitive work carried out by the local authorities in the UK, such as school building and maintenance, social housing stock improvement, etc., can be subcontracted to the contractors on a longer term basis resulting into long term supply chain relationship among organisations and cost savings.

Originality/value

The research is among the first attempts in response to Latham report published in 1994, in order to explore the role of trust in construction projects, from the perspective of multiple stakeholders. The paper provides insights into the practical issues that prevent the widespread development of trust within the construction industry, which is a challenge that clearly warrants further attention from academics and practitioners.

Details

Supply Chain Management: An International Journal, vol. 12 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/13598540710826308
ISSN: 1359-8546

Keywords

  • Trust
  • Construction industry
  • Supply chain management

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