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The purpose of this paper is to explore how the lack of staff engagement with a university’s strategy on sustainability could be an enabling lever for organisational change. It examines the attitudes and views of employees of a business faculty at an Australian metropolitan university as it attempts to adopt a holistic approach to sustainability.

The paper opted for a case study using data from an on-line survey, semi-directed interviews with key management personnel and archival material. Responses were analysed using Piderit’s (2000) notion of ambivalence.

The paper provides empirical insights into why staff lacked engagement with the university’s strategy on sustainability. It suggests that staff were ambivalent, displaying dissonance in their personal beliefs on sustainability, the university’s strategy and the extent of their intentions to support the university. Staff were willing to offer ideas on how the university could, in the future, change towards sustainability. These ideas allow the possibility for the university to learn to adjust the scope of the implementation of its sustainability strategy.

The research results may lack generalisability. Therefore, researchers are encouraged to further examine staff attitudes on sustainability in higher education using Piderit’s notion of ambivalence. In-depth interviews and focus group discussions could allow a better understanding of harmony and dissonance in cognition of and intention for university sustainability strategies and initiatives by academic, professional and sessional staff.

The paper includes implications for staff engagement with sustainability in higher education.

This paper fulfils an identified need to study how staff engagement with sustainability in higher education can be enabled for organisational learning.

The purposes of this paper are two-fold: first, to introduce a new concept of primary care consultation system at a mainland Chinese hospital in response to healthcare reform; and second, to explore the factors associated with change resistance and acceptance from both patients’ and medical staff’s perspectives.

A survey design study, with two questionnaires developed and distributed to patients and medical staff. Convenience and stratified random sampling methods were applied to patient and medical staff samples.

A 5-dimension, 21-item patient questionnaire and a 4-dimension, 16-item staff questionnaire were identified and confirmed, with 1020 patients (91.07 percent) and 202 staff (90.18 percent) as effective survey participants. The results revealed that patient resistance mainly stems from a lack of personal experiences with visiting general practice (GP) and being educated or having lived overseas; while staff resistance came from occupation, education, GP training certificate, and knowledge and experience with specialists. Living in overseas and knowledge of GP concepts, gender and education are associated with resistance of accepting the new practice model for both patients and staff.

There are few Chinese studies on process reengineering in the medical sector; this is the first study to adopt this medical consultation model and change in patients’ consultation culture in Mainland China. Applying organizational change and process reengineering theories to medical and healthcare services not only extends and expands hospital management theory but also allows investigation of modern hospital management practice. The experience from this study can serve as a reference to promote this new consultation model in Chinese healthcare reform.

Many Sino‐foreign joint ventures are set up by acquiring existing state enterprises. Under this arrangement, the foreign partner normally has to restructure the original state enterprise by transferring its routines to China. More often than not, resistance to change is experienced during the transition period. This paper explores the factors affecting such resistance. A grounded theory approach using five cases is adopted. The major factors identified are: Chinese partner's perceived need for change, number of active foreign partners, deployment of experts by the foreign partner, age of the former state enterprise, and joint venture performance. Propositions are derived from the case evidence and relevant literature. A preliminary model linking up the propositions is developed.

The purpose of this paper is to review the organisational change processes in an academic library in the context of change management theory.

The process of achieving organisational change in La Trobe University Library, a medium‐sized Australian academic library is examined. The focus is the library's experience of effecting wide reaching changes in interconnected areas of organisational structure, client services delivery and the physical service environment and facilities. The drivers for undertaking change in service delivery are outlined and the changes that have been implemented are discussed. The practical experience of achieving change is examined using the framework of key change management theory and expert advice.

La Trobe University Library has been a leader in innovative service delivery and an early adopter of technologies to improve services; however it had not previously experienced significant organisational change. The library initiated a number of strategies to address resistance to the changes, achieving some success. Workshops for staff to better understand and cope with change were introduced. Extensive consultation and communication with staff was undertaken; finding the balance between perceived inadequate communication with staff and communication overload was a challenge. People are the key factor to success in any organisational change and the library's experiences confirmed the need to attend to the people element in any change process. Planning and leadership were core elements to achieving successful change.

The paper provides a useful comparison between management theory and expert advice on organisational change and the practical experience of a library.

The purpose of this paper is to use empirical data on new principals to clarify the connection between different succession situations and the challenges their successor principals face.

The study draws on two waves of interview data from a random sample of 16 new elementary school principals in a major urban school district in the USA.

New principals face distinct practice challenges depending on the nature of their successions. The less planned the succession, the less information and knowledge the new principal tends to possess. The more discontinuous the new administration’s trajectory is with the previous administration, the greater the staff resistance that the successor principal tends to face.

Few studies systematically examine how succession situations differ in schools that are in need of transformation vs those in need of stability. This study addresses this gap by illuminating the varied processes of succession and highlighting specific mechanisms that link these processes to different organizational trajectories.

For district officials, this study suggests that principals in unplanned successions need greater support in quickly gathering information about their new schools while principals in discontinuous successions need greater expertise in how to balance trust-building and accountability in their attempts to promote transformational change.

This study’s primary value is its detailed articulation of how certain characteristics of succession situations are associated with specific types of challenges. Only studies at this level of specificity can be effective guides to practitioners and policymakers who are charged with preparing, selecting, and supporting new principals and their schools.

Librarians have traditionally followed a model of service based on a professional ethic. Attempts to introduce a retail model of service have generally met with staff resistance. The study aims to ask librarians about their attitudes to the retail and professional models of service and what they did not like about the retail model.

Data were drawn from focus groups consisting of experienced reference librarians.

Results suggest that librarians behave differently while front‐stage and backstage. They resist the retail model because it is perceived to replace service based upon knowledge with fake behaviour.

Managers can draw on the results when considering how best to improve the service provided by library staff who prefer the professional model of service over the retail model.

The use of Goffman's theory of dramaturgy has highlighted previously unknown attitudes to service held by reference librarians that will slow or stop the introduction of the retail model of service.

This article sets out to draw on new empirical research to illustrate how the process of technological change is shaped by a combination of contextual elements that relate to the political and social history of Sudan. The developments in infrastructure, relationships with economically powerful industrialized countries, and the attitudes and perceptions of key decision makers are discussed

Primary data were collected from fieldwork conducted in Sudan for six months, and this was combined with secondary data that were collected from several conventional sources. The design adopted a dual methodological approach that comprised a combination of quantitative and qualitative techniques. This article draws mainly on the qualitative data set, although a summary is provided of some of the main results from the questionnaire survey.

The findings highlight the need for bank general managers and IT managers to collaborate in the establishment of IT strategies and in ensuring that there are sufficient staff and budgetary resources for successful implementation. There is also a need to develop comprehensive banking policies in Sudan in order to support the replacement of traditional manual methods of banking with more advanced computer‐based systems. Managing this process is not simply a technical issue, but a complex socio‐political challenge that requires management sensitivity to the context within which change is taking place.

Fieldwork in Sudan was constrained by both time and limited financial resources, and further frustrated by a number of unanticipated access difficulties. Some of the survey findings may have been affected by missing data, and some of the interview data may have been affected by translation from Arabic into English. However, the multi‐strategy research employed in this study did prove effective in generating useful data.

In the case of developing countries, the data sets and literature available are in short supply, and as such the findings contribute to this limited knowledge base in presenting new empirical evidence and analysis. The study highlights the importance of three broad categories – social‐political context, business economic and technological environment, and the historical and cultural climate of Sudan and the banking industry – in shaping the uptake and introduction of new technology in the Sudanese banking industry.

The purpose of this paper is to explore the attitudes of nursing home administrators and key managerial staff toward health information technology (health IT).

This research is exploratory in nature, and applies qualitative case-study methodology to further understand health IT adoption by nursing homes through multiple in-depth semi-structured interviews of management, and direct observations of employee behavior at each participating facility. A modified Technology Acceptance Model is used to examine the attitudes and perceptions of administrators.

This study finds that there are differences in the level of health IT adoption by nursing homes. While some administrators are aware of health IT and are implementing or updating their IT systems in a gradual but haphazard manner, others exhibited a lack of interest in implementing change. Overall, there is a lack of systematic planning and decision-making toward health IT adoption. Adoption is not evidence-based, instead driven primarily by real and perceived regulatory requirements combined with a lack of information about, or consideration of, the real costs and benefits of implementing health IT.

Including six in-depth case studies, the sample for this study is small for generalizing the findings. Yet, it contributes to the literature on the slow process of health IT adoption by nursing homes. Moreover, the findings provide guidelines for future research.

This study demonstrates that nursing home administrators must systematically plan the adoption of health IT, and such decision making should be evidenced-based and participatory so that employees can voice their opinions that could prevent future resistance.

This study is original and advances knowledge on the reasons for the slow adoption of health IT in nursing homes. It finds that lack of adequate information regarding the utility and benefits of health IT in management adoption decisions can result in haphazard implementation or no adoption at all. This finding has significant value for policy makers’ practitioners for improving accessibility of information regarding the use of health IT in nursing homes that could address the health IT adoption challenge in this industry.

The spotlight has recently been placed on managers’ responsibility for patient-centred care as a result of Mid Staffordshire NHS Foundation Trust failings. In previous research, clinicians reported that managers do not have an adequate structured plan for implementing patient-centred care. The purpose of this paper is to assess the perceptions of European hospital management with respect to factors affecting the implementation of a patient-centred approach.

In total, 15 semi-structured interviews were conducted with hospital managers (n=10), expert country informants (n=2), patient organisations (n=2) and a user representative (n=1) from around Europe. Participants were purposively and snowball sampled. Interviews were analysed using framework analysis.

Most participants felt that current levels of patient-centred care are inadequate, but accounted that there were a number of macro, meso and micro challenges they faced in implementing this approach. These included budget constraints, political and historical factors, the resistance of clinicians and other frontline staff. Organisational culture emerged as a central theme, shaped by these multi-level factors and influencing the way in which patient-centred care was borne out in the hospital. Participants proposed that the needs of patients might be better met through increasing advocacy by patient organisations and greater staff contact with patients.

This study is the first of its kind to obtain management views from around Europe. It offers an insight into different models of how patient-centred care is realised by management. It indicates that managers see the value of a patient-centred approach but that they feel restricted by a number of factors at multiple levels.

The purpose of this study is to propose a Lean Six Sigma (LSS) roadmap to guide healthcare practitioners in the implementation of LSS along with a customized LSS tool kit for reducing medication errors.

The authors initially critically reviewed several frameworks/roadmaps of Lean, Six Sigma and LSS which have been proposed in healthcare sector from the existing literature. This review has led to an understanding of key characteristics, limitations and reasons behind the development of such frameworks/roadmaps. A conceptual roadmap was developed and then validated by a number of LSS experts and a healthcare practitioner. Based on the previous studies and taking LSS experts’ opinions into account, a revised roadmap for reducing medication is presented.

The roadmap for LSS in reducing medication errors is developed. This roadmap includes three phases: Phase 1 cultural readiness for LSS employment in reducing medication errors; Phase 2 preparation, initialization and implementation; and Phase 3 sustainability.

The roadmap has been tested with only a handful of practitioners of LSS. Moreover, only two case studies have been carried out in a Thai hospital setting which followed the roadmap. In order to improve the validity of research, more case studies need to be executed and more people should be used for testing the roadmap with varied cultures.

This is the first attempt in the development of a LSS roadmap that healthcare practitioners can follow to reduce medication errors using LSS methodology and sustaining LSS in their organizations.