Journal
JOURNAL OF ORGANIZATIONAL CHANGE MANAGEMENT
Volume 31, Issue 2, Pages 426-450Publisher
EMERALD GROUP PUBLISHING LTD
DOI: 10.1108/JOCM-05-2017-0196
Keywords
Empirical research; Change management; Resistance to change; Attitude towards change; Structural equation modelling (SEM); Healthcare industry
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Purpose Resistance to change (RtC) is widely recognized as the main reason of failure, when it comes to change initiatives. Despite its importance, there is still a rather limited knowledge concerning the factors that trigger this behavior at the workplace. The purpose of this paper is to identify the factors affecting RtC in healthcare organizations (namely, hospitals) and specifically, in emergency departments (EDs). Design/methodology/approach An original conceptual framework (research model) has been developed and empirically tested using primary data collected from EDs of six Greek hospitals. In total, the actual sample incorporates the responses of 158 ED health professionals who completed a structured questionnaire. Findings The findings verified the initial assumption that disposition towards change (DtC), anticipated impact of change (AIC) and attitude towards change (AtC) mediate the impact of various personal and behavioral characteristics on RtC. The results suggested that RtC is (indirectly) influenced by four main factors (employee-management relationship, personality traits, employee participation in the decision-making process and job security). Originality/value This study investigates how several factors affect, both directly or indirectly, employee reactions toward RtC. It also examines the mediating effect of three factors (DtC, AtC, AIC) that capture three different dimensions of individual evaluation toward change, something that goes beyond previous work. In addition, the present study examines a wide range of antecedents of RtC, including both personality-related and job-related factors.
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