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Discourse of institutional change
Descriptive
TitleInfo
Title
Discourse of institutional change
SubTitle
(De)legitimization of change narratives within the organizational field
Name
(type = personal)
NamePart
(type = family)
Kulkarni
NamePart
(type = given)
Vaibhavi
NamePart
(type = date)
1980-
DisplayForm
Vaibhavi Kulkarni
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Lewis
NamePart
(type = given)
Laurie K
DisplayForm
Laurie K Lewis
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Scott
NamePart
(type = given)
Craig R
DisplayForm
Craig R Scott
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
Ruben
NamePart
(type = given)
Brent D
DisplayForm
Brent D Ruben
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
Lammers
NamePart
(type = given)
John C
DisplayForm
John C Lammers
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
outside member
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm
(authority = RULIB)
school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
OriginInfo
DateCreated
(qualifier = exact)
2014
DateOther
(qualifier = exact);
(type = degree)
2014-01
Place
PlaceTerm
(type = code)
xx
Language
LanguageTerm
(authority = ISO639-2b);
(type = code)
eng
Abstract
(type = abstract)
This study examined messages representing three institutional orders – institutional order of the State, Profession and Corporation – to understand the process of institutional change surrounding the implementation of Electronic Health Records (EHR). An institutional change influences a host of stakeholders within an organizational field. These stakeholders include organizations representing different institutional orders, with multiple logics emerging from these orders. Institutional changes typically require modifying or replacing these existing institutional logics. Communication plays an integral role in how institutional logics are transformed, legitimized or delegitimized within an organizational field during change. Accordingly, this study used a discursive approach to understand institutional change. It analyzed institutional messages and identified organizing visions within an organizational field. Analysis of institutional messages enabled identification of institutional logics that are established and contested by institutional orders of the State, Profession and Corporation, whereas organizing visions located change discourse within the larger inter-institutional context. This was accomplished by asking the following research questions: What are the institutional logics advanced by institutional orders of State, Profession and Corporation? What are the discursive strategies used by institutional orders to (de)legitimize institutional logics and promote their version of change? What are the dominant organizing visions arising out of the messages within the organizational field? Institutional orders of the State and Corporation attempted to legitimize EHR-related change through logic of healthsystem efficacy, logic of operational efficacy and logic of collaboration. Institutional order of the Profession delegitimized the assertions made by the State and the Corporation by challenging their claims and advocating the logic of healthcare crises. The study found that all the institutional orders primarily used intertextual references that would aid them in establishment of their logics. At the same time, they also used intertextuality to minimize or exclude certain discourses or problematize discourses to delegitimize certain logics. Further, use of intertextuality enabled institutional orders to gain wider reach and increase the establishment of their messages. This, in turn, facilitated creation of two organizing visions – EHR technology as an impediment and EHR technology as progress. The study found that institutional change and discourse are mutually implicated, and highlighted the significance of discourse transmission and consumption to understand the dynamics of power and resistance within an organizational field.
Subject
(authority = RUETD)
Topic
Communication, Information and Library Studies
RelatedItem
(type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
Identifier
ETD_5256
PhysicalDescription
Form
(authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
vii, 186 p. : ill.
Note
(type = degree)
Ph.D.
Note
(type = bibliography)
Includes bibliographical references
Note
(type = statement of responsibility)
by Vaibhavi Kulkarni
Subject
(authority = ETD-LCSH)
Topic
Organizational change
Subject
(authority = ETD-LCSH)
Topic
Medical records--Data processing
Subject
(authority = ETD-LCSH)
Topic
Communication in management
RelatedItem
(type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier
(type = local)
rucore19991600001
Location
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(authority = marcorg);
(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T3SN072K
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Kulkarni
GivenName
Vaibhavi
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2013-12-31 06:57:25
AssociatedEntity
Name
Vaibhavi Kulkarni
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2014-01-31
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = end)
2015-01-31
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 31st, 2015.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical
RULTechMD
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ContentModel
ETD
OperatingSystem
(VERSION = 5.1)
windows xp
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Statistical Profile