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Rethinking gossip and scandal in healthcare organizations

机译:重新思考医疗保健组织中的八卦和丑闻

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Purpose - The purpose of this paper is to argue that gossip is a neglected aspect of organizational communication and knowledge, and an under-used management resource. Design/methodology/approach - The paper challenges mainstream managerial assumptions that gossip is trivial or tainted talk which should be discouraged in the workplace. Instead, gossip is re-framed at an organizational level of analysis, which provides the opportunity for relational knowledge about systemic failure and poor practice in healthcare to surface. Findings - Rather than simply viewing gossip as an individual behaviour and interpersonal process, it is claimed that organizational gossip is also a valuable early warning indicator of risk and failure in healthcare systems. There is potentially significant value in re-framing gossip as an aspect of organizational communication and knowledge. If attended to (rather than neglected or silenced) gossip can provide fresh insights into professional practice, decision making and relational leadership. Originality/value - This paper offers a provocative challenge to mainstream health organization and management thinking about gossip in the workplace. It offers new ways of thinking to promote patient safety, and prevent the scandals that have plagued healthcare organizations in recent years.
机译:目的-本文的目的是争辩八卦是组织沟通和知识的一个被忽略的方面,也是未充分使用的管理资源。设计/方法/方法-本文对主流管理假设提出质疑,即闲话是琐碎或污秽的谈话,应在工作场所中劝阻。相反,八卦在组织分析的层次上进行了重新组织,从而提供了有关系统性衰竭和医疗保健不良实践的相关知识的机会。调查结果-不仅仅是将闲话视为个人行为和人际关系,还声称组织闲话也是医疗系统中风险和失败的有价值的预警指标。重新设计八卦作为组织沟通和知识的一个方面,具有潜在的重大价值。如果闲聊(而不是被忽略或沉默),八卦可以提供有关专业实践,决策和关系领导力的最新见解。原创性/价值-本文对主流卫生组织和管理人员关于工作场所八卦的思考提出了挑衅性的挑战。它提供了新的思维方式来提高患者的安全性,并防止近年来困扰医疗机构的丑闻。

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