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Danielle Tucker, Imperial College, London, UK
Jane Hendy, University of Surrey, UK
James Barlow, Imperial College, London, UK
Sensemaking and Social Accounts
of Middle Managers
Academy of Management Annual Meeting 2012 3-8th August, Boston, MA
Background
• Limited previous research on large scale change in healthcare
– no guidance
• Need for planning
• Need for stakeholder engagement
• Long term sustainability and embedding of practices
Our interests:
• Communication and understanding - impact on current decision
making and planning processes
• Sensemaking and social accounts
• Approaches to engaging stakeholders and their impact
• The use of tools and agents in managing change
• Transformational strategic change
Imperial College Business School ©
Theoretical Framing (1)
• Sensemaking
Sensemaking is a narrative process through which mental models of
the world are created, shared and maintained. Clusters of
knowledge or experiences which act as reference frameworks
(interpretive schemes), allowing us to make sense of an event in
reference to the knowledge which we already have (Balogun and
Johnson 2004).
Organisational transformation requires all employees to change
their sensemaking of the organisation.
If sensemaking is not transformed organisational behaviour
will remain entrenched in its old design.
Imperial College Business School ©
Theoretical Framing (2)
Employees form new sensemaking by gathering information,
communications and actions from their surroundings.
During large scale organisational redesign they must use perceptual
filters to manage communications.
• Social accounts
“the explanations one gives another for the decisions and actions he or
she has made” (Cobb and Wooten 1998:p75).
We do not understand why some social accounts are incorporated
into the new sensemaking and others are rejected.
Imperial College Business School ©
Theoretical Framing (3)
Importance of middle managers:
• Receivers and givers of social accounts
• Translate strategy to implementation
• Filter of key messages
• Often overlooked in change management process
Imperial College Business School ©
Theoretical Framing (3)
Imperial College Business School ©
Old
Schema
Social Account
Reject account
Accept account
New Transformed
Schemata
Redesign Sensemaking
Existing
Schemata of
Middle
managers
Behaviour supports new
design
Entrenched Schemata
Behaviour resists new
design
Senior
Management
Case Study
© Imperial College Business School
Drivers for Change and Context:
• Aging facilities
• Reconfiguration of Services within
the Trust
• Infection Scandal, Healthcare
Commission Report – 2007
• Change of Board – 2007/2008
• Political & community opposition to
reconfiguration of maternity services
Project Overview: Redesign and rebuild of two old hospitals and reconfiguration of services within an English NHS Trust. 100% single occupancy room design. All acute services for county to be consolidated at one site.
Middle Manager Change Agents
© Imperial College Business School
Executive Team
New Hospital Development
Team
MMCA
Clinical Division
MMCA
Clinical Division
MMCA
Clinical Division
MMCA
Clinical Division
Middle Manager Change Agents:
•2-year project mgmt role
(18months prior to stage 1 move)
•Seconded from Clinical Divisions
•Link between project team and
clinical divisions
Data Collection
© Imperial College Business School
Data Source Phase 1
(January-September
2010)
Phase 2
(October 2010-
January 2011)
Transition A
(January
2011)
Phase 3a
(February-July
2011)
Transition B
(September
2011)
Phase 3b
(August 2011-
January 2012)
TOTAL
Formal Interviews: (Jan-April) (Oct-Dec) (March-April) (Dec-Jan)
Executive Directors 3 6 4 1 14
Other Trust Management 4 3 - 2 9
Project Management Office 7 4 1 2 14
Divisional Directors - 4 4 5 13
Managerial Change Agents 4 5 2 4 15
Lower
management/Frontline
staff
- - 3 7 10
Total 18 22 14 21 75
Observations (hrs.):
Total 2 4 3 2 11
Documents:
Total 29 13 34 28 104
Findings (1)
Mechanisms for creation of new sensemaking:
• Consensus and Alignment
• But how do they work as mechanisms?
• Another level of analysis uncovered that:
• Managers often used comparisons to explain the change process
• Relied on underlying assumptions of the organisation
• Sensemaking requires significant room for interpretation
Two attributes which ‘hook’ onto existing schema and form the basis of new
sensemaking:
• Concrete hook – allows interpretation and assimilation
• Credible hook – decision to accept or reject account
© Imperial College Business School
Findings (2)
1. The ‘concrete hook’
• Concrete – being able to interact with information using our senses
• Abstract ideas were difficult to remember
• Managers failed to interpret accounts which were not concrete
“I think maybe at that point I hadn’t translated that that would actually affect
us within [name of department] as well, it hadn’t kind of come home. I know
when, probably about two years ago when they were still talking about
building it, what we ended up with was not how I understood that it was going
to be from that time” (03-33: 71-75)
© Imperial College Business School
Concrete Hook No Hook
No transformation
Findings (3)
2. The ‘credible hook’
• Credible – an evaluation of alignment between the account and the
organisations objectives and actions
• Evidence – whether the account was based on accurate understanding of
the situation
• Legitimacy – whether the motives for the account were genuine
“People were saying, there’s a gap here, right okay, we’ll plug it with a role. We’ll
call them [job title]. This is what we’ll say after... this is what we’ll say they’re
looking after because that looks like it splits nicely and I’ve pulled those out of a
hat and I think they’ll all go nicely together but on the other hand we’re not really
sure what their role will be but, you know” (02-18: 175-180).
“Probably because they had nothing else to do with me, [on the project] this year
and then after September next year I’ll be gone. They’ll get rid of me.” (02-20:
444-446) © Imperial College Business School
Process model of middle manager sensemaking
© Imperial College Business School
•
Social Account
Reject account
Accept account
New Transformed
Schemata
Redesign Sensemaking
Existing
Schemata of
Middle
managers
Concreteness
Behaviour supports new
design
Entrenched Schemata
Behaviour resists new
design
Figure 1 - Change Agent Sensemaking
Senior
Management
Credibility
Ignore account
Conclusions
We identify two mechanisms by which explanations (social
accounts) are incorporated in the development of new
sensemaking during organisational change.
- The need for accounts to have a ‘concrete hook’ on which new
sensemaking can be based.
- The outcome of a credibility evaluation, which may lead to the
acceptance or rejection of an account.
This understanding contributes towards explaining the success or
failure of managerial sensegiving and sensemaking activities and
subsequent successful organisational change outcomes.
© Imperial College Business School