Date of Award
Doctor of Philosophy
Brian D Janz
John M Amis
Change in organizational settings is ubiquitous and necessary for success, yet it has not been understood very well by both theoreticians and practitioners. I draw on sensemaking and organizational field literature to explain how planned change is perceived in the healthcare environment in Tennessee. The three chapters in this dissertation, while distinctly dealing with both theoretical and empirical aspects, are connected to each other with an underlying theme – change initiatives in healthcare in the United States. The first chapter proposes a nomological relationship among the three primary constructs of interest (sensemaking, learning, and change) and the role of problem recognition in the process of learning that leads to change. The second chapter, through a narrative analytical approach, throws light on the users’ sensemaking of the interoperability technology that enables providers and/or hospitals to exchange patient health information. The third chapter discusses field level discourses in healthcare in the research context. Overall, these chapters integrate and build on the seemingly disparate bodies of management literature and help to understand how such an integrated perspective can be used to better understand the contemporary dynamics in the healthcare information sharing sector.
dissertation or thesis originally submitted to the local University of Memphis Electronic Theses & dissertation (ETD) Repository.
Singh, Kulraj, "'Direct' Secure eShare Service for Health Information Exchange in Tennessee: A Sensemaking Perspective" (2015). Electronic Theses and Dissertations. 1112.