Why health-care teams don't change: chronicity and collusion.
Organizational chronicity exists in many health-care settings. This syndrome organizes the agency's approach to problems, dampens enthusiasm about the possibility of change, and fosters a climate in which change behaviors are undermined and sabotaged. The authors identify collusion, characteristics of the health-care team, errors of the internal training staff, and consultant errors as four significant contributors to organizational chronicity, and offer strategies for changing settings in which chronicity is the norm.
D003253:Consultants; D004496:Education, Continuing; D004509:Education, Nursing, Continuing; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D009936:Organizational Innovation; D010348:Patient Care Team / Q000458:organization & administration; D011369:Professional-Patient Relations; D012945:Social Values; D013997:Time Factors