The present study examined relationships between psychological climate and components of a valence‐instrumentality‐expectancy model. Data were obtained from 504 managerial employees of a large health care company. A principal component analysis of responses to 35 composites representing perceptions of the job, leadership, workgroup, and organization yielded six psychological climate components. Similar analyses were conducted separately for 20 valence items and 20 instrumentality items. Considerable similarity was found among the instrumentality and valence components, with one component in each area representing intrinsic outcomes, one component representing organizationally‐mediated extrinsic outcomes, one representing negative or neutral outcomes, and one representing leader and workgroup‐mediated extrinsic outcomes. Relationships among psychological climate and valence‐instrumentality‐expectancy components were significant and supported several hypotheses proposed in the literature.

A draft policy is generally supportive but should start mandating data sharing

In order to implement business process reengineering successfully, organizations find that they need to combine a variety of change initiatives. Yet, most of the empirical literature dwells on a single change initiative. Integrating multiple change initiatives requires a structural learning mechanism. The learning mechanism is created to lead, design, and implement the overall change effort. This paper reports on BPR at Blue Shield of California. The theoretical implications of system‐wide transformation and learning mechanisms ‐ based on the integration of BPR with other change initiatives ‐ within the rapidly changing health care competitive context are discussed.

The goal of boosting creativity and productivity in knowledge‐based teams is shared by managers in technology‐oriented companies and industries. In this paper, we assess the nature of team performance and creativity in the context of computer‐supported technology. A field study of a Seagate Software project team provided the basis for the examination of four sub‐ teams’ overall functioning and creativity. Factors considered included technology support, team member relationships, decision making, performance and meeting deadlines, attention to quality, and innovation and creativity. Results varied, revealing less reliance on computer‐aided support and more on social support. Creativity was recognized and supported, but at times hampered.

Since 1973, the pharmacy operations division of the Kaiser Permanente Medical Care Program (KPMCP) has used long-term action research programs as the principal method for orchestrating change. This chapter covers the evolution of action research theory within large, complex organizations, with particular attention to health care organizations. Four case examples from KPMCP are discussed in depth and mapped to the recently advanced Roth model of insider action research. This model considers external and internal business context, the perceived need to create new organizational capabilities, as well as insider action research theory and learning mechanisms used in change programs. Issues posed by the Roth model are explored, and new theory is advanced regarding the need for a long-term perspective, the advantages and difficulties posed when managers act as insider action researchers, and the quality of data gathering that takes place during insider action research change programs.