Organizational transformation is a multifaceted process that involves
altering an organization’s structure, culture, processes, systems, and
strategies to better adapt to internal and external changes. This
transformative process is characterized by interprofessional
interactions that aim to foster collective dynamics. The likelihood of
organizational transformation failure is considerable, especially in
pluralistic organizations. Our study’s research question centered on the
interactional mechanisms that come into play in the dynamics of
organizational transformations within hospitals during a health crisis,
treating the crisis as a valuable learning opportunity. Following a
six-month period of observation, 28 semi-structured interviews were
conducted between September 2021 and December 2022 with various
professionals from different hierarchical levels and professional
categories in two French hospitals. The research emphasizes the
mechanisms that facilitate the development of a social structure and
social systems in pluralistic organizations and govern individual and
collective actions that regulate the process of organizational
transformation.