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Navigating and understanding organisational complexity in health services: The value of POSH-VRE

Published online by Cambridge University Press:  09 December 2019

Ann Dadich*
Affiliation:
School of Business, Western Sydney University, 169 Macquarie Street, ParramattaNSW, 2150, Australia
Aileen Collier
Affiliation:
Faculty of Medical and Health Sciences, University of Auckland, 89 Grafton Road, Grafton Auckland, 1010, New Zealand
Michael Hodgins
Affiliation:
School of Business, Western Sydney University, 169 Macquarie Street, ParramattaNSW, 2150, Australia
*
*Corresponding author. Email: [email protected]

Abstract

This methodological article introduces positive organisational scholarship in healthcare and video reflexive ethnography (POSH-VRE) as a methodology to cut through the challenges of accessing and engaging organisations for research. We demonstrate how POSH-VRE can open space to navigate and better understand organisational complexity and build capacity. Organisational complexity denotes the interrelated components of a system. POSH-VRE can be helpful within complex organisations, such as health services, because it focuses on positive healthcare practices and experiences. We exemplify this with reference to a study on brilliant community-based palliative care. Using fieldnotes and video-recordings, we reveal the value of positive recognition – or celebration; video-cameras; and courtesy, whereby we adapted to different contexts. POSH-VRE can be of scholarly, methodological, and organisational value. It enables researchers to navigate organisational complexity and co-construct findings with nonacademic experts. Furthermore, it can encourage nonacademic experts to improve practice by learning from their own capacities to navigate organisational complexity.

Type
Research Article
Copyright
Copyright © Cambridge University Press and Australian and New Zealand Academy of Management 2019

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