Academy of Management Annual Meeting Proceedings includes abstracts of all papers and symposia presented at the annual conference, plus 6-page abridged versions of the “Best Papers” accepted for inclusion in the program (approximately 10%). Papers published in the Proceedings are abridged because presenting papers at their full length could preclude subsequent journal publication. Please contact the author(s) directly for the full papers.

Team Practice Abandonment in Hospice: Conflicting Logics in Times of Transformation

    Studies of change in health care organizations are oriented toward understanding innovative or transformational change, but once a new way of delivering care has been created, what gets in the way of sustaining innovation? This article analyzes longitudinal qualitative data to elucidate the micro-interactional foundations of “practice abandonment” of teamwork within hospice, a type of end-of-life care that defines itself against conventional medicine. Using the institutional logics perspective, this article argues that during times of organizational strain, hospice workers unintentionally undermine teamwork by falling back on taken-for-granted professional knowledge, priorities, and divisions of labor. These findings elaborate the concept of practice abandonment, illustrate the utility of micro-level perspectives for understanding organizational change, and highlight challenges to sustaining transformation, offering practical and theoretical value.

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