Implementing Strategies in Complex Systems: Lessons from Brazilian Hospitals
| Autor | Victor Meyer Junior - Lucilaine Pascucci - J. Patrick Murphy |
| Cargo | Pontifícia Universidade Católica do Paraná, PUCPR and De Paul University, USA, Curitiba, PR, Brazil - Universidade Positivo, UP, Curitiba, PR, Brazil - De Paul University, Chicago, Illinois, USA |
Available online at
http://www.anpad.org.br/bar
BAR, Rio de Janeiro, v. 9, Special Issue,
art. 2, pp. 19-37, May 2012
Implementing Strategies in Complex Systems: Lessons from
Brazilian Hospitals
Victor Meyer Junior *
E-mail address: vmeyer@matrix.com.br
Pontifícia Universidade Católica do Paraná – PUCPR and De Paul University - USA
Curitiba, PR, Brazil.
Lucilaine Pascucci
E-mail address: lucilaine.pascucci@gmail.com
Universidade Positivo – UP
Curitiba, PR, Brazil.
J. Patrick Murphy
E-mail address: jpmurphy@depaul.edu
De Paul University
Chicago, Illinois, USA.
* Corresponding author: Victor Meyer Junior
Rua Imaculada Conceição, 1155, Centro de Ciências Sociais Aplicadas, Prado Velho, Curitiba, PR, 80215-901,
Brazil.
Copyright © 2012 Brazilian Administration Review. All rights reserved, including rights for
translation. Parts of this work may be quoted without prior knowledge on the condition that
the source is identified.
V. Meyer Junior, L. Pascucci, J. P. Murphy 20
BAR, Rio de Janeiro, v. 9, Special Issue, art. 2, pp. 19-37, May 2012 www.anpad.org.br/bar
Abstract
Hospitals, as social organizations, are seen as complex, surprising, ambiguous and paradoxical. The th eoretical
foundation finds its roots in organizational complexity, strategic management characterized by strategy
implementation, and sensemaking especially in the context of complex adaptive systems. Managers frequently
neglect elements of complexity when they develop models and implement management practices. The purpose
of this study is to analyze the implementation of strategies in complex organizations. The focus of th e study is
two Brazilian n onprofit hospitals. This is a comparative, qualitative case study. Data were gathered from three
main sources: interviews, non-participant observation, and documents. Two i mportant aspects of the strategic
approach are discussed: first, the implementation of strategies, and second, the influence o f ambiguity,
unpredictability and uncertainty in the way strategies are implemented. The analysis indi cated that the
implementation of strategies in the hospitals has to do with the practices and processes that are adopted (how)
and the practitioners (strategists) involved (who). The fin dings reinforce th e importance played by th e
strategizing process in the implementation of str ategies. The findings also highlight that strategic practices are
adopted in parallel with the formal planning and are characterized by informality.
Key words: implementation of strategies; complex systems; strategic practices.
Para continuar a ler
PEÇA SUA AVALIAÇÃO
COPYRIGHT TV Trade Media, Inc.
COPYRIGHT GALE, Cengage Learning. All rights reserved.
COPYRIGHT GALE, Cengage Learning. All rights reserved.
