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Improvisation in tightly controlled work environments: The case of medical practice

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  • Maria da Graca Batista
  • Miguel Pina e Cunha

Abstract

We present a qualitative analysis of organizational improvisation and provide a preliminary insight into the following question: how is improvisation present in tightly controlled work environments? We conducted in situ observations of, and interviews with, several emergency medical teams and complemented this information with statistical and media data. Using grounded theory, we developed four propositions that were arranged into a model that allowed the identification of two use levels of established routines: (1) the visible side that accommodates contextual requirements, and (2) the improvisational side that provides a response to activity characteristics. This dual process is related to the existence of pressures that operate at the institutional level with practical needs emerging from the operational domain. In contrast with most of the literature, this study reveals that the presence of a broad procedural organizational memory does not restrict improvisation but enables a bureaucratic system to produce flexible improvised performance.

Suggested Citation

  • Maria da Graca Batista & Miguel Pina e Cunha, 2008. "Improvisation in tightly controlled work environments: The case of medical practice," Nova SBE Working Paper Series wp537, Universidade Nova de Lisboa, Nova School of Business and Economics.
    • Handle: RePEc:unl:unlfep:wp537
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    References listed on IDEAS

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