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Protecting the paradox of interprofessional collaboration

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Huq, Jo-Louise, Reay, Patricia and Chreim, Samia (2017) Protecting the paradox of interprofessional collaboration. Organization Studies, 38 (3-4). pp. 513-538. doi:10.1177/0170840616640847 ISSN 0170-8406.

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Official URL: http://dx.doi.org/10.1177/0170840616640847

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Abstract

We studied an interprofessional collaboration to understand how professionals engaged with paradox in collective decision-making. At the beginning of our study, we observed vicious cycles in which conflict led to negative tension. Professionals were holding tightly to a particular pole of the paradox, and the higher-status pole was consistently overrepresented in collective decision-making. By the end of our study we observed the presence of virtuous cycles, where conflict led to more positive tension, and where professionals engaged in collective decision-making with more equal representation of conflicting approaches. We call this change process protecting the paradox and we identify three strategies that support this process: (1) promoting equality of both poles, (2) strengthening the weaker pole, and (3) looking beyond the paradox by focusing on desired outcomes. We contribute to the paradox literature by showing how vicious cycles can be shifted to virtuous cycles, how professionals and managers can work together to protect a paradox, and how status differences between poles can be redistributed.

Item Type: Journal Article
Subjects: H Social Sciences > HD Industries. Land use. Labor
Divisions: Faculty of Social Sciences > Warwick Business School > Entrepreneurship, Innovation & Management
Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH): Interprofessional relations -- Case studies, Group decision making -- Case studies, Paradox, Conflict management
Journal or Publication Title: Organization Studies
Publisher: Sage Publications Ltd.
ISSN: 0170-8406
Official Date: 2017
Dates:
DateEvent
2017Published
23 May 2016Available
9 February 2016Accepted
Volume: 38
Number: 3-4
Page Range: pp. 513-538
DOI: 10.1177/0170840616640847
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 13 February 2018
Date of first compliant Open Access: 14 February 2018

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