A Rounded Picture is What We Need: Rhetorical Strategies and Arguments, and the Negotiation of Change in a UK Hospital Trust. / Mueller, Frank; Sillince, John; Harvey, Charles; Howorth, Chris.

In: Organization Studies, Vol. 25, No. 1, 01.01.2004, p. 75-93.

Research output: Contribution to journalArticle

Published

Standard

A Rounded Picture is What We Need: Rhetorical Strategies and Arguments, and the Negotiation of Change in a UK Hospital Trust. / Mueller, Frank; Sillince, John; Harvey, Charles; Howorth, Chris.

In: Organization Studies, Vol. 25, No. 1, 01.01.2004, p. 75-93.

Research output: Contribution to journalArticle

Harvard

APA

Vancouver

Author

Mueller, Frank ; Sillince, John ; Harvey, Charles ; Howorth, Chris. / A Rounded Picture is What We Need: Rhetorical Strategies and Arguments, and the Negotiation of Change in a UK Hospital Trust. In: Organization Studies. 2004 ; Vol. 25, No. 1. pp. 75-93.

BibTeX

@article{d956ef3e2ce74493b55cd1c9702aa897,
title = "A Rounded Picture is What We Need: Rhetorical Strategies and Arguments, and the Negotiation of Change in a UK Hospital Trust",
abstract = "This article is concerned with the introduction of the agenda of New Public Management (NPM) within the board of a UK Hospital Trust: West London Hospital (WLH). We discuss the literature on New Public Management, including its limitations for analysing the organizational reality of implementing NPM. But we will also be drawing on discourse theory and the literature on rhetoric. The main argument in this article is that in order to understand the reality of the NPM paradigm, we need to study the rhetorical strategies of protagonists involved in the negotiation of the NPM agenda. Rhetorical strategies are means of making general viewpoints more convincing, for example, by comparing {\textquoteleft}our{\textquoteright} organization with similar organizations. Rhetorical strategies show patterns, which reappear in conversations and arguments made by protagonists. Specifically, we identified three rhetorical strategies justifying why and what kind of a more {\textquoteleft}rounded picture{\textquoteright} was required: widening the argument to include national productivity comparisons with other hospitals; widening the argument away from a narrow focus on finance toward a strategic and political perspective; and, lastly, widening the argument to look at innovation in the whole clinical process.",
keywords = "New Public Management, professional, managerial, hospital management, discourse, rhetorical strategies, arguments, health care management",
author = "Frank Mueller and John Sillince and Charles Harvey and Chris Howorth",
note = "The paper was published as '{\textquoteleft}A Rounded Picture Is What We Need{\textquoteright}: Rhetorical Strategies, Arguments, and the Negotiation of Change in a UK Hospital Trust ' Organization Studies 2004 25(1): 75–93",
year = "2004",
month = jan,
day = "1",
language = "English",
volume = "25",
pages = "75--93",
journal = "Organization Studies",
issn = "0170-8406",
publisher = "SAGE Publications Ltd",
number = "1",

}

RIS

TY - JOUR

T1 - A Rounded Picture is What We Need: Rhetorical Strategies and Arguments, and the Negotiation of Change in a UK Hospital Trust

AU - Mueller, Frank

AU - Sillince, John

AU - Harvey, Charles

AU - Howorth, Chris

N1 - The paper was published as '‘A Rounded Picture Is What We Need’: Rhetorical Strategies, Arguments, and the Negotiation of Change in a UK Hospital Trust ' Organization Studies 2004 25(1): 75–93

PY - 2004/1/1

Y1 - 2004/1/1

N2 - This article is concerned with the introduction of the agenda of New Public Management (NPM) within the board of a UK Hospital Trust: West London Hospital (WLH). We discuss the literature on New Public Management, including its limitations for analysing the organizational reality of implementing NPM. But we will also be drawing on discourse theory and the literature on rhetoric. The main argument in this article is that in order to understand the reality of the NPM paradigm, we need to study the rhetorical strategies of protagonists involved in the negotiation of the NPM agenda. Rhetorical strategies are means of making general viewpoints more convincing, for example, by comparing ‘our’ organization with similar organizations. Rhetorical strategies show patterns, which reappear in conversations and arguments made by protagonists. Specifically, we identified three rhetorical strategies justifying why and what kind of a more ‘rounded picture’ was required: widening the argument to include national productivity comparisons with other hospitals; widening the argument away from a narrow focus on finance toward a strategic and political perspective; and, lastly, widening the argument to look at innovation in the whole clinical process.

AB - This article is concerned with the introduction of the agenda of New Public Management (NPM) within the board of a UK Hospital Trust: West London Hospital (WLH). We discuss the literature on New Public Management, including its limitations for analysing the organizational reality of implementing NPM. But we will also be drawing on discourse theory and the literature on rhetoric. The main argument in this article is that in order to understand the reality of the NPM paradigm, we need to study the rhetorical strategies of protagonists involved in the negotiation of the NPM agenda. Rhetorical strategies are means of making general viewpoints more convincing, for example, by comparing ‘our’ organization with similar organizations. Rhetorical strategies show patterns, which reappear in conversations and arguments made by protagonists. Specifically, we identified three rhetorical strategies justifying why and what kind of a more ‘rounded picture’ was required: widening the argument to include national productivity comparisons with other hospitals; widening the argument away from a narrow focus on finance toward a strategic and political perspective; and, lastly, widening the argument to look at innovation in the whole clinical process.

KW - New Public Management

KW - professional

KW - managerial

KW - hospital management

KW - discourse

KW - rhetorical strategies

KW - arguments

KW - health care management

M3 - Article

VL - 25

SP - 75

EP - 93

JO - Organization Studies

JF - Organization Studies

SN - 0170-8406

IS - 1

ER -