Factors Affecting Resistance to Change among Hospital Staff using a Structural Equation Modeling Technique
Introduction: Hospitals are complex organizations faced with continuous fundamental
changes complicated by expertise diversity. The aim of this study was to investigate the factors influencing hospital employees’ resistance to change.
Methods: This cross-sectional study included 510 employees working in hospitals affiliated to
Shiraz University of Medical Sciences; they were selected using stratified random sampling.
Data were collected through a questionnaire. A structural equation modeling technique using
LISREL Version 8.8 tested the hypotheses and conceptual model.
Results: Results indicated that dispositional resistance to change and involvement with
change directly affected the employees’ resistance to change. Perceived benefits of change
to involvement in change were significant (T-values >1.96) and the hypotheses related to
these paths were accepted. Perceived benefits of change indirectly affected the employees’
resistance to change by influencing involvement. Dispositional resistance to change and
involvement in change (mediator variables) were estimated 0.89, 0.03, and 0.47, respectively.
Conclusion: The study results indicated that hospital managers should encourage the
employees to actively participate in their change program by strengthening perception of the
benefits. This could help reduce the employees’ resistance.
Keywords: Change, Resistance, Benefits, Involvement, Hospitals, Employees, Management
Reger RK, Mullane JV, Gustafson LT, DeMarie SM. Creating earthquakes to change organizational mindsets. Acad Manag Perspect1994;8(4):31-43. doi: 10.5465/ame.1994.9412071701.
Bovey WH, Hede A. Resistance to organisational change: the role of defence mechanisms. Journal of Managerial Psychology. 2001;16(7):534-48. doi: 10.1108/eum0000000006166.
Bovey WH, Hede A. Resistance to organizational change: the role of cognitive and affective processes. Leadership & Organization Development Journal. 2001;22(8):372-82. doi: 10.1108/01437730110410099.
New JR, Singer DD. Understanding why people reject new ideas helps IEs convert resistance into acceptance. Ind Eng. 1983;15(5):50.
Huston LA. Using total quality to put strategic intent into motion. Planning Review. 1992;20(5):21-3. doi: 10.1108/eb054373.
Giangreco A. Conceptualisation and operationalisation of resistance to change. Libero Istituto Universitario Carlo Cattaneo. 2002.
Oreg S. Resistance to change: developing an individual differences measure. J Appl Psychol. 2003;88(4):680-93. doi: 10.1037/0021- 9010.88.4.680.
Giangreco A, Peccei R. The nature and antecedents of middle manager resistance to change: Evidence from an Italian context. The International Journal of Human Resource Management. 2005;16(10):1812-29. doi:10.1080/09585190500298404.
Ford JD, Ford LW, D’Amelio A. Resistance to change: The rest of the story. Acad Manage Rev. 2008;33(2):362-77. doi: 10.5465/ amr.2008.31193235.
Fedor DB, Caldwell S, Herold DM. The effects of organizational changes on employee commitment: A multilevel investigation. Pers Psychol. 2006;59(1):1-29. doi: 10.1111/j.1744-
Bernerth J. Expanding our understanding of the change message. Human Resource Development Review. 2004;3(1):36-52. doi: 10.1177/1534484303261230.
Eby LT, Adams DM, Russell JE, Gaby SH. Perceptions of organizational readiness for change: Factors related to employees’ reactions to the implementation of team-based selling. Human relations. 2000;53(3):419-42. doi: 10.1177/0018726700533006.
Weber PS, Weber JE. Changes in employee perceptions during organizational change. Leadership & Organization Development Journal. 2001;22(6):291-300. doi: 10.1108/01437730110403222.
O’Brien G. Participation as the key to successful change–a public sector case study. Leadership & Organization Development Journal. 2002;23(8):442-55. doi: 10.1108/01437730210449339.
Parent JD. Individual adaptation to the changing workplace: Causes, consequences and outcomes; 2006.
Kotter JP, Schlesinger LA. Choosing strategies for change. Harv Bus Rev. 1979;57(2):106-14.
Latham GP, Winters DC, Locke EA. Cognitive and motivational effects of participation: A mediator study. J Organ Behav. 1994;15(1):49-63. doi: 10.1002/job.4030150106.
Lei M, Lomax RG. The effect of varying degrees of nonnormality in structural equation modeling. Structural equation modeling. 2005;12(1):1-27. doi: 10.1207/s15328007sem1201_1.
Michel A, Todnem By R, Burnes B. The limitations of dispositional resistance in relation to organizational change. Management Decision. 2013;51(4):761-80. doi: 10.1108/00251741311326554.
Spector PE, Zapf D, Chen PY, Frese M. Why negative affectivity should not be controlled in job stress research: Don’t throw out the baby with the bath water. Journal of Organizational Behavior. 2000;21(1):79-95. doi: 10.1002/(sici)1099- 1379(200002)21:1<79::aid-job964>3.0.co;2-g.
Coyle-Shapiro JA-M. Employee participation and assessment of an organizational change intervention: A three-wave study of total quality management. The Journal of Applied Behavioral Science. 1999;35(4):439-56. doi: 10.1177/0021886399354006.
Oreg S, Bayazit M, Vakola M, Arciniega L, Armenakis A, Barkauskiene R, et al. Dispositional resistance to change: measurement equivalence and the link to personal values across 17 nations. J Appl Psychol. 2008;93(4):935-44. doi: 10.1037/0021-9010.93.4.935.
Wren PA, Janz NK, Brubaker L, Fitzgerald MP, Weber AM, LaPorte FB, et al. Reliability of health-related quality-of-life measures 1
year after surgical procedures for pelvic floor disorders. Am J Obstet Gynecol. 2005;192(3):780-8. doi: 10.1016/j.ajog.2004.10.603.
Cortina JM. What is coefficient alpha? An examination of theory and applications. J Appl Psychol. 1993;78(1):98. doi: 10.1037//0021-
K, Musa R, Haniff J, Muhammad NA, Bujang A, Mohamed Fadhlullah F. Reliability of Bahasa Malaysia version of family environment scale and its measurement issues. ASEAN Journal of
Koley M, Saha S, Singh Arya J, Choubey G, Ghosh A, Deb Das K, et al. Patient evaluation of service quality in government homeopathic hospitals in W est B engal, I ndia: a cross‐sectional survey. Focus on alternative and complementary therapies. 2015;20(1):23-31. doi: 10.1111/fct.12159.
Bautista RE, Rundle-Gonzalez V, Awad RG, Erwin PA. Determining the coping strategies of individuals with epilepsy. Epilepsy
Behav. 2013;27(2):286-91. doi: 10.1016/j. yebeh.2013.01.029.
Kline RB. Principles and Practice of Structural Equation Modeling. New York: Guilford; 2005.
Kline RB. Principles and Practice of Structural Equation Modeling. 3rd ed. New York: Guilford; 2011.
Hooper D, Coughlan J, Mullen M. Structural equation modelling: Guidelines for determining model fit. Articles. 2008:2.
MacCallum RC, Browne MW, Sugawara HM.
Power analysis and determination of sample size for covariance structure modeling. Psychol Methods. 1996;1(2):130-49. doi: 10.1037//1082- 989x.1.2.130
Hu Lt, Bentler PM. Cutoff criteria for fit indexesin covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal. 1999;6(1):1 55. doi: 10.1080/10705519909540118.
Schiffer EF. Resistance to change: Implications of individual differences in expression of resistance to change: University of South Florida; 2011.
Oreg S. Personality, context, and resistance to organizational change. European journal of work and organizational psychology. 2006;15(1):73-101. doi: 10.1080/13594320500451247.
Judge TA, Thoresen CJ, Pucik V, Welbourne TM. Managerial coping with organizational change: A dispositional perspective. J Appl Psychol.
;84(1):107. doi: 10.1037//0021-9010.84.1.107.
Bourbonnais R, Brisson C, Malenfant R, Vezina M. Health care restructuring, work environment, and health of nurses. Am J Ind Med. 2005;47(1):54-64. doi: 10.1002/ajim.20104.
Woodward CA, Shannon HS, Cunningham C, McIntosh J, Lendrum B, Rosenbloom D, et al. The impact of re-engineering and other cost reduction strategies on the staff of a large teaching hospital: a longitudinal study. Med Care. 1999;37(6):556-69. doi: 10.1097/00005650-199906000-00005.
Bowers B. Managing change by empowering staff. Nurs Times. 2011;107(32-33):19-21.
Brand CGM. Factors influencing change management in a selected hospital in Saudi Arabia: Stellenbosch: Stellenbosch University; 2013.
Zhao SM, Angehrn AA. Change process and resistance to Change in Business Organizations in China. Eur J Sci Res. 2005;3(2).
Messer CO. Resistance to change in the community college: The influence of participation, open communication, perceived organizational support, and organizational commitment 2006.
Cunningham CE, Woodward CA, Shannon HS, MacIntosh J, Lendrum B, Rosenbloom D, et al. Readiness for organizational change: A longitudinal study of workplace, psychological and behavioural correlates. J Occup Organ Psychol. 2002;75(4):377-92. doi: 10.1348/096317902321119637.
Rodda J. A multi-level examination of employee reactions to organizational change. 2010.
Locke EA, Schweiger DM. Participation in decision-making: One more look. Research in organizational behavior. 1979;1(10):265-339.
Kobasa SC, Maddi SR, Puccetti MC, Zola MA. Effectiveness of hardiness, exercise and social support as resources against illness. J Psychosom Res. 1985;29(5):525-33. doi: 10.1016/0022-
Kobasa SC. Stressful life events, personality, and health: an inquiry into hardiness. J Pers Soc Psychol. 1979;37(1):1-11. doi: 10.1037//0022-3518.104.22.168.
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