Affiliations: Department of Management, Economics and Quantitative Methods, University of Bergamo, Italy
Correspondence:
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Corresponding author: Cristiana Cattaneo, Associate Professor and Deputy Director at Department of Management, Economics and Quantitative Methods, University of Bergamo, Via dei Caniana 2, 24127 Bergamo-IT, Italy. Tel.: +39 035 20 52 556; E-mail: [email protected]
Abstract: This research article presents a Full Thinking Process Analysis (FTPA), along with an in-depth comprehension of changes in healthcare, through a reframing of the Three-Cloud Approach. The reframed Three-Cloud Approach provides useful insights into the change implementation process, as it relates to the construction challenge of a new, 1000-bed hospital. Pertinent documents, formal evidence and interviews reveal multiple types of constraints, their dissolution and the implementation of shared answers to observed problems. Through the lens of the Thinking Process-Three-Cloud Approach, the case study shows how the process of identifying the Core Conflict Cloud is fundamental to implementing ongoing strategic and organizational change. The Three-Cloud Approach allows in-depth analyses of resistances to change and other intra-organisational processes, while it highlights the conditions necessary for underpinning and designing effective tactics for successful change implementation.
Keywords: FTPA, cloud approach, healthcare, resistance to change, theory of constraints, thinking process
