University of Oulu

Komulainen, H., Mertaniemi, E., Lunkka, N., Jansson, N., Meriläinen, M., Wiik, H. and Suhonen, M. (2019), "Persuasive speech in multi-professional change facilitation meetings", Journal of Health Organization and Management, Vol. 33 No. 4, pp. 396-412.

Persuasive speech in multi-professional change facilitation meetings : a rhetorical discourse analysis

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Author: Komulainen, Hanna1; Mertaniemi, Elisa1; Lunkka, Nina2;
Organizations: 1Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland and Oulu University Hospital, Oulu, Finland
2Department of Marketing, Management and International Business, Oulu Business School, University of Oulu, Oulu, Finland
3Oulu University Hospital, Oulu, Finland and Medical Research Center Oulu, University of Oulu, Oulu, Finland
4Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
5Medical Research Center Oulu, University of Oulu, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.4 MB)
Persistent link:
Language: English
Published: Emerald, 2019
Publish Date: 2019-08-26


Purpose: The purpose of this paper is to describe persuasive speech and discourses in multi-professional organizational change facilitation meetings at a hospital through rhetorical discourse analysis. Previous research has often considered organizational change to be a managerial issue, with other employees given the rather passive role of implementators. This study takes an alternative approach in assuming that organizational change could benefit by involving those who are most familiar with the tasks to be changed.

Design/methodology/approach: The study employed a qualitative, case study approach and focused on the construction of a hospitalist model within multi-professional change facilitation meetings. Eight videos of these multi-professional change facilitation meetings — which occurred between January and September 2017 — were observed and the material was analyzed by rhetorical discourse analysis. An average of 10–20 actors from different professional groups participated in the meetings. The change actors comprised physicians, nursing staff and nursing managers, along with a secretary and hospitalist. The meetings were conducted by a change facilitator.

Findings: The persuasive speech in the analyzed organizational change meetings occurred within five distinct discourses: constructing the change together, positive feedback, strategic change in speech, patient perspective and driving change. The content of these discourses revealed topics that are relevant to persuading members of healthcare organizations to adopt a planned change.

Originality/value: The presented research provides new knowledge about how persuasive speech is used in organizational change and describes the discourses in which persuasive speech is used in a healthcare context.

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Series: Journal of health organization and management
ISSN: 1477-7266
ISSN-E: 1758-7247
ISSN-L: 1477-7266
Volume: 33
Issue: 4
Pages: 396 - 412
DOI: 10.1108/JHOM-12-2018-0366
Type of Publication: A1 Journal article – refereed
Field of Science: 512 Business and management
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