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Table 1 Comparison of Agency, Institutional, and Situated Change Theoriesa

From: What can organisational theory offer knowledge translation in healthcare? A thematic and lexical analysis

 

Agency Theory

Institutional Theory

Situated Change Theory

Key idea

Organisational practices arise from efficient organisation of information and risk-bearing

Organisational practices arise from imitative forces and firm traditions

Change occurs through frequent, emergent, and sometimes imperceptible variation

Basis of organisation

Efficiency

Legitimacy

Subtlety

View of people

Self-interested rationalists

Legitimacy-seeking satisficers

Trialists

Role of environment

Organisational practices should fit environment

A source of practices to which organisation conforms

Organisational practices should negotiate with environmental conditions

Role of technology

Organisational practices should fit technology employed

Technology moderates the impact of institutional factors or can be determined institutionally

Technology is appropriated to organisational conditions

Problem domain

Control problems (vertical integration, compensation, regulation)

Organisational practices, in general

The dynamic interplay between innovation, people, and their organisational context

Independent variables

Outcome uncertainty, span of control, programmability

Industry traditions, legislation, social and political beliefs, founding conditions that comprise the institutional context

Organisational context, individual interests and capacities

Assumptions

People are self-interested, rational, and risk-averse

People satisfice and conform to external norms

People are innovative, and perseverant

  1. a Adapted from Eisenhardt [22] and Orlikowski [9]