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Managing Change Communication in Contested Professional Spaces

ABSTRACT This article reports subjective responses from resident medical officers to reform-driven change during a period of unprecedented industrial action in the public health sector in Aotearoa-New Zealand. Analysis revealed the way in which subjective perceptions were expressed through identity-based narratives when writing on a social media blog site during ongoing reform. Because both problems and solutions are shaped within the framework of particular assumptions and ideologies, when an institutional environment relentlessly shifts because of rapid, ongoing reform, changes may not resonate with the vocational focus of health professionals. The findings illustrate recognizing and validating subjective dimensions of professional identity during ideological change may help managers to navigate through the flux in the public health service. If managers are willing to acknowledge and reflect on alternative viewpoints, it will likely enhance their ability to understand and legitimately mediate in organizational and clinical settings during periods of extensive reform-driven change.