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American Behavioral Scientist, Vol. 47, No. 6, 848-866 (2004)
DOI: 10.1177/0002764203260213

Generating Dynamic Capabilities through a Humanistic Work Ideology

The Case of a Certified-Nurse Midwife Practice in a Professional Bureaucracy

Lynn Perry Wooten

University of Michigan Business School

Patricia Crane

University of Michigan Health System

Strategic management research overlooks dynamic capabilities generated from the "humanistic side" of organizational life, such as relationships, compassion, virtuous actions, and honorable behavior. However, exploring these dynamic capabilities can provide the field of strategic management with a different viewpoint of how organizations create value through human processes. To examine this issue, the article presents results from a case study of a nurse-midwife practice within a large research hospital. The study explores how the humanistic work ideology of the nurse-midwife practice creates dynamic capabilities. Through theoretical analysis of the case study data, the authors develop a framework to explain the humanistic work ideology of the midwives and its linkages to human resource management and patient service capabilities. Last, the authors conclude with a discussion proposing that institutional pressures legitimize the humanistic work ideology of the midwifery practice.

Key Words: organizational capabilities • organizational routines • organizational culture • health care management • professional service organizations


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