Purpose This case study aims to shed light on what went wrong with the introduction of new surgical suture in a Dutch hospital operating theatre following a tender. Transition to working with new surgical suture was organized in accordance with legal and contractual provisions, and basic principles of change management were applied, but resistance from surgeons led to cancellation of supplies of the new suture. Design/methodology/approach Researchers had access to all documents relevant to the tendering procedure and crucial correspondence between stakeholders. Seventeen in-depth, 1 h interviews were conducted with key informants who were targeted through maximum variation sampling. Patients were not interviewed. The interviews were recorded, transcribed and analysed by discourse analysis. A trial session and workshop were participatively observed. A cultural psychological perspective was adopted to gain an understanding of why certain practices appear to be resistant to change. Findings For the cardiothoracic surgeons, suture was more than just stitching material. Suture as a tactile element in their day-to-day work environment is embedded within a social arrangement that ties elements of professional accountability, risk avoidance and direct patient care together in a way that makes sense and feels secure. This arrangement is not to be fumbled with by outsiders. Practical implications By understanding the practical and emotional stakes that medical professionals have in their work, lessons can be learned to prevent failure of future change initiatives. Originality/value The cultural psychological perspective adopted in this study has never been applied to understanding failed change in a hospital setting.

中文翻译：

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案例研究：检查变更管理中的失败

目的本案例研究旨在阐明招标后荷兰医院手术室引入新的手术缝合线出了什么问题。根据法律和合同规定组织了向新手术缝合线过渡的工作，并采用了变更管理的基本原则，但是由于外科医生的抵制导致取消了新缝合线的供应。设计/方法/方法研究人员可以访问所有与招标程序和利益相关方之间的重要往来有关的文件。与关键知情者进行了17次深入，1小时的访谈，这些知情人的目标是通过最大变异抽样。患者未接受采访。访谈记录，转录并通过语篇分析进行分析。参加了一次试验会议和讲习班。人们采用文化心理学的观点来理解为什么某些习俗似乎抗拒变革。调查结果对于心胸外科医师而言，缝合不仅仅是缝合材料。缝合作为他们日常工作环境中的一种触觉元素，被嵌入到一种社会安排中，该社会安排将专业责任，规避风险和直接患者护理等各方面联系在一起，以一种有意义和安全的方式联系在一起。这种安排不应被局外人弄糊涂。实际意义通过了解医疗专业人员在工作中的实际和情感方面的利益，可以吸取教训，以防止未来的变革计划失败。