AMBULANCE YORKVILL CASE ANALYSIS Case Analysis Form – Ivey In order to deal with the enormous workload in the organization, The Company seeks assistance in putting together a sustainable human resource plan. This is simply due to insufficient time to build relationships with employees. There are two main issues here: Employee communications and personal leadership. The issues are summarized below: General Information AYV is a public company created by the Government of Yorkville in June 2007 to provide an emergency medical service. It unifies all ambulance services under a single entity. A total of about 900 employees work for Ambulance Yorkville, including 850 paramedics, 40 dispatchers, and 15 nurses. Employee communications As MCMC and air ambulance representatives are both based in Moncton, they have no employee communication because their workers are spread out across Yorkville. Managers on the front line have a heavy burden of administrative duties, such as scheduling paramedics. Currently, only email can be used to communicate because it is the easiest way to get a response. The focus of the collective agreement was more on hospital employees and less on AYV. Concerns have been raised about the level of engagement by paramedics A risk of multiple disconnected cultures emerging exists. HR learned about serious issues too late to have an impact and front-line management has already acted. Occasionally, HR had to change the manager's position after it had been made. Thus, there has begun to be friction between HR and Operations. There are squabbles between dispatch and paramedics. While this is a typical occurrence in emergency services, it is unsatisfactory and may be getting worse. Personal leadership Since paramedics have little opportunity to advance in their organization, they are not usually driven by advancement. They occasionally express concern about the new system. Managers who used to work for private companies are aware of their loss of freedom now that they work for a larger corporation. Across the organization, employee experiences vary due to different management styles among the Operations Managers or Regional Managers. 2
AMBULANCE YORKVILL CASE ANALYSIS A lack of motivation among managers to adapt to new and changing standard procedures. Assumptions Improved consistency of care through a centralized approach to emergency care protocols. In less than a year, the management team has put together a fully functional, highly professional, state-of-the-art service. Immediate Issues/Symptoms Explain (list from most to least severe) Who is involved? What is their role and responsibility in creating or resolving this issue? Impact on costs, quality, customer service, or innovation? 1.RHA and CUPE. RHA managers started to feel that the union's perspective on issues would win out against management's. Regional Health Authority, CUPE, HR, management were involved. Along with hospital operations, management should concentrate on Para medicine. The HR's reactive approach created a tense situation between CUPE and RHA. Any internal departmental concerns were forwarded to the provincial Department of Human Resources, which meant they never had an opportunity to settle them and were reliant on the union's perspective on everything. Their decision-making skills will be affected, and they will be less interested in organizational goals or functions. 2.The focus of collective agreement which was written to cover the entire health system remained on hospital operation and little did they mentioned about AYV employees Employees and HR were both involved. The agreement should take into account the employees' needs and concerns. HR should be capable of understanding the This would have an effect on the employees' attitude toward their jobs. This would demotivate employees, reducing the quality of their work. This would have an impact on the productivity. 3
AMBULANCE YORKVILL CASE ANALYSIS situation and develop suitable strategies as a result. Employees that lose focus on their task have an impact on customer service quality. Failure to meet the organization's objectives 3.Employee relations are hampered by the nature of the business (They have no employee communication because their workers are spread out across Yorkville.) Senior managers-Due to a lack of time, they have been unable to develop a strategic human resources plan. MCMC and air ambulance employees- they are situated primarily in Moncton, however some employees are dispersed around Yorkville. Front-line managers- having a large number of administrative responsibilities Employees were not socialized, causing them to be estranged from one another, generating an unwelcomed atmosphere, and a feeling of hopelessness. Low workplace productivity and communication owing to interpersonal conflict. There is no team communication or engagement to boost job morale. 4.Concerns over the level of engagement by paramedics Paramedics – they are not generally motivated by career progression As they have few opportunities to advance in their companies, they occasionally voice concern about the new system. If they are constantly demotivated, they would have less enthusiasm in their work. 5.Danger of multiple disconnected cultures emerging. Managers- feel their lack of freedom Employees- their experience differs across the organization, based on differing management styles They have lost the freedom whichthey used to enjoy while working as an independent contract, and they now feel bound to follow sops and yet no one cares about their opinion. 4
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AMBULANCE YORKVILL CASE ANALYSIS It creates a sense of discrimination among employees when certain employees getinformation sessions regarding policiesand others do not. 6.Friction between HR and Operations Front-line managers-They have shown that they lack decision-making abilities. HR-they discovered the seriousness of the issues too late to have an impact. Seen as a leadership and authority contradiction When HR has to change a manager's position at a later period, it causes a wedge between them and the manager, making the organization unorganized 7.There are quarrels between dispatch and paramedics. Dispatch and paramedics employees It is unfavorable and is likely to worsen, causing delays in action. 5
AMBULANCE YORKVILL CASE ANALYSIS Root Cause/Basic Underlying Issues Explain (list from most to least severe) Who is involved? What is their role and responsibility in creating or resolving this issue? Impact on costs, quality, customer service, or innovation? 1.Group members' conflicts and a lack of communication Senior managers- They are unable to interact effectively with their staff due to a shortage of time. Front-line managers- they are overloaded with administrative responsibilities. MCMC and air ambulance employees- less interaction because employees are on the road most of their time in their vehicles HR- Employees are usually looking for a reply from them. Organization members don't get along, reducing the quality of work and the organization's overall culture. Work isn't well- rounded, and there's minimal communication. If they put their heads together, they can reduce disagreements and perform things to the best of their abilities. 2.Organizational Inconsistency. Rather than focusing solely on hospital operations, equal attention should be paid to para-medicine. Instead than issuing policies to the employees, they should be discussed first and leaders needs to ask for the opinions to generate a vision Lack of information exchange among group members leads to a loss of productivity;there is no teamwork and tasks are handled in a chaotic fashion. Meetings essential for effective decentralization were not held, resulting in 6
AMBULANCE YORKVILL CASE ANALYSIS that the organization as a whole is content with Organization members must ask for inputs in order to improve the organization and ensure that everyone is pulling in the same direction. The union's point of view on topics should be given equal merit with management's. lower work and company quality as everyone is pushing in various directions. Employees lose interest in work as a result of a lack of freedom and decision- making abilities. Inconsistency among managers reflects poorly on the organization, as does inconsistency among members of leadership. 3.Less adaptive to the changes Managers who were previously private operators acutely feel their lack of freedom now as they have to adapt to new and different standard procedures Many former public- sector executives believe that "nothing can be done" about many HR issues because their former bosses frequently failed to deal successfully with labor relations difficulties. A feeling of dread that they must adjust to new and changing standard operating procedures. They used to be non-union, but now they must abide by a collective agreement which results in lack of interest in their work. A sense refusal to listen to new leadership. There is a lack of faith in management and are hesitant to try new things, stuck in their ways, rendering their work. 7
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AMBULANCE YORKVILL CASE ANALYSIS Analysis of Case Data Causes & EffectsEmployee communications- less time to interact with team- no team interaction A failure in communication between organizational divisions. No hierarchy to be followed. Workload overburdened. Personal leadership- lack of motivation among employees. No planned meetings to keep up with, no process, and no one asked for the input. Management and HR must demonstrate their credibility to the workforce in order to be trusted. ConstraintsAs a government -wide emergency medical service, no proper hierarchy within the organization With so much responsibility, senior managers haven't had the time or resources to work on a critical HR strategy. The organization's struggles to date in providing HR with the resources that management requires. The majority of the policies are focused on hospital operations, with AYV barely mentioned. Geographic Location- The fact that most employees are on the road in their vehicles limits what the company can do in terms of communication. Small internal departmental matters were also referred to the provincial Department of Human Resources, leaving the Department of Health with little decision-making authority. OpportunitiesThe climate of labor issues between RHAs and CUPE should be improved. Direct responsibility for labor relations should be handed to the Department of Health. The union's point of view on matters should be given the same weight and consideration as management's. Workload should be distributed in such a way that no one feels overloaded. Employee relations should be given additional attention in order to boost employee motivation. Quantitative Data Ambulance Yorkville employs around 900 people, including 850 paramedics, 40 dispatchers, and 15 nurses. With such a huge workforce, 8
AMBULANCE YORKVILL CASE ANALYSIS proper leadership and hierarchy are essential. It's also critical to make sure that protocols and proper team communication are in place so that everyone is pulling in the same direction. Qualitative DataIts government -wide emergency medical servicewith 900 employees, they hired more than 100 new paramedics in their first year. Overall they were successful in unifying all ambulance services under a single body but they started lacking in employee relationship. Employees lacked a sense of freedom and deception-making abilities. Members felt unwelcomed and disconnected from the organization because most decisions were made without consulting them. Course Concepts Relevant to Case Nadler-Tushman Congruence Model: theory is “too abstract to be used for day-to-day organizational behavior-problem analysis” (Nadler & Tushman, 1983, p. 114). The transformation process receives the most attention in the model, which highlights the essential system attribute of interdependence. It sees organizations as a collection of interconnected components or parts. These elements are in a state of relative balance, consistency, or "fit" with one another. The many pieces of an organization can either fit well together or function successfully, or they might fit badly, resulting in issues, dysfunctions, or performance that falls short of expectations. Three interventions that need to take place in order to solve these issues: Human Resource Management Interventions:focus on integrated human resource techniques and how they can be used to help firms integrate their employees. Also supporting individuals in organizations (Cummings & Worley, 2015, pg. 160). In this Goal-setting, reward systems that connect member work behavior with business goals, employee involvement, and workplace technology are all included" (Cummings &Worley, 2009). Human Process Interventions: these are designed to improve communication and dispute resolution among those who are working together (Cummings & Worley, 2015, pg. 157). Through this interventionwe can examine how members of an organization engage with one another and deal with interpersonal and group dynamics. The approach investigates member communication at the group level. (Cummings & Worley, 2015, pg. 157). Intergroup relations 9
AMBULANCE YORKVILL CASE ANALYSIS and large-group interventions will aid in the formation of ties between workforce divisions as well as the explanation of essential group values and goals. (Cummings & Worley, 2015, pg. 158). Strategic Change Interventions: implemented to enhance “business strategy, organization structure, and the larger environment” connectivity (Cummings & Worley, 2015, pg. 161). Remodeling the organizational design, covering structure, rules, and management processes, as well as participating in a cultural shift that involves the creation of new values, norms, and goals (Cummings & Worley, 2015, pg. 161) The theory of strategic change and change management, and manifested in part in the practice of transformational change, or reengineering. When a company needs to modify its strategy to be more competitive, it must make both external and internal changes, as employees must be informed, involved, and motivated to help achieve the change (Worley, Hitchin, & Ross, 1996). It is a methodical way to dealing with change, not only from the perspective of an organization, but also from the perspective of an individual. Change management is a broad word that encompasses more than three dimensions, including adjusting to change, controlling change, and implementing change. 10
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AMBULANCE YORKVILL CASE ANALYSIS Describe alternatives to resolve root cause/basic issues. IssueConsiderations/Support Organizational Structure or hierarchy Within each department, the organization implements the functions, responsibilities, authorities, relationships, and communications of individual employees and management. The organizational structure is a common representation of management. The structured organizational structure, which uses organization culture to provide a sense of regulated flow of departments and jobs that are aligned with individual talents and knowledge, As a result, the organization chart produced a distinct line that demonstrated supervisory authority as well as the communication flow between subordinates and their immediate supervisors. Everyone will be more likely to stay engaged and perform to their full capacity if everyone understands the organization's purpose and values. This will improve communication while also strengthening connections. Making team leadsHR or supervisors are unable to communicate with teams due to their workload, which has a negative impact on employee relations.Team leaders can encourage higher levels of productivity from each team member, enhancing the overall efficiency of their organization's operations, by applying modern management approaches that are intended to improve time management, minimize employee stress, and increase the quality of meetings. Mentoring Partnerships Place individuals with similar responsibilities and characteristics in mentoring partnerships to increase communication and interactions between employees and senior members. This will ease tensions between the two groups and allow everyone to benefit from the learning experience. This will improve the lives of each individual. If this relationship-building effort is successful, the new leadership figures will have more trust in one another, which will reduce anxiety and bias. Distributing Responsibilities Instead than relying on a single individual or the management team, several people assume a portion of the responsibility by giving as many leaders as much responsibilities as possible throughout the organization.When more people have the power to make the decisions that are required. People are no longer obligated to await the single decision-choice. In this 11
AMBULANCE YORKVILL CASE ANALYSIS instance, they can delegate primary responsibility for labor relations to the Department of Health, which will encourage them to work more efficiently. This can help to reduce conflict amongst coworkers and improve the workplace's overall structure. Creation of Cross-Sectional Teams Designing cross-sectional teams improves the communication between members from various departments, promotes confidence on teams to fulfill tasks, improves the overall quality and organization of work, and reduces misunderstanding because smaller groups are more informative. This will have a significant impact on the culture of the company. Because your team relies on your input, deadlines are more likely to be met in smaller groups. Giving accountability or distributing ownership People take more psychological ownership of the work they accomplish when they are allowed to use their ideas and experiences to complete their professional responsibilities. Because of this buy-in, higher-quality results are produced. It stimulates increased productivity and commitment, which leads to a long-term improvement in staff performance. Employees at all levels are more likely to participate, develop, and stay loyal in this system. Decision Criteria What are the criteria that are important to making this decision? Justification for choosing this criterion Team and individual development The Gallup organization has examined a strengths-based strategy that focuses on team and individual growth (Clifton & Harter, 2003). In contrast to a weakness-based strategy to development, which often pushes individuals and teams to shore up weaknesses, the Involved in the completion approach (Buckingham & Clifton, 2001; Rath, 2007) recommends researching attributes where an individual or team has a talent. The learner should "focus maximal learning on talents, integrate activities of one's life around talents, and manage around shortcomings" when developing adopting a strengths-based approach to make 12
AMBULANCE YORKVILL CASE ANALYSIS positive change within the organization. Employee Morale The workforce's ability to work together as a team to achieve tasks is critical to an organization's success. The organizational culture is visible both inside and outside the organization. The organization will thrive and increase in productivity if each member of the team is pulling in the same direction and following the same goal. This will result in increased sales and a higher quality of work life.. Job Satisfaction Employee engagement is critical to the success of any business. "It relates to an individual's involvement, satisfaction, and excitement for work," according to the definition (Harter, Schmidt, & Hayes, 2002, p. 269). There is a lot of research on a person's job satisfaction, productivity, and motivation. However, some people define engagement as "employees who know what is expected of them, who build close relationships with coworkers and managers, or who in other ways have significance in their job" (Luthans & Peterson, 2001, p. 378). The present interest in employee engagement could be a reflection of a return to a focus on individual health in addition to organizational concerns and outcomes. Staff TurnoverThrough breaking down the turnover rate it is not difficult to decide the general fulfillment of work life and work structure. We can ponder turnover rates from earlier years before the adjustment of administration – and contrast them with current measurements and find the possible purposes behind the increment. Turnover rates can be utilized as a benchmarking framework to mirror the by and large authoritative culture and nature of work life. Alternative Assessment AlternativeDecision Criteria ProductivityStaff TurnoverCorporate ImageQuality Creation of Organizational Structure or hierarchy Pros-Clear lines of communication are developed for everyone inside a Pros-easier to plan and implement business Pros-Everyone will be more likely to stay engaged and Pros-This will improve communication while also 13
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AMBULANCE YORKVILL CASE ANALYSIS hierarchical organizational structure.. Cons-Teams tend to stay within their defined structures when there is a hierarchical organizational structure in place. Within a team, collaboration is still possible. It can be tough to collaborate outside of a team silo. strategies quickly, assuming employees stick to the structure. Cons-Instead of working together as a team to accomplish the company's objective, people tend to huddle together and compete for control. perform to their full capacity if everyone understands the organization's purpose and values well- rounded skill. Cons-Not applicable strengthening connections Cons-Not Applicable Making team leads Pros- Aleader can help a team complete tasks that might otherwise require the participation of a manager. Because team members do not have to wait for opportunities to check in with the boss, they are more productive. Cons-When individuals work with a team leader who represents them, team cohesion can work Pros- Can be efficient, especially when it comes to decision making Cons- Individuals and teams that feel like they don't have a voice may become disengaged. NAPros-As they'll be assigned specific responsibilities and won't be expected to step outside of those responsibilities, everyone's individual roles will become obvious. Cons-There is no room for mentorship or professional development. 14
AMBULANCE YORKVILL CASE ANALYSIS against management, creating an "us versus them" mentality. Mentoring Partnerships Pros-New and older members can work together to balance skill and experience to complete jobs more quickly and efficiently while improving overall communication. Cons-Tasks can become out of hand, and finding a solution that satisfies both team members can be challenging. Pros-When employees work together, they can develop stronger bonds and collaborate effectively. Cons- Relationships may collapse owing to the presence of unsuitable persons, and stereotypes may cause division. Pros-Reputation will be viewed as a diverse and adaptable workplace with a high level of competence, experience, and communication. Cons- Organizations might be thought of as having weak members who require the help of a partner to execute routine duties. Pros-Working together, new and older members will expand the variety and competence of the work done, hence improving quality. Cons-Tasks may be distributed unevenly across partners, reducing the impact of well- rounded teams and quality and overall. Distributing Responsibilities Pros-It allows the corporation to benefit from the various levels of technical expertise or wisdom available at the every levels of the organization. Cons-To ensure accountability, clear definitions of which roles are responsible for Pros-As people gain experience; they desire to take on greater responsibility. This is made possible by divided responsibility styles. Cons-When there are several voices that can Pros- Combination of dedication, creativity, and generosity of each employee into something much larger than a single person could ever deliver under this framework. When this occurs, numerous good Pros-This promotes to the organization's basis of open and honest communication among employees. Cons-It can sometimes produce conflict among teams because if you disagree with a 15
AMBULANCE YORKVILL CASE ANALYSIS specific duties or outcomes must be in place when responsibilitiesare distributed. contribute to these processes, everyone wants their voice to be heard, which slows things down. changes in an organization can be observed. Cons-NA given concept, you are considered an "enemy" of the greater good. Creation of Cross Sectional Teams Pros-The quantity of communication and help in accomplishing tasks is increased in smaller cross- sectional teams. Cons-Since every member has diverse skill sets, it may be difficult to see difficulties from different perspectives, making problem solving complex and disconnected. Pros-Working in cross- sectional teams makes the job easier, and improved communication improves relationships, which reduces turnover. Cons- Considering team members may not get along, getting to work and working with them every day might be exhausting. Pros-Clients trust that their project will be done well since the workforce is well- established and well-rounded. Cons-Cross- sectional team leadership and planning is challenging to establish and schedule. If this isn't done correctly, the organization will be known for fragmented and disorganized work. Pros- Interdisciplinary teams have a variety of skill sets but a common goal. This ensures that the work they generate is of high quality. Cons-With such small teams, the workload may be shared with a great emphasis on each individual, resulting in a higher rate of burnout and stress, as well as a reduction in quality. Giving accountability or distributing ownership Pros-Holding employees accountable might help them grasp the satisfaction that comes with achieving their Pros-It stimulates increased productivity and commitment, which leads to a long-term Pros-Employees spend less time and effort on distracting activities and other unproductive Pros- Accountability, when done correctly, can improve your team members' skills and 16
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AMBULANCE YORKVILL CASE ANALYSIS goals. Cons-People may feel as if they are constantly being watched when they are held accountable. improvement in staff performance Cons-Members sometimes will not get along, making work tough and adding to stress levels. behavior when they are held accountable. Cons-NA confidence, resulting in higher performance quality. Cons-There is a lack of team collaboration, responsibilities are not well- rounded, and there are no protocols in place. Don't confuse accountability with behavioral control. Recommendations RecommendationJustification for choosing this alternative Implement an Organizational Structure or hierarchy Any business's success depends on having a strong organizational hierarchy. Internal control in corporations requires a well-structured hierarchy. The hierarchy of a corporation allows personnel at various levels to identify the line of command and acts as a point of reference for decision-making. Without a hierarchy, it is impossible to hold CEOs, managers, and employees accountable. Within each department, the organization implements the functions, responsibilities, authorities, relationships, and communications of individual employees and management. The organizational structure is a common representation of management. The structured organizational structure, which uses organization culture to provide a sense of regulated flow of departments and jobs that are aligned with individual talents and knowledge, As a result, the organization chart produced a distinct line that demonstrated supervisory authority as well as the communication flow between 17
AMBULANCE YORKVILL CASE ANALYSIS subordinates and their immediate supervisors. Everyone will be more likely to stay engaged and perform to their full capacity if everyone understands the organization's purpose and values. This will improve communication while also strengthening connections Creation of Cross-Sectional Teams The formation of cross-sectional teams inside the company would improve not just workplace communication and interpersonal relationships, but also the overall quality of results. The present tendency of organizational silos is hampering the organization's ability to find talent. Tasks can be completed in a more well-rounded and proficient manner when tackled in teams rather than in individual areas. This strategy outperforms the others because it focuses on improving team ties and supporting future success. The use of cross-sectional teams will improve the corporate image and productivity in the long run. Implementation Plan What?Who?When?ResourcesMonitor/Audit Short Term (<90days) Senior members will be working on strategic human resources plan. Members will be able to communicate their issues in a safe environment created by management or HR. The major leaders can then start classifying the issues that need to be Senior EMS executives have been unable to develop a strategic human resources plan. They were well aware of the requirement; they will manage and devote adequate time to employee connection. Desires. Leaders will meet regularly to discuss. Weekly meetings will be held to discuss the challenges and difficulties that have arisen. The staff will be formally addressed in around three months. Electronic communicatio n device (Skype) for ease of use due to lack of travel. Since the majority of the personnel will be in the car, they will be allocated to a team lead who they may contact immediately with any After assessing geographical availability, the leaders will be divided. Once a month, allocated leaders or leads will travel to see their assigned staff in person to keep the workforce up to date on any new developments. 18
AMBULANCE YORKVILL CASE ANALYSIS addressed and creating a possible template. Leaders should have a policy discussion with their staff. To determine the overarching vision, a poll or survey will be performed. concerns. A Google document to collaborate on the template creation Medium Term (3 months – 2 years) The labor relations climate between the RHAs and CUPE will be improved and union’s view of issues will be given equal importance as management’s Organizational leaders discuss the new contract with the workforce and clarify any issues. The leader will also display the cross sectional teams based on the leader’s knowledge of strengths and consideration of who will work best together. Leaders will re- convene with their results of how the workforce is getting along and make further changes to accommodate everyone. 3rd-6th Month-All internal HR matters, such as classification and labor relations, will be handled solely by human resource managemen t. Only the government' s Department of Human Resources will keep a careful eye on it. 1year- Labor relations will be under the direct -Resources for enough files to be sent out to every individual in the workplace - Online meetings will continue - Data from archives on the organization over the years Each location's coordinators will carefully monitor their own location and report back to the main location leaders. To track progress and determine next steps, a benchmarking system will be implemented. These standards will be based on the organization's prior year's data. Leaders will also need to keep track of all issues and whether or not they have been resolved. 19
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AMBULANCE YORKVILL CASE ANALYSIS control of the Department of Health. The provincial Department of Human Resources will not be notified of any internal department al difficulties. Long Term (over 2 years) Aside from Moncton, further offices will be added based on geographic demand. As more individuals are hired, good employee relations will emerge, allowing employees to have faith in their leaders. Until then, assigned geographical leadswill visit each location to assess progress and discuss overall success. Critiques, ideas, and concerns from organization members can be shared with the coordinators at any time, and the leaders can discuss and vote on them. Every 2 months- leaders will visit each location After the third year, the visits will be once every 4 months with open communicati on available through online resources or phone calls -Online contact information (email, company website) -Telephone - Newsletters to keep everyone informed on what is happening at each location Leaders can determine whether or not a change is required, and if so, make sure that each coordinator is aware of the change. The key is to keep everyone informed. Every opinion will be considered anytime a policy is developed or changed. “PLAN B” Short Term:Teams and leaders will be able to communicate effectively. To motivate employees, the organization's transparency will be emphasized. It will be planned for proper team interactions and communication sessions on weekly basis. 20
AMBULANCE YORKVILL CASE ANALYSIS Medium Term:New policies will be implemented after considering all viewpoints in order to improve employee relationship. Long Term:To share the strain, proper hierarchy and responsibilities shall be divided. New staff will be hired if necessary to ensure that no one is overloaded. 21
AMBULANCE YORKVILL CASE ANALYSIS References Nadler, D. A., & Tushman, M. L. (1997). Competing by Design. Oxford, p. 38. Lewin, K. (1951). Field theory in social science. New York, NY: Harper & Brothers. 22