Identification of Seventh-Day Adventist Health Core Convictions : Alignment with Current Healthcare Practice
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Andrews University Digital Commons @ Andrews University Dissertations Graduate Research 2006 Identification of Seventh-day Adventist Health Core Convictions : Alignment with Current Healthcare Practice Randall L. Haffner Andrews University Follow this and additional works at: https://digitalcommons.andrews.edu/dissertations Part of the Health and Medical Administration Commons, and the Religion Commons Recommended Citation Haffner, Randall L., "Identification of Seventh-day Adventist Health Core Convictions : Alignment with Current Healthcare Practice" (2006). Dissertations. 424. https://digitalcommons.andrews.edu/dissertations/424 This Dissertation is brought to you for free and open access by the Graduate Research at Digital Commons @ Andrews University. It has been accepted for inclusion in Dissertations by an authorized administrator of Digital Commons @ Andrews University. For more information, please contact [email protected]. Thank you for your interest in the Andrews University Digital Library of Dissertations and Theses. Please honor the copyright of this document by not duplicating or distributing additional copies in any form without the author’s express written permission. Thanks for your cooperation. Andrews University School of Education IDENTIFICATION OF SEVENTH-DAY ADVENTIST HEALTH CORE CONVICTIONS: ALIGNMENT WITH CURRENT HEALTHCARE PRACTICE A Dissertation Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy by Randall L. Haffner June 2006 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. UMI Number: 3234102 Copyright 2006 by Haffner, Randall L. All rights reserved. INFORMATION TO USERS The quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleed-through, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion. ® UMI UMI Microform 3234102 Copyright 2006 by ProQuest Information and Learning Company. All rights reserved. This microform edition is protected against unauthorized copying under Title 17, United States Code. ProQuest Information and Learning Company 300 North Zeeb Road P.O. Box 1346 Ann Arbor, Ml 48106-1346 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ©Copyright by Randall L. Haffner 2006 All Rights Reserved Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. IDENTIFICATION OF SEVENTH-DAY ADVENTIST HEALTH CORE CONVICTIONS: ALIGNMENT WITH CURRENT HEALTHCARE PRACTICE A dissertation presented in partial fulfillment of the requirements for the degree Doctor of Philosophy by Randall L. Haffner APPROVAL BY THE COMMITTEE: Chair:ir* SShirley h irlp v AfAC FrppHFreed Dean,D p a n SchoolS r-in n of Education , James R. Jeffery Member: Duane Covrig ^ Member: Slimen J. Saliba sJi>L Eternal: Date approve Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ABSTRACT IDENTIFICATION OF SEVENTH-DAY ADVENTIST HEALTH CORE CONVICTIONS: ALIGNMENT WITH CURRENT HEALTHCARE PRACTICE by Randall L. Haffner Chair: Shirley A. Freed Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ABSTRACT OF GRADUATE STUDENT RESEARCH Dissertation Andrews University School of Education Title: IDENTIFICATION OF SEVENTH-DAY ADVENTIST HEALTH CORE CONVICTIONS: ALIGNMENT WITH CURRENT HEALTHCARE PRACTICE Name of researcher: Randall L. Haffner Name and degree of faculty chair: Shirley A. Freed, Ph.D. Date completed: 2006 Purpose The prevailing literature suggests that organizations can sustain their vitality and longevity by preserving their core ideology. The purpose of this study is to define and articulate the core convictions of Seventh-day Adventist healthcare and then investigate how the leaders’ and employees’ cognitive understandings, behaviors, and affective attachments align at Florida Hospital in Orlando, Florida. Method This two-phased sequential exploratory study utilizes qualitative research to define the core convictions of Seventh-day Adventist healthcare through historical literature review, analysis of official Church publications, four commissioned scholarly Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. papers, and one-on-one interviews with seasoned healthcare administrators. These findings are then used to develop a questionnaire administered at Florida Hospital to determine the perceptual gaps and alignments with the core convictions of Seventh-day Adventist healthcare. Results The core convictions of Seventh-day Adventist healthcare are: Wholeness, Healing Ministry of Christ, Health Principles, Honoring the Beliefs of the Seventh-day Adventist Church, Image of God, and Community Service. In testing these core convictions, full alignment was determined between the senior leaders and middle management in cognitive understanding, behavioral application, and affective connection. Statistically significant differences exist between senior leaders and middle management compared to employees in four of the six core convictions. The Health Principles and the behavioral dimension are fully aligned across the segmented groups. Full alignment is also determined for the Christian-based religions across all six core convictions. Conclusions The institutionalization of the core convictions of Seventh-day Adventist healthcare must be further incorporated into the sensemaking paradigm of Florida Hospital in order to protect the ongoing confessional identity. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. To my loving wife Cindy and our three precious daughters Bailey, Kennedy, and Hadley. Your grace and sacrifice are the sustenance that enables me to thrive. To my parents, for raising me in love. To my colleagues at Florida Hospital; may the healing ministry of Christ be extended by our daily service. iii Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. TABLE OF CONTENTS Chapter I. INTRODUCTION....................................................................................................... 1 Background of the Problem ............................................................................... 1 The Problem ......................................................................................................... 4 Purpose of the Study ............................................................................................ 5 Research Questions .............................................................................................. 6 Research Methods................................................................................................. 7 Theoretical Framework ........................................................................................ 8 Significance of the Study .................................................................................... 9 Assumptions ................... 9 Definitions ............................................................................................................ 10 Delimitations ......................................................................................................... 10 Organization of the Study .................................................................................... 11 II. LITERATURE REVIEW .......................................................................................... 13 Introduction ............................................................................................................ 13 A Corollary on Higher Education ...................................................................... 13 The Loss of Confessional Identity .............................................................. 14 The Preservation of Confessional Identity ................................................ 18 Institutional Theory............................................................................................... 20 Institutionalism D efined ............................................................................... 20 New Institutionalism ...................................................................................... 24 Deinstitutionalization .................................................................................... 26 P olitical ..................................................................................................... 27 Functional ................................................................................................. 28 Social .......................................................................................................... 28 Cognitive Dissonance Theory ............................................................................. 30 Sensemaking .......................................................................................................... 31 Definitions ....................................................................................................... 31 Connection With Cognitive Dissonance Theory ...................................... 33 Distinguishing