Transition Resistance to Agile in a Healthcare IT Industry: An Intrinsic Case Study

Transition Resistance to Agile in a Healthcare IT Industry: An Intrinsic Case Study

Author: 
Sridevi Poosanam
Program of study: 
D.B.A.
Abstract: 
When transitioning from traditional software to Agile practice, numerous challenges arise and resistance to change to Agile is one of them. The purpose of the case study is to understand reasons for transition resistance when transitioning from traditional software development practice to an Agile practice in an information technology (IT) healthcare department in Texas. The scope ofthe study was to apply the qualitative research methodology of single case study design to answer the rea60sons for transition resistance in a member-based health care unit in Dallas, Texas. The study was guided by the research question What are the reasons for transition resistance from traditional software development practice to an Agile practice in an IT healthcare department? Open ended interviews, document analysis and observation were used as data sources. NVivo 11 software assisted with the organization, management, and coding of the gathered data. Several themes emerged from the three data sources collected for the investigation; these themes included Resistance is from Habitual Human Nature, Lack of Understanding of Reasons for Change, Lack of Leadership, Poor Communication/Collaboration, Lack of Training/Education, and Micromanaging. Results from the investigation indicate a number of practical ways that leaders can thwart resistance to Agile. Some of the most salient recommendations for practice to emerge from the investigation included improving employee training, improving departmental communications, helping employees see the benefits of Agile, and improving leadership. Through these improvements, organizations may overcome common resistance to such changes, which may be the result of habitual human nature.
Dedication: 
I would like to dedicate the dissertation to my inspiration, and the love of my life, my only son, Arnav Koppala. Thank you for your patience in dealing with a mom who has a fulltime job and who is studying part time. Your smile and love gave me the positive energy to fulfill my pursuit in completing my research. Your enthusiasm kept me focused on my journey. I would also like to thank my mom and my husband who believed in me during this important journey of my life and were a constant support. I love my family to the core.
Acknowledgements: 
One person without whom this journey would not have been possible is my chair Dr. Carman Kelsey-Jenkins. She was a constant force of energy that took me to the next level in my thinking and presentation. I am forever grateful to her for helping me fill the gaps in my study and be the constant force of inspiration to move forward. The next person I would like to thank is my mentor Mr. Chuck DeVries, he was a constant support system at work and drove me to be focused on my study. He cleared every hurdle that I encountered at work including approvals. His support made the research easier and smooth. This shows just how much the research also means to him and the company where the research was conducted. My special thanks to my committee members Dr. Yvonne Phelps and Dr. Jiefeng Xu who worked with me and shared their valuable time with me on this effort. Last but not the least, a big thank you to my husband and son for putting up with me during the research. There were some missed PTA meetings and some family events. Thank you for understanding and supporting me constantly in this journey.