Towards a flatter ontology of institutional logics: How logics relate in situations of institutional complexity

International Journal of Management Reviews, Journal Year: 2022, Volume and Issue: 25(2), P. 363 - 383

Published: Aug. 23, 2022

Abstract The institutional logics approach is a powerful lens with which to examine and understand contexts in norms conceptions are multiple, unclear or flux. While at the societal level have been well elaborated are, most part, widely understood accepted, field not necessarily so clear. Field frames distort, merge confuse logic as actors negotiate, rebalance, bridge interpret recursively constitutive process. We review research two institutionally complex fields—higher education healthcare ‐ that employs an lens. identify categorize arising these fields ask how field‐level relate each other societal‐level ideal‐type logics. what roles ideologies play mediating relations between mechanisms by this happens. find that, level, can appear instantiations form hybrids. New also emerge, but often confused ideologies, thus limiting theory‐building potential of approach. begin resolve confusion highlighting role relationships level. advocate for, pave way towards, new agenda enabled flatter ontology sees horizontal relationship vertical actors.

Language: Английский

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Institutional logics, social interactions and management of tensions in public-private partnership organizations

Journal of Health Organization and Management, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 13, 2025

Purpose We aim to understand the link between field-level institutional logics and practice-level social interactions relationships public private actors their influences on responses resolutions issues causing tensions. Design/methodology/approach Adopting a multiple perspective with focus actors, we conducted case study in five city hospitals recently established under public-private partnership model Turkish healthcare field. Findings found that state market predominantly characterize field were enacted each of different manners constitute three configurations as compatible, complementary contradictory. The developed occur based these configurations, they all together shape Research limitations/implications Since did analyses organizational at level, not consider possible differences arising from individual positional roles partnership. It is therefore important acknowledge interviews, which are central research results, might be influenced by motivation power dynamics participants terms positions, responsibilities. Thus, much work must done management tensions organizations (PPPOs) greater individual, partnership, interactions. Practical implications Tensions PPPOs can understood better managed more effectively when enactment considered relationships. Originality/value novelty our advance knowledge empirically showing Our results indicate primarily responded mainly avoidance, defiance or decoupling subsequently resolved joint efforts through informal collaboration, formalization, formalized enforcement coercive pressure, depending how within side formed accordingly.

Language: Английский

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As above, not so below: developing social procurement practices on strategic and operative levels

Equality Diversity and Inclusion An International Journal, Journal Year: 2020, Volume and Issue: 40(3), P. 242 - 258

Published: Aug. 26, 2020

Purpose Procurement is increasingly used as a strategic tool to mitigate societal issues such social exclusion and unemployment of marginalized groups. By conducting procurement imposing so-called employment requirements, organizations can create job opportunities for people. Such practices are becoming popular in the construction sector, but remain scattered, which hinders effective creation, use dissemination cohesive commonly shared practices. Accordingly, this paper analyzes Swedish sector. Design/methodology/approach The theory proto-institutions, refers institutions under development, applied analyze 46 interviews with practitioners. Findings There currently little convergence practices, due not being fully internalized across projects; interns hired through requirements having strong enough incentives engage their internships; actors working strategically operatively different possibilities practices; development maintenance mechanisms formalization sustainable weak. Originality/value This contextualizes efforts increase equality, diversity inclusion groups adoption an institutional perspective practice elucidates constellation existing logics that impact on development. also indicates how work become more efficient maximize value output people living exclusion. For theory, it illustrates proto-institutions be driven by both top-down bottom-up perspectives.

Language: Английский

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Nurturing innovative culture in a healthcare organisation – Lessons from a Swedish case study

Journal of Health Organization and Management, Journal Year: 2023, Volume and Issue: 37(9), P. 17 - 33

Published: Jan. 24, 2023

Healthcare organisations are often described as less innovative than other organisations, since organisational culture works against innovations. In this paper, the authors ask whether it has to be that way or is possible nurture an in a healthcare organisation. The aim of paper describe and analyse nurturing within organisation how can support innovations such organisation.Based on qualitative case study unit changed, few years, from having no repeatedly generating innovations, important aspects nurtured healthcare. Data were analysed using inductive deductive analysis steps.The shows Relationships competences beyond healthcare, empowering structures signalling importance innovation work with resources all proved important. All manager influence. case, manager's role was very important.This highlights managers play key process.The describes analyses identifies conditions strategies for organisations.

Language: Английский

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Back to the Future: What Healthcare Organizations Need to Thrive in the Face of Persistent Environmental Uncertainty

Advances in health care management, Journal Year: 2024, Volume and Issue: unknown, P. 3 - 27

Published: Jan. 23, 2024

While uncertainty has always been a feature of the healthcare environment, its pace and scope are rapidly increasing, fueled by myriad factors such as technological advancements, threat frequency disruptive events, global economic developments, increasing complexity. Contemporary organizations thus persistently face what is known "deep uncertainty," which obscures their ability to predict outcomes strategic action decision-making, presenting them with novel challenges threatening survival. Persistent, deep us revisit reconsider how we think about actions needed thrive under these circumstances. Simply put, can in deeply uncertain environments? We argue that need employ both adaptive creative approaches order effectively meet patients' needs capture value long-term future. The chapter concludes offering two ways build dynamic capabilities approaches.

Language: Английский

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Preconditions for nurses' perceived organizational support in healthcare: a qualitative explorative study

Journal of Health Organization and Management, Journal Year: 2021, Volume and Issue: 35(9), P. 281 - 297

Published: Sept. 13, 2021

The purpose of this paper is to inductively explore the context-specific preconditions for nurses' perceived organizational support (POS) in healthcare organizations.A qualitative interview study was performed, based on critical incident technique (CIT), with 24 registered nurses different specialities hospital care.The three actors as essential their POS: first-line manager, overarching organization and college. affecting perceptions were supportive structuring structures at work, well individual recognition professional acknowledgement.Previous studies POS have mostly had a quantitative outset. In paper, are described depth, enabled by approach study. findings may be used guide organizations managers aiming foster POS, thereby, benefit well-being retention, quality efficiency.

Language: Английский

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Researching Values

Springer eBooks, Journal Year: 2022, Volume and Issue: unknown

Published: Jan. 1, 2022

Language: Английский

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Hybridity enabled: A research synthesis of the enabling conditions for hybrid professionalism in healthcare

Health Services Management Research, Journal Year: 2023, Volume and Issue: 37(1), P. 2 - 15

Published: Jan. 18, 2023

Hybrid professionals in healthcare organizations play a critical role, the characteristics, processes and implications of which have been thoroughly studied by scholars field. However, not as much attention has paid to conditions under such roles might be taken entering ground management. This gap results into lack conceptual clarity eventually ends being an obstacle framing ameliorating tools needed act role its different phases. is research area worthy finer-grained understanding: ability effectively support hybridization, fact, requisite for professionals-managers' willingness stay cope with complexity that two-fold position entails, no matter what. Based on scoping literature review, this paper presents enabling hybrid professionalism healthcare, proposes classification them categories corresponding facets role-taking: opportunities interaction management, supporting sense-making, provision delegation autonomy. For each these categories, organizational management discussed are presented. The study provide road-map aims practical convenience managers policy-makers health care. Eventually, suggestions design personnel well directions further research, highlighted.

Language: Английский

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Institutional logics and relational shifts: permeating hierarchies and silos in the healthcare sector

Public Management Review, Journal Year: 2024, Volume and Issue: 26(10), P. 2943 - 2965

Published: Jan. 9, 2024

Healthcare organizations often confront multiple institutional logics that reinforce professional and departmental hierarchies silos. Research in the field focuses on how professionals navigate such tensions through everyday practices maintain, reinterpret or shift specific logics. In this paper, we take a practice perspective to explore mediating capacity of values-driven as bridge between different Drawing insights from leadership programme delivered 70 public healthcare staff across seven hospitals South Africa, argue articulating values conflicts shared shape relational practices, which mitigate pressures hierarchy conflicting

Language: Английский

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Inciting maintenance: Tiered institutional work during value-based payment reform in oncology

Social Science & Medicine, Journal Year: 2024, Volume and Issue: 347, P. 116798 - 116798

Published: March 18, 2024

Value-based payment aims to shift the focus from traditional volume-driven arrangements a system that rewards providers for quality and value of care delivered. Previous research has shown it is difficult change their medical organizational practices adopt value-based payment, but role actors in these reforms remained underexposed. This paper unravels motives non-clinical clinical professionals maintain institutionalized when faced with payment. To illuminate motives, case study was conducted Dutch hospital alliance aimed implement incentivize transition novel interventions prostate cancer pathway. Data collection consisted observations interviews on multiple levels (sales departments, specialist enterprises (MSEs) physicians). On each actor level, maintaining currently prevailing institutional were present. Regulative maintenance more common sales managers whereas cultural-cognitive normative seemed play an important physicians. An overarching motive desired transitions proved possible under logic, dismissing urgent need reform. Our analysis further revealed engage diverse work, some groups' work carries weight than others because dependency relationships exist between hospitals, MSEs Physicians depend who act as gatekeepers buffers, decide whether reform either adopted or abandoned.

Language: Английский

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