Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration

Journal of Interprofessional Care, Journal Year: 2019, Volume and Issue: 34(3), P. 332 - 342

Published: July 22, 2019

Professionals in healthcare are increasingly encouraged to work together. This has acted as a catalyst for research on interprofessional collaboration. Authors suggest developing collaboration is not just the job of managers and policy makers; it also requires active contributions professionals. Empirical understanding whether professionals make such if so, how why, remains fragmented. systematic review 64 studies from past 20 years shows there considerable evidence actively contributing Although limited, we can show they do so three distinct ways: by bridging professional, social, physical task-related gaps, negotiating overlaps roles tasks, creating spaces be able so. different professions seem contributions. Moreover, differences exist between collaborative settings subsectors. We conclude proposing agenda advance our these theoretical, methodological empirical ways.

Language: Английский

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Scripting professional identities: how individuals make sense of contradictory institutional logics

Journal of Professions and Organization, Journal Year: 2015, Volume and Issue: 3(1), P. 17 - 38

Published: Sept. 1, 2015

This article examines how individual accountants subjectively interpret competing logics of professionalism as they transform from practicing to managerial roles and their organizations traditional professional partnerships more corporate organizational forms. Based on a longitudinal ethnography professionals in Big Four accounting firm we analyse the process by which make sense new integrate conflicting demands logics. We find that individuals are active authors own identity scripts . further observe considerable interpretive variation reproduced enacted. contribute emerging understanding institutions 'inhabited' extend this literature demonstrating institutional work reinterpreting is based less inter-subjective interactions, prior has assumed, is, instead, cognition subjectivity. also research service firms offering conceptual model micro-processes required for successful archetypal change.

Language: Английский

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How artificial intelligence might change academic library work: Applying the competencies literature and the theory of the professions

Journal of the Association for Information Science and Technology, Journal Year: 2022, Volume and Issue: 74(3), P. 367 - 380

Published: March 7, 2022

Abstract The probable impact of artificial intelligence (AI) on work, including professional is contested, but it unlikely to leave them untouched. purpose this conceptual paper consider the likelihood adoption different approaches AI in academic libraries. As theoretical lenses guide analysis draws both library and information science (LIS) literature librarians' competencies notions jurisdiction hybrid logics drawn from sociological theory professions. starts by outlining these theories then reviews nature range its potential uses main focus application knowledge discovery. Eleven libraries might adopt such applications are analyzed their evaluated. Then considered how a internal external factors influence AI. In addition reflecting possible librarianship contributes understanding synthesize with profession presents new librarians as hybrid.

Language: Английский

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Clinical leadership and hospital performance: assessing the evidence base

BMC Health Services Research, Journal Year: 2016, Volume and Issue: 16(S2)

Published: May 1, 2016

A widespread assumption across health systems suggests that greater clinicians’ involvement in governance and management roles would have wider benefits for the efficiency effectiveness of healthcare organisations. However, despite growing interest around topic, it is still poorly understood how managers with a clinical background might specifically affect performance outcomes. The purpose this review is, therefore, to map out critically appraise quantitatively-oriented studies investigating phenomenon within acute hospital sector. has focused on scientific papers published English international journals conference proceedings. articles been extracted through Boolean search strategy from ISI Web Science citation source. No time constraints were imposed. manual by keywords tracking was also conducted concentrating highly ranked public sector journals. Nineteen identified as match research criteria and, subsequently, classified basis six items. Finally, thematic mapping carried leading identify three main sub-streams types outcomes investigated. analysis extant literature revealed focusing leadership positions explored its implications financial resources, quality care offered social service providers. In general terms, findings show positive impact different outcome measures, only handful highlighting negative performance. Therefore, lends support prevalent move towards increasing presence clinicians Furthermore, we present an explanatory model summarising reasons reviewed justify provide suggestions future research.

Language: Английский

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Protective or connective professionalism? How connected professionals can (still) act as autonomous and authoritative experts

Journal of Professions and Organization, Journal Year: 2020, Volume and Issue: 7(2), P. 205 - 223

Published: May 18, 2020

Abstract Traditionally, professionals such as medical doctors, lawyers, and academics are protected. They work within well-defined jurisdictions, belong to specialized segments, have been granted autonomy, discretionary spaces. In this way, they can be socialized, trained, supervised, case-related considerations decisions substantive (instead of commercial), taken independently. Ideally, these authoritative accepted, both by clients well society (stakeholders) who trust professional services. This ideal-typical but also ‘ideal’ imagery always had its flaws; nowadays, shortcomings increasingly clear. ‘Protective professionalism’ is becoming outdated. Due heterogeneity fragmentation fields, the interweaving dependencies actions on outside worlds, no longer isolate themselves from others outsiders. At first sight, leads a ‘decline’, ‘withering away’, or ‘hollowing out’ professionalism. Or it attempts ‘reinstall’, ‘reinvent’, ‘return to’ values article, we avoid ‘all nothing’ perspectives changing professionalism explore ‘reconfiguration’ Professional identities adapted might become ‘hybrid’, ‘organized’, ‘connected’. organizational logics interrelated; see (or organizing) duties belonging their work; fields open up worlds. We particularly connective professionalism, arguing that need more fundamental reflections redefinitions what means are. focus question how action related outsiders remain ‘knowledgeable’, ‘autonomous’, ‘authoritative’ at same time. matter expertise, authority fixed closed entities. These crucial dimensions relational processual. enacted continuous basis, backed mechanisms make knowledgeable, independent, in eyes others.

Language: Английский

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Reconsidering the ‘Symmetry’ Between Institutionalization and Professionalization: The Case of Corporate Social Responsibility Managers

Journal of Management Studies, Journal Year: 2016, Volume and Issue: 54(5), P. 613 - 646

Published: Oct. 21, 2016

Abstract The assumption of a mutually supportive, ‘symmetric’ relationship between institutionalization and professionalization is central to the institutionalist perspective on professional work. Our inductive qualitative study corporate social responsibility (CSR) managers in multinational corporations (MNCs) prompts rethink validity this assumption. We show that as CSR advances consolidates, are pushed organizational periphery. This indicates can be ‘asymmetric’ under certain conditions. To advance asymmetry, we develop conceptual framework set corresponding propositions explain why some groups able their projects, while others cannot. makes three main contributions literature: First, explicate which conditions more likely asymmetric than symmetric. Second, our explanation shifting positions different allows for further delineating occupational from professionals. Third, contribute literature by examining dynamic yet ambiguous role driving forces behind implementation CSR.

Language: Английский

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AI-enabled business models in legal services: from traditional law firms to next-generation law companies?

Journal of Professions and Organization, Journal Year: 2020, Volume and Issue: 7(1), P. 27 - 46

Published: Jan. 16, 2020

Abstract What will happen to law firms and the legal profession when use of artificial intelligence (AI) becomes prevalent in services? We address this question by considering three related levels analysis: tasks, business models, organizations. First, we review AI’s technical capabilities relation identify contexts where it is likely replace or augment humans. AI capable doing some, but not all, tasks better than lawyers augmented multidisciplinary human inputs. Second, new models for creating value services applying AI. These differ from firms’ traditional advisory model, because they require technological (non-human) assets Third, analyze organizational structure that complements old models: professional partnership (P2) well-adapted delivering centralized management, access outside capital, employee incentives offered corporate form appear complement AI-enabled models. Some are experimenting with pursuing parallel. However, differences create conflicts combined. partially externalized via contracting segregated realigned vertical integration. Our analysis suggests firm experimentation aligning different distinct entities, along ethical concerns, affect extent which become ‘hybrid professionals’.

Language: Английский

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Professionals’ responses to the introduction of AI innovations in radiology and their implications for future adoption: a qualitative study

BMC Health Services Research, Journal Year: 2021, Volume and Issue: 21(1)

Published: Aug. 14, 2021

Abstract Background Artificial Intelligence (AI) innovations in radiology offer a potential solution to the increasing demand for imaging tests and ongoing workforce crisis. Crucial their adoption is involvement of different professional groups, namely radiologists radiographers, who work interdependently but whose perceptions responses towards AI may differ. We aim explore knowledge, awareness attitudes amongst groups radiology, analyse implications future these technologies into practice. Methods conducted 18 semi-structured interviews with 12 6 radiographers from four breast units National Health Services (NHS) organisations one focus group 8 fifth NHS unit, between 2018 2020. Results found that vary respect knowledge around AI. Through networks, conference attendance, contacts industry developers, receive more information acquire applications Radiographers instead rely on localized personal networks information. Our results also show although both believe shortages, they differ significantly regarding impact it will have roles. Radiologists has take repetitive tasks allow them interesting challenging work. They are less concerned technology might constrain role autonomy. showed greater concern about could roles skills development. were confident ability respond positively risks opportunities posed by technology. Conclusions In summary, our findings suggest linked existing roles, mediated differences attributable inter-professional status identity. These question broad-brush assertions deskilling which neglect need healthcare be integrated processes subject high levels

Language: Английский

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The Dark Side of Projects: Dimensionality, Research Methods, and Agenda

Project Management Journal, Journal Year: 2022, Volume and Issue: 53(4), P. 367 - 381

Published: June 16, 2022

This article presents the dark side of projects, engaging project scholars and practitioners in discussions about sensitive, confusing, uncomfortable, challenging, questionable phenomena, such as corruption, sexism, money laundering, modern slavery, waste resources, organizational politics. The impacts people’s lives, questioning legitimacy projects forms work organization political ideological systems shaping projects’ context. Project need to be aware harm may promote. Ultimately, we aim build awareness, promote research, help sensitize our community projects.

Language: Английский

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Organizational responses to multiple logics: Diversity, identity and the professional service firm

Accounting Organizations and Society, Journal Year: 2022, Volume and Issue: 103, P. 101336 - 101336

Published: April 6, 2022

This paper is located within the research problematic of multiple logics with reference to professional service firms (PSFs), and in particular audit firms. Within this multi-logic (“hybrid”) complex organization, we are specifically concerned impacts new institutional that reflect social political movements - case diversity legislation how these absorbed managed organizations’ structures practices. Based upon a study large medium sized UK, consider organizational responses demands for improved among firm members, especially senior elite, context passing Equality Act, 2010, subsequent which both consolidated extended UK laws on discrimination. Our indicates such sites have value demonstrating conflict between shifts its terms reference. While most commercialism professionalism has been successfully through mechanisms hybridization, bring fore struggles ideas about merit evaluation processes practices more intractable. work contributes an understanding dependencies (blending) co-existences (separation) can exist diversity, commercial practice organizations. We further highlight role identity scripts shape individuals situationally demarcate their identities as they struggle challenge dominant logics.

Language: Английский

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