Coherent identities and roles? Hybrid professional managers’ prioritizing of coexisting institutional logics in differing contexts

Scandinavian Journal of Management, Journal Year: 2019, Volume and Issue: 35(4), P. 101063 - 101063

Published: Aug. 7, 2019

This article explores how hybrid professional managers relate to coexisting institutional logics in their everyday work. It examines coherence between the logic that informs managers' identity and prioritized role. By comparing interview data from two settings, a faith-based hospital religious organization, this analyses primary secondary identities roles. Findings show experiences of differ according organizational context. Hospital identify with managerial both A church identity, yet they prioritize The proposes model links roles framework proposed earlier.

Language: Английский

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Changing Logics in Healthcare and Their Effects on the Identity Motives and Identity Work of Doctors

Organization Studies, Journal Year: 2020, Volume and Issue: 42(9), P. 1477 - 1499

Published: Jan. 24, 2020

Recent literature on hybridity has provided useful insights into how professionals have responded to changing institutional logics. Our focus is shifting logics shaped senior medical professionals’ identity motives and work in a qualitative study of hospital consultants the United Kingdom’s National Health Service. We found binary divide between large category traditionalist doctors who reject logics, much smaller incorporated broadly accept advocate change, with little evidence significant ambivalence or temporary ‘fixes’ associated liminality. By developing new inductively generated framework, we show these two categories differ significantly. explore underlying causes differences, implications they hold for theory practice professionalism, professional leadership healthcare reform.

Language: Английский

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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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The ‘service turn’ in a new public management context: a street-level bureaucrat perspective

Public Management Review, Journal Year: 2023, Volume and Issue: 26(7), P. 2014 - 2038

Published: Aug. 2, 2023

It is increasingly argued that public management should build on a service logic instead of the prevailing manufacturing New Public Management (NPM). Drawing from three cases in Swedish healthcare, key features such as value creation, co-production, and collaboration are prominent formal documents everyday talk. However, 67 interviews this study reveal ideal practically unreachable context impregnated by NPM. Instead, we suggest street-level bureaucrats often need to address expectations (public values, relationship-building, etc.) using an NPM (measurements, control, etc.).

Language: Английский

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Logic fluidity: How frontline professionals use institutional logics in their day-to-day work

Journal of Professions and Organization, Journal Year: 2020, Volume and Issue: 7(2), P. 188 - 204

Published: June 3, 2020

Abstract This article aims to gain a better understanding on micro processes of how frontline professionals use institutional logics in their day-to-day work. It contributes the growing literature dynamics between institutions and professional frontline. To further develop this field study, conceptual framework is presented that integrates logics, vocabularies practice, narratives as central concepts. By adopting composite narrative approach identifying interprets make different sense new principle introduced field. Findings are based case study patient collaboration healthcare. The composes five act vehicles through which healthcare logics: medical logic, managerial commercial consultation patient-centeredness logic. argues practice assemble help them navigate plurality logics. shows move fluently from one another, critiquing ideas adherence dominant logic conflict solving. finalizes with discussion advocates for process studies perspective stronger focus research performance context plurality.

Language: Английский

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Understanding institutional work through social interaction in highly institutionalized settings: Lessons from public healthcare organizations

Scandinavian Journal of Management, Journal Year: 2020, Volume and Issue: 36(2), P. 101107 - 101107

Published: June 1, 2020

The present study describes and analyses how social interactions between individual actors form institutional work in the highly institutionalized setting of healthcare organizations. Based on a qualitative case study, we affirm that mainly maintaining work, thus primarily upholding rigidity Social either preserve distance different or prevent their mutual influence, which decreases effects complexity. However, when goes beyond maintaining, interaction is characterized by processes claiming influence granting who adhere to logics, allows Such contingent upon physicians' strong power position, likely precede influence.

Language: Английский

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Change is never easy: How management theories can help operationalise change in medical education

Medical Education, Journal Year: 2020, Volume and Issue: 55(1), P. 55 - 64

Published: July 22, 2020

Abstract Context Medical education is neither simple nor stable, and highly contextualised. Hence, ways of perceiving multiple connections complexity are fundamental when seeking to describe, understand address concerns questions related change. Proposal In response calls in the literature, we introduce three examples contemporary organisational theory which can be used operationalise change within medical education. These theories, institutional logics, paradox leadership theory, respectively, relatively unknown However, they provide a way making sense creatively. Specifically, cross‐cut different levels analysis allow us ‘zoom in’ micro levels, as well out’ connect what happening at individual level (the level) happens wider even national or international macro level), thereby providing means understanding interactions among individuals, teams, organisations systems. We highlight potential value these brief discussion few studies that have them education, then briefly critique each theory. Conclusions hope by drawing attention readers management unlock some support new thinking open avenues for research.

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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The local government project: A matchmaker or a troublemaker?

International Journal of Project Management, Journal Year: 2025, Volume and Issue: unknown, P. 102674 - 102674

Published: Jan. 1, 2025

Language: Английский

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Adjustmentalisation – digitalisation as transformation process and the interplay between a digital logic and diverse primary care logics in Sweden

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

Published: Feb. 1, 2025

Purpose This study aims to contribute with knowledge on the characteristics of process co-existence value conflicts between managers, markets/businesses, patients, professionals and digital technology in primary care practices, be able nuance array descriptions consequences introducing a digitalised practice, such as telemedicine, into an already existing organisation. Due its organisational structure dynamic environment multitude professions patients well influenced by managerial market drivers, setting provides fertile ground for studying from institutional logic perspective. Design/methodology/approach multi-source utilises qualitative thematic content analysis empirical data collected through interviews, survey documents, followed iterative regard logics based themes developed data. Findings Coexistence Adaptation: Different coexist transform adjustmentalisation rather than competing or dominating each other. Digital Technology's Influence: influences interacts all established logics, potentially acting separate, evolving logic. Changing Healthcare Conditions: New conditions solutions healthcare may shift balance normalising logics. Patient Empowerment Data Ownership: Increasing emphasis patient empowerment transparent processing under regulations like General Protection Regulation (GDPR) Medical Devices (MDR). Research limitations/implications With design there is not generalisability. The performed Swedish setting. Practical implications Regarding practical implications, this examines digitalisation introduction eHealth Sweden. diverse described was used try facilitate implementation telemedicine care. contribution could other organisation that plans introduce part their practices. also have organisations since presence unique Originality/value Firstly, confirms earlier studies argue possible everyday practice. However, we show strengths them, facilitates transformation, regulation coordination new practice relation Secondly, shows derives societal challenges ageing population, accessibility problems COVID pandemic are legitimise Key findings: adaptation: technology's influence: conditions: ownership: GDPR MDR. Future research directions: Need further impact business development, participation potential become dominant

Language: Английский

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