The hidden work of general practitioners: An ethnography DOI Creative Commons
Rachel Barnard, Sharon Spooner, M. Hubmann

et al.

Social Science & Medicine, Journal Year: 2024, Volume and Issue: 350, P. 116922 - 116922

Published: April 29, 2024

High quality primary care is a foundational element of effective health services. Internationally, physicians (general practitioners (GPs), family doctors) are experiencing significant workload pressures. How non-patient-facing work contributes to these pressures and what constitutes this poorly understood often unrecognised undervalued by patients, policy makers, even clinicians engaged in it. This paper examines ethnographically, informed practice theory, the Listening Guide, empirical ethics. Ethnographic observations (104 hours), in-depth interviews (n=16; 8 with GPs other staff) reflexive workshops were conducted two general practices England. Our analysis shows that 'hidden work' was integral direct patient care, involving diverse clinical such as: interpreting test results; crafting referrals; accepting interruptions from colleagues. We suggest term more accurately reflects care-ful nature work, which laden ambiguity uncertainty. Completing hidden outside expected working hours normalised, creating feelings inefficiency, exacerbating pressure. Pushing tasks forward into an imagined future (when conditions might allow its completion) commonly led overspill GPs' own time. experienced tension between their desire provide safe, continuous, 'caring' manageable day, context increasing demand burgeoning complexity.

Language: Английский

Digital innovation: Review and novel perspective DOI Creative Commons

Axel Hund,

Heinz‐Theo Wagner, Daniel Beimborn

et al.

The Journal of Strategic Information Systems, Journal Year: 2021, Volume and Issue: 30(4), P. 101695 - 101695

Published: Nov. 19, 2021

While research has produced valuable insights about digital innovation, we lack a comprehensive understanding its core nature, and across disciplinary boundaries lacks integration. To address these issues, review 227 articles on innovation eight disciplines. Based our findings, (1) inductively develop new definition propose framing of current conceptualizations (2) organize central concepts the literature phenomena show how they intersect with conceptualization, (3) framework to according five key themes. We conclude by identifying two particularly promising areas future research.

Language: Английский

Citations

187
Reviewing Paradox Theory in Corporate Sustainability Toward a Systems Perspective DOI Creative Commons
Simone Carmine, Valentina De Marchi

Journal of Business Ethics, Journal Year: 2022, Volume and Issue: 184(1), P. 139 - 158

Published: April 17, 2022

Abstract The complexity of current social and environmental grand challenges generates many conflicts tensions at the individual, organization and/or systems levels. Paradox theory has emerged as a promising way to approach such corporate sustainability going beyond instrumental business-case perspective achieving superior performance. However, fuzziness in empirical use concept “paradox” absence limits its potential. In this paper, we perform systematic review content analysis literature related paradox sustainability, offering useful guide for researchers who intend adopt empirically. Our provides comprehensive account uses construct - which allows categorization into three distinct research streams: 1) paradoxical tensions, 2) frame/thinking, 3) actions/strategies overview findings that emerge each three. Further, by adopting system perspective, propose theoretical framework considers possible interconnections across identified meanings different levels (individual, organizational, systems) discuss key gaps emerging. Finally, reflect on role clear notion can have supporting business ethics scholars developing more “immanent” evaluation overcoming view.

Language: Английский

Citations

98
How do firms manage ethically-contested organisational paradoxes? Insights from two historical case studies of modern slavery DOI Creative Commons
Nicholas Wong, Andrew Smith, Allan Discua Cruz

et al.

Business History, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 29

Published: Jan. 10, 2025

Language: Английский

Citations

2
Modern slavery and the employment relationship: Exploring the continuum of exploitation DOI
Martijn Boersma, Justine Nolan

Journal of Industrial Relations, Journal Year: 2022, Volume and Issue: 64(2), P. 165 - 176

Published: Jan. 24, 2022

The term ‘modern slavery’ constitutes a broad non-legal umbrella that refers to range of abusive practices including, but not limited to, forced labour, bonded human trafficking and child slavery. While the most severe forms labour exploitation represent instances modern slavery, focusing on abuses more broadly is also important as it always clear at what point non-compliance with standards seeps into cases criminal exploitation. This Special Issue focuses large- small-scale risk factors are can cause working conditions deteriorate, how people become trapped in exploitative be done prevent remedy abuses. It does this by exploring macro-level, specifically examining global value chains within production regime; meso-level, market-based character business rights regulation; looking micro-level regimes factory floors private residences.

Language: Английский

Citations

49
Paradox, Dialectics or Trade‐Offs? A Double Loop Model of Paradox DOI
Marco Berti, Miguel Piña e Cunha

Journal of Management Studies, Journal Year: 2022, Volume and Issue: 60(4), P. 861 - 888

Published: Dec. 10, 2022

Abstract Paradox literature is emerging as one of the most vital streams in management studies, but it affected by some growing pains. First, concept paradox still too fuzzy, which impacts empirical research and hinders communication with other literatures. Second, assumption that paradoxes are always best met acceptance search for balance problematic because limits heuristic potential a lens, constrains range sustainable responses to contradictions, may induce appeasement face injustice. In this paper we propose strengthen theory incorporating contributions two alternative perspectives on organizational tensions: trade‐offs dialectics. We thus present model expands by: (1) clarifying paradox; (2) offering better describes varied phenomenology, causes consequences tensions paradoxes.

Language: Английский

Citations

48
Employee‐CSR Tensions: Drivers of Employee (Dis)Engagement with Contested CSR Initiatives DOI Creative Commons
Tobias Hahn, Garima Sharma, Ante Glavas

et al.

Journal of Management Studies, Journal Year: 2023, Volume and Issue: 61(4), P. 1364 - 1392

Published: March 28, 2023

Abstract Firms face mounting pressure to implement organization‐wide CSR initiatives in order address social issues such as climate change, poverty alleviation, and inequality. Such efforts hinge on the engagement of employees throughout organization. Yet, involving more CSR, well magnitude organizational change required pressing issues, are likely trigger employee‐CSR (E‐CSR) tensions, i.e., tensions between employees' personal preferences for their perceptions actual initiatives. While prior research micro‐CSR has identified a range employee with it does not explain (dis)engagement when they experience E‐CSR tensions. We draw literature individuals' responses paradoxical unpack how why who (dis)engage differently develop conceptual framework around interplay three drivers (type tension, cognition, situatedness) response terms different types contribute by explaining which disagree, microfoundations paradox challenging dominant association both/and thinking generative outcomes vs either/or detrimental outcomes.

Language: Английский

Citations

30
The paradox of paradoxical leadership: A multi-level conceptualization DOI
Uzma Batool, Muhammad Mustafa Raziq,

Naukhez Sarwar

et al.

Human Resource Management Review, Journal Year: 2023, Volume and Issue: 33(4), P. 100983 - 100983

Published: July 15, 2023

Language: Английский

Citations

26
Coopetition: A boon for firms, a bane for managers DOI Creative Commons

Carolyn Yesse Ngowi,

Soniya Rijal,

Salih Zeki Ozdemir

et al.

Industrial Marketing Management, Journal Year: 2025, Volume and Issue: 126, P. 101 - 117

Published: Feb. 13, 2025

Language: Английский

Citations

1
Understanding the consequences of digital technology use in sales: multilevel tensions inside sales organizations DOI
Mark Micallef, Joona Keränen, Olga Kokshagina

et al.

Journal of Personal Selling and Sales Management, Journal Year: 2023, Volume and Issue: 44(1), P. 84 - 99

Published: Jan. 27, 2023

Personal selling and sales management are undergoing a major transformation driven by an increased use of digital technologies. Despite the potential that digitalization holds, many organizations struggle to realize benefits While extant literature has studied impact technologies on sales, it tends consider broadly as uniform structures provides fewer insights impacts between different levels within organizations. Consequently, this study explores how technology in results multiple tensions leading both positive negative consequences they experienced differently at (sales director, manager, salesperson). We draw empirical from 32 interviews with professionals ten Australian construction industry. The findings reveal six (autonomy, innovation, information, interaction, resource, control) show these can be perceived each level. These advance contemporary personal offering multi-level perspective explains why have generates important for managers who adopting

Language: Английский

Citations

17
Inter-Organizational Paradox Management: How national business systems affect responses to paradox along a global value chain DOI
Stephanie Schrage, Andreas Rasche

Organization Studies, Journal Year: 2021, Volume and Issue: 43(4), P. 547 - 571

Published: Jan. 22, 2021

This study discusses the relationship between inter-organizational paradox management, national business systems and global value chains. Using case evidence from a chain in footwear industry (in Germany China), we analyse how different businesses responded to paradoxical tension arising competing demands provide living wage workers uphold financial performance. Our findings highlight organizational responses this along chain, showing these were shaped by interplay of types pressures exerted itself. While aligned German part they not on Chinese side. The makes two contributions: (1) develop taxonomy outlining alignment influences whether organizations choose either proactive or defensive management; (2) argue that theorizing impacts cross-national distance management can be enhanced adopting multidimensional approach institutional variety extends beyond culture-based arguments.

Language: Английский

Citations

41