Using institutional entrepreneurship to understand the role of innovation teams in healthcare: a longitudinal qualitative study

ObjectivesWe draw on institutional theory to explore the roles and actions of innovation teams and how this influences their behaviour and capabilities as ‘institutional entrepreneurs (IEs)’, in particular the extent to which they are both ‘willing’ and ‘able’ to facilitate transformational change in healthcare through service redesign.DesignA longitudinal qualitative study that applied a ‘researcher in residence’ as an ethnographic approach.SettingThe development and implementation of two innovation projects within a single public hospital setting in an Australian state jurisdiction.ParticipantsTwo innovation teams, with members including senior research fellows, PhD scholars and front-line clinicians (19 participants and 47 interviews).ResultsDespite being from the same hospital, the two innovation teams occupied contrasting subject positions with one facilitating transformational improvements in service delivery, while the other sought more conservative improvements. Cast as ‘IEs’ we show how one team took steps to build legitimacy for their interventions enabling spread and scale in improvements and how, in the other case, failure to build legitimacy resulted in unintended consequences which undermined the sustainability of the improvements achieved.ConclusionsAdopting an institutional approach provided insight into the ‘willingness’ and ‘ability’ to facilitate transformational change in healthcare through service redesign. The manner in which innovation teams operate from different subject positions influences the structural and normative legitimacy afforded to their activities. Specifically, we observed that those with the most power (organisational or professional) to bring about transformational change can be the least willing to do so in ways which challenge current practice. Those most willing to challenge the status quo (more peripheral organisation members or professionals) can be least able to deliver transformation. Better understanding of these insights can inform healthcare leaders in supporting innovation team efforts, considering their subject position.

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Aspects of the syntax of ce in French copular sentences

The Grammar of Copulas Across Languages ◽

10.1093/oso/9780198829850.003.0008 ◽

2019 ◽

pp. 153-169 ◽

Cited By ~ 1

Author(s):

Isabelle Roy ◽

Ur Shlonsky

Keyword(s):

The Other ◽

Subject Position ◽

Syntactic Analysis ◽

Subject Positions ◽

Relativized Minimality ◽

The Subject ◽

Syntactic Constraints ◽

Copular Sentences ◽

Copular Sentence

This chapter offers a syntactic analysis of French ce in copular constructions. It is argued that the distribution of ce is best understood in terms of the conditions on the agree operation inside the copular sentence. The proform ce, an expletive, is inserted whenever an agreement relationship cannot be established between an element in the subject position and an element from the PredP (Bowers 1993). Two sources of agreement failure are considered. In one case, agreement failure results from syntactic constraints on movement (Relativized Minimality, criterial freezing) together with focalization. In the other case, agreement failure results from the absence of accessible phi-features on the subject, possibly as the result of a grammatical shift taking place at the interface. This chapter further highlights the relevance of two subject positions (Subj1 and Subj2) each with their own interpretational properties.

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Balancing Agency with Structure: Institutional Entrepreneurship as an Embedded Discovery Process

Journal of Entrepreneurship and Innovation in Emerging Economies ◽

10.1177/23939575211010611 ◽

2021 ◽

pp. 239395752110106

Author(s):

Desmond Ng

Keyword(s):

Social Group ◽

The Other ◽

Discovery Process ◽

Institutional Entrepreneurship ◽

Dual Structure ◽

Entrepreneurship Research ◽

Social Settings ◽

Institutional Researchers

While mainstream research has treated entrepreneurship as a highly individualised and agentic process, institutional researchers contend that entrepreneurship operates within a greater embedded setting. Various researchers have appealed to Giddens’ dual structure to explain an entrepreneur’s embedded-agency. According to Giddens’ dual structure, this embedded-agency consists of the rules or norms of a social group in which these rules constrain and enable an entrepreneur’s resources. Yet, despite Giddens’ contributions, Giddens is criticised for conflating the rules of this embedded setting with an entrepreneur’s resources in which neither affects the other in any significant way. By drawing on concepts of the Austrian entrepreneur and embeddedness, a theory of institutional entrepreneurship is developed to address this conflation problem. This institutional entrepreneurship offers an embedded-agency to explain how an entrepreneur can create, maintain and disrupt their embedded social settings. This embedded-agency addresses Giddens’ conflation problem and broadens the agent-centric focus of institutional entrepreneurship research.

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“Femininity without Feminism”

Asian Journal of Social Science ◽

10.1163/15685314-04303003 ◽

2015 ◽

Vol 43 (3) ◽

pp. 249-272 ◽

Cited By ~ 1

Author(s):

Soo-Hyun Mun

Keyword(s):

Gender Identity ◽

Social Status ◽

Gender Politics ◽

Unintended Consequences ◽

The Other ◽

Korean Society ◽

Feminist Politics ◽

Identity Based ◽

The One ◽

Status Of Women

This article contributes to the debate between the merits of the ‘politics of presence’ versus the ‘politics of ideas’ by examining the case of the first female Korean president, Park Geun-Hye. On the one hand, Park did not represent ‘the ideas’ of feminist politics. While her gender identity was widely propagated and accepted, it did not transform into deliberate identity-based politics. On the other hand, she contributed to the elevation of women’s social status through various unintended consequences, although Park’s ‘femininity without feminism’ inevitably led to the negligence of gender politics in her government. Indeed, Park’s existence, rather than her intention, stimulated the debate on the role and status of women in Korean society and enabled the rise of a number of first females in various sectors. In sum, the ‘politics of presence’ was triggered even without overt political measures.

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COVID-19 Shutdown: A Qualitative Study on Pearls and Pitfalls

Proceedings ◽

10.3390/proceedings2021074004 ◽

2021 ◽

Vol 74 (1) ◽

pp. 4

Author(s):

Naciye Güliz Uğur

Keyword(s):

Qualitative Study ◽

Human Health ◽

Social Distance ◽

The Other ◽

Adoption Of Technology ◽

Family Ties ◽

Advantages And Disadvantages ◽

Modern Period ◽

Long Term Impact

The extraordinary and tragic conditions that humanity has not experienced before in the modern period have become ordinary, namely, a “new normal” with the presence of the COVID-19 pandemic. COVID-19 has had frightening consequences for human health and has caused one million deaths as of September 2020. On the other hand, it has set a new standard of good habits, approaches, and benefits. Due to its global and long-term impact, this unique virus has laid the groundwork for unprecedented helping and sharing behaviors between people and countries. In this study, findings are compiled from the open-ended responses of 626 individuals, all of whom live in Turkey. Within the study’s scope, individuals were asked about the unique advantages and disadvantages of the restrictions imposed under COVID-19. While the categories of economy, social distance, and health came to the fore among the harms, the strengthening of family ties, adoption of technology, and the spread of solidarity culture were mentioned among the advantages.

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Psychotic, acritical and precarious? A Lacanian exploration of the neoliberal consumer subject

Marketing Theory ◽

10.1177/1470593118796704 ◽

2018 ◽

Vol 19 (3) ◽

pp. 329-346 ◽

Cited By ~ 7

Author(s):

Aliette Lambert

Keyword(s):

Mental Health ◽

Social Welfare ◽

Case Studies ◽

Young Women ◽

Consumer Culture ◽

The Self ◽

Subject Position ◽

Health Issues ◽

Subject Positions ◽

Mental Health Issues

Extending the critical project of interrogating the consumer subject form, in this study, the consumer subject is read as potentially acritical, precarious and psychotic through Dufour’s Lacanian-inspired analysis of neoliberal subjectivity. Reflecting on two case studies from an ethnographic-type study of young women, identity and consumer culture, I demonstrate how participants attempt to fulfil neoliberal ideals related to agency, productivity and creativity. Relying on commodities for symbolic anchoring in doing so, a ‘psychotic’ and precarious subject position is evidenced. While the findings could certainly be interpreted as productive, tendencies toward materialism, uncertainty and anxiety, along with pervasive mental health issues, provided the impetus to further problematise dominant understandings of the consumer. Neoliberal consumer culture is evidenced as a harmful, dehumanising ideology that fosters competitiveness, individuality and meritocratic tendencies, encouraging a reliance on ever-changing, transient commodities to (in)form the self. This occurs at the expense of compromise, communality and social welfare, through which subjects may find more stable and emancipatory symbolic anchors. Only by recognising critical theorisations of the consumer as dominant subject positions of neoliberalism can cultural consumer researchers begin to imagine opportunities for resistance and emancipatory change.

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Influencing travel behaviour

Transport Matters ◽

10.1332/policypress/9781447329558.003.0005 ◽

2019 ◽

pp. 107-130

Author(s):

Stewart Barr ◽

John Preston

Keyword(s):

Qualitative Study ◽

Case Studies ◽

Behaviour Change ◽

Social Marketing ◽

Quantitative Study ◽

Behavioural Change ◽

Travel Behaviour ◽

Air Travel ◽

The Other ◽

Car Travel

As travel planning’s theoretical underpinnings have broadened from engineering and economics to embrace psychology and sociology, an emphasis has been placed on social marketing and nudge theory. It is argued that this is consistent with a neo-liberal trend towards governing from a distance. Using two case studies, one a qualitative study of reducing short-haul air travel, the other a quantitative study of attempts to reduce local car travel, it is found that actual behaviour change is limited. This seems to arise because behavioural change has been too narrowly defined and overly identified with personal choice.

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Difficulties and motivations for physical exercise in women older than 65 years. A qualitative study

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.2392.2989 ◽

2018 ◽

Vol 26 (0) ◽

Author(s):

Yolanda López-Benavente ◽

José Arnau-Sánchez ◽

Tania Ros-Sánchez ◽

Mª Beatriz Lidón-Cerezuela ◽

Araceli Serrano-Noguera ◽

...

Keyword(s):

Cognitive Impairment ◽

Qualitative Study ◽

Physical Exercise ◽

Qualitative Analysis ◽

Focus Groups ◽

Nursing Staff ◽

Family Environment ◽

Phenomenological Theory ◽

The Other ◽

Depth Interviews

ABSTRACT Objective: to identify difficulties and motivations for the practice of physical exercise in women older than 65 years. Method: qualitative study based on the phenomenological theory, with focus groups and in-depth interviews. The nursing staff selected 15 women by intentional sampling using the following criteria: age, time dedicated to physical exercise, independence, and absence of cognitive impairment and contraindication for this activity. Two focus groups were formed (one of them did physical exercise for less than 150 minutes per week and the other at least 150 minutes per week) in addition to conducting five in-depth interviews. Qualitative analysis of the data was performed through transcription, coding, categorization, and verification of results. Results: the difficulties to start and develop physical exercise were circumscribed to the perception of poor health and lack of free time; both circumstances result from care obligation, being represented as a gender imposition. However, the motivations are related to perception of strength, need for socialization, and perception of autonomy and freedom. Conclusions: the ideological representation of gender determines the women’s decision to exercise. Knowing the meaning and significance that women give to health and their role in the socio-family environment allows nurses to develop relationships and interventions to encourage the practice of physical exercise.

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In search of self: Navigating subjectivity amidst conflicts in Rainbow Rowell’s Eleanor & Park (2012)

k ta ◽

10.9744/kata.23.1.21-27 ◽

2021 ◽

Vol 23 (1) ◽

pp. 21-27

Author(s):

Azalea Ayu Dewinta Fitriani ◽

Isti Siti Saleha Gandana ◽

Nia Nafisah

Keyword(s):

Personal Growth ◽

Subject Position ◽

Growing Up ◽

Dynamic Nature ◽

Subject Positions ◽

Active Subject

Entrance into adulthood has often been seen as a phase marked by self-exploration, instability, and struggles to overcome tensions and conflicts. Eleanor & Park (2012) is a novel that explores issues of growing up and tells the story of how the two main characters go through the struggles of their adolescent lives. This study analyzes how Eleanor and Park construct and navigate their subjectivities amidst the various conflicts they face. It does so by, first, identifying and classifying the conflicts the characters encounter and then locating their provisional subject positions that draw on how they react to and deal with the conflicts. While the study confirms the dynamic nature of subject positions, both Eleanor and Park tend to bring to the fore their active subject position in dealing with the conflicts. Moreover, their subject positions further indicate that Eleanor and Park are empowered agents who are capable of deliberating thoughts and actions consciously. In navigating their subjectivities, both characters, in the end, are able to achieve personal growth and empowerment.

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Learning fire investigation the clean way: The virtual experience

Australasian Journal of Educational Technology ◽

10.14742/ajet.1177 ◽

2009 ◽

Vol 25 (1) ◽

Cited By ~ 5

Author(s):

Amanda Davies ◽

Barney Dalgarno

Keyword(s):

Qualitative Study ◽

The Other ◽

The Novel ◽

Fire Investigation ◽

Virtual Experience ◽

Teaching Resource ◽

Novel Approach ◽

The Subject ◽

Origin Determination ◽

Fire Scene

The effective teaching of fire investigation skills presents logistical challenges because of the difficulty of providing students with access to suitable fire damaged buildings so that they can undertake authentic investigation tasks. At Charles Sturt University (CSU), in the subject JST415, Fire Investigation Cause and Origin Determination, the novel approach of providing students with a CD based virtual environment based on the scene of a burned down house, as an alternative to having them undertake investigation of a real fire scene, has been implemented. This paper describes a quantitative and qualitative study exploring the effectiveness of this teaching resource. A key finding from this study was that students felt that the virtual fire investigation task had important advantages over undertaking a real investigation task, even though there were some limitations in the overall degree of realism of the experience. The results also suggested that students found that the visual fidelity and navigation capabilities provided within the environment were quite adequate for carrying out their fire investigation activity. Importantly, students also felt that the ability to revisit the virtual scene as many times as they wanted, at a time convenient to them, gave it advantages over a real investigation task if they were to be provided with only one or the other.

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