scholarly journals Contradictions of Ordered Trust: Trust-based Work and Conflicting Logics in Municipal Care

2022 ◽  
Author(s):  
Helena Håkansson
Keyword(s):  
Institutional Logics ◽  
Organizational Changes ◽  
Power Structures ◽  
Structured Interviews ◽  
Line Managers ◽  
Care Services ◽  
Strong Focus ◽  
Care Workers ◽  
Public Sector Organizations

This article examines intra-organizational trust and institutional logics in municipal social care services in the setting of a trust-based developmental project. A case study was conducted in a Swedish municipal district. The data consists of 27 semi-structured interviews with care workers, first-line managers, and strategic staff as well as 11 observations. The study adds insights regarding trust in public sector organizations and shows how a strong focus on economic efficiency can relativize trust into a question of financial accountability. The results demonstrate how the governing managerial logic is not only in conflict with but also seems to overrule attempts to establish a more trust-based logic. Moreover, contributing to the institutional logics literature, it further shows how power structures affect institutional logics and how conflicts between logics play out differently at various organizational levels. The prospects of accomplishing a more trust-based governance without larger institutional or organizational changes are hence problematized.

scholarly journals Developing Care Professionals: Changing Disability Services in Sweden

2018 ◽  
Vol 8 (2) ◽  
pp. e2017 ◽  
Author(s):  
Richard Gäddman Johansson ◽  
Ulla Hellström Muhli
Keyword(s):  
Close Contact ◽  
Care Service ◽  
Care Work ◽  
Disability Services ◽  
Intellectual And Developmental Disabilities ◽  
Front Line ◽  
Structured Interviews ◽  
Care Services ◽  
Care Workers ◽  
Line Contacts

In Sweden, professionalization projects in disability care services are currently being undertaken in order to differentiate and establish a professional identity for professionals within care work. The aim of this paper was to analyse the experiences of care workers’ meaning of the professionalization process concerning their occupation and their occupational identity in relation to tasks they perform in front-line contacts with persons with intellectual and developmental disabilities at respite care service homes. Semi-structured interviews were conducted with ten care workers. The meaning of the professionalization projects is an ongoing process of a connected mission, meaning that the care work is performed in close contact with care receivers and that it takes place within an informal and free framework, predicated on a logic of possessing a particular kind of “care-feeling.”

scholarly journals Adopting Artificial Intelligence in Public Healthcare: The Effect of Social Power and Learning Algorithms

2021 ◽  
Vol 18 (23) ◽  
pp. 12682
Author(s):  
Tara Qian Sun
Keyword(s):  
Artificial Intelligence ◽  
Social Power ◽  
Learning Algorithm ◽  
Public Healthcare ◽  
Power Structures ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Knowledge Based ◽  
Power Pattern

Although the use of artificial intelligence (AI) in healthcare is still in its early stages, it is important to understand the factors influencing its adoption. Using a qualitative multi-case study of three hospitals in China, we explored the research of factors affecting AI adoption from a social power perspective with consideration of the learning algorithm abilities of AI systems. Data were collected through semi-structured interviews, participative observations, and document analysis, and analyzed using NVivo 11. We classified six social powers into knowledge-based and non-knowledge-based power structures, revealing a social power pattern related to the learning algorithm ability of AI.

scholarly journals The Influence of Telepathology on Coordination Practices

2021 ◽  
Author(s):  
Julien Meyer ◽  
Guy Paré
Keyword(s):  
Project Managers ◽  
Structured Interviews ◽  
Work Processes ◽  
Delivery Of Care ◽  
Care Services ◽  
Work Routines ◽  
Effective Delivery ◽  
Health Care Accreditation ◽  
Key Participants

Background: Coordination between physicians and allied professionals is essential to the effective delivery of care services and is associated with positive patient outcomes. As information technology can radically transform how professionals collaborate, both researchers and health care accreditation bodies are devoting a growing interest to the means of achieving better coordination. Introduction: The primary aim of this study is to explain the extent to which and how coordination practices between pathologists, technologists, and surgeons are transformed when telepathology is being implemented. Materials and Methods: An interpretive case study was conducted. A total of 60 semi-structured interviews with key participants were conducted, in addition to several days of direct observation of telepathology-based intraoperative consultations (IOC). Results: Three major kinds of transformation of coordination practices were observed. First, the telepathology system itself constrains and disrupts coordination routines, such as the presentation of slides. Second, anticipating IOC, proactively performed by the laboratory personnel in traditional settings, requires more formal requests in a telepathology context. Third, local technologists become more autonomous in performing complex macroscopy manipulations and managing the laboratory, tasks traditionally performed by pathologists. Conclusions: Successful coordination of work in a telepathology-based IOC context requires that significant transformations be anticipated and accounted for. Project managers need to formalize new work processes, support the transformations in professional roles and mitigate the major hindrances that small material changes may have on work routines.

scholarly journals How can leaders and managers in the Police support the learning of others and at the same time, support their own?

2018 ◽  
Vol 7 (3) ◽  
pp. 228-247 ◽  
Author(s):  
Jenni Jones
Keyword(s):  
Focus Groups ◽  
Personal Development ◽  
Structured Interviews ◽  
Line Managers ◽  
Content Type ◽  
Team Members ◽  
Study Approach ◽  
Moderating Factors ◽  
The Uk

Purpose The purpose of this paper is to attempt to demonstrate that formal mentoring is a helpful tool to develop managers within the changing context of the UK Police, and to highlight how managers can have an influence on mentoring programmes and the learning within them. Design/methodology/approach A longitudinal qualitative case study approach was chosen and semi-structured interviews were conducted alongside focus groups. Findings The findings showed that both mentees and mentors perceived they were learning within the mentoring relationship. Also, despite some common themes in relation to the key moderating factors, managers were seen as both facilitating and hindering these mentoring relationships. Research limitations/implications It was recognised that although interesting to compare and contrast the findings between the two different case study organisations, the findings drawn from this study may not be directly applicable to other mentoring programmes beyond these UK Police Forces. More could have been explored in the focus groups and information could have been collected from those that did not attend the interviews or the focus groups. Originality/value This research adds value as there is little written about the mentoring and managers, within the interesting changing context of the UK Police force. The insights from this mentoring research suggest that there is much learning to be gained by both parties through mentoring and that line managers need to be encouraged away from the day to day reactive approach towards being more proactive with supporting the personal development of their team members (and themselves) into the future. If they are more involved and supportive of learning and development interventions, then they and their team members will gain more from the experience and this will ultimately help them to make a more positive difference within their role.

Exploring the Emergence of Self-Directed Home Care in Ontario: A Qualitative Case Study on Gotcare Services

2020 ◽  
Vol 33 (1) ◽  
pp. 28-36
Author(s):  
Margaret Jamieson ◽  
Anna Cooper Reed ◽  
Emma Amaral ◽  
Jill I. Cameron
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Care Delivery ◽  
Standard Of Care ◽  
Care Recipient ◽  
Healthcare Sector ◽  
Structured Interviews ◽  
Care Recipients ◽  
Care Workers

In Ontario, the number of older adults (≥65) is expected to increase from 2.4 million in 2017, to 4.6 million by 2046. This substantial increase necessitates a spectrum of care delivery options for older adults who wish to age in their homes. Self-directed care refers to a growing trend in healthcare that provides care recipients with more autonomy to determine what care they need, and how that care should be delivered. This research explores self-directed care in Ontario, Canada, examining an Ontario-based home care agency, Gotcare, as a case study. Semi-structured interviews were completed with eight of Gotcare’s care workers, three of their management team, and 11 home care experts from the healthcare sector. Analysis of these interviews generated four key themes: the circumstances under which self-directed care is an appropriate model for a care recipient; the experiences of home care workers offering self-directed care; the risks of self-directed care; and the opportunities of self-directed care. Findings suggest Gotcare’s model of self-directed home care is responding to a lack of home care options in Ontario, especially in rural and remote regions. The model should be seen as a viable option within the home care sector, but further research should be conducted to ensure that the highest standard of care is delivered to care recipients, and to inform evidence-based policy decisions.

scholarly journals Co-production and the third sector: A comparative study of England and France

2018 ◽  
Author(s):  
Caitlin McMullin
Keyword(s):  
Comparative Study ◽  
Third Sector ◽  
Analytical Framework ◽  
Institutional Logics ◽  
Production Theory ◽  
Structured Interviews ◽  
Policy And Practice ◽  
The Third ◽  
Documentary Analysis

This thesis explores co-production between citizens and third sector professionals in England and France. I focus on five community regeneration organisations in Sheffield, England, and five in Lyon, France, followed by an analysis of comparator organisations in two further sectors of activity – parents’ organisations, and projects to reduce older people’s loneliness. The research is based on 57 semi-structured interviews, as well as event observations and documentary analysis. I employ an analytical framework of institutional logics to explore the ways in which the rules, practices and narratives of the case study organisations are specific to their city and national contexts and how these in turn drive and shape co-production practices.The study finds that while the Sheffield organisations are characterised by an assimilation of the state, community and market logics, the Lyon organisations demonstrate a blend of a ‘Napoleonic state’ logic, and a ‘local solidarity’ (rather than community) logic. These different combinations of logics illuminate two approaches to co-production. In France, co-production is informed by notions of citizenship, solidarity and participative democracy, leading to a greater focus on citizen involvement in organisational governance and greater influence of rules as an enabler and constraint to co-production. In Sheffield, co-production is seen as a way to improve communities, services and outcomes, and we therefore see more pragmatic attention to co-design and co-delivery activities. This thesis provides an important contribution both to co-production theory as well as to policy and practice, by demonstrating some of the cultural and contextual subjectivity of co- production, which has been overlooked in previous studies. In addition, employing institutional theory to study co-production enables me to produce evidence of meso and macro level factors that influence co-production behaviour.

Performance of CEmONC Centres in Public Hospitals of Tamil Nadu

2018 ◽  
Vol 20 (3) ◽  
pp. 363-377
Author(s):  
S. Rajasulochana ◽  
Umakant Dash
Keyword(s):  
Health Care ◽  
Tamil Nadu ◽  
Newborn Care ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Public Hospitals ◽  
Primary Study ◽  
Structured Interviews ◽  
Care Services

This case study examines the performance of public hospitals in Tamil Nadu in delivering emergency obstetric care services over a period of 8 years as well as to investigate from provider’s perspective the issues and constraints that affect performance. A mixed method approach has been adopted, integrating the descriptive analysis of administrative data on performance reports (2006–2007 to 2013–2014) of emergency obstetric and newborn care services in 46 public hospitals, along with primary study comprising of semi-structured interviews of 27 health personnel across selected public hospitals. Examination of trends in selected performance indicators shows that utilization of public hospitals for emergency obstetric and newborn care services has improved; a number of complicated and critical cases revived in the comprehensive emergency obstetric and newborn care (CEmONC) centres of public hospitals have gone up. The capability to treat complicated maternal and neonatal cases, however, is limited by inadequacy of specialist doctors, equipment maintenance issue and lack of hospital management. This case study is of interest to both public hospital administrators and health care policymakers who want to improve and develop strategies for better management in public hospitals. Specifically, there is an urgent need to (a) readdress human resource policy for health care personnel, (b) devise appropriate mechanisms for periodic inspection and preventive maintenance of hospital equipment and (c) develop management capabilities and leadership skills within public health system.

scholarly journals The Influence of Telepathology on Coordination Practices

2021 ◽  
Author(s):  
Julien Meyer ◽  
Guy Paré
Keyword(s):  
Project Managers ◽  
Structured Interviews ◽  
Work Processes ◽  
Delivery Of Care ◽  
Care Services ◽  
Work Routines ◽  
Effective Delivery ◽  
Health Care Accreditation ◽  
Key Participants

Background: Coordination between physicians and allied professionals is essential to the effective delivery of care services and is associated with positive patient outcomes. As information technology can radically transform how professionals collaborate, both researchers and health care accreditation bodies are devoting a growing interest to the means of achieving better coordination. Introduction: The primary aim of this study is to explain the extent to which and how coordination practices between pathologists, technologists, and surgeons are transformed when telepathology is being implemented. Materials and Methods: An interpretive case study was conducted. A total of 60 semi-structured interviews with key participants were conducted, in addition to several days of direct observation of telepathology-based intraoperative consultations (IOC). Results: Three major kinds of transformation of coordination practices were observed. First, the telepathology system itself constrains and disrupts coordination routines, such as the presentation of slides. Second, anticipating IOC, proactively performed by the laboratory personnel in traditional settings, requires more formal requests in a telepathology context. Third, local technologists become more autonomous in performing complex macroscopy manipulations and managing the laboratory, tasks traditionally performed by pathologists. Conclusions: Successful coordination of work in a telepathology-based IOC context requires that significant transformations be anticipated and accounted for. Project managers need to formalize new work processes, support the transformations in professional roles and mitigate the major hindrances that small material changes may have on work routines.

Flexible budgeting influence on organizational inertia and flexibility

2018 ◽  
Vol 67 (9) ◽  
pp. 1640-1656
Author(s):  
José Carlos Tiomatsu Oyadomari ◽  
Paulo Sérgio Lima Pereira Afonso ◽  
Ronaldo Gomes Dultra-de-Lima ◽  
Octavio Ribeiro Ribeiro Mendonça Neto ◽  
Maria Carolina Gazso Righetti
Keyword(s):  
Single Case ◽  
Economic Recession ◽  
Institutional Logics ◽  
Sales Volume ◽  
Structured Interviews ◽  
Organizational Flexibility ◽  
Content Type ◽  
Theoretical Contribution ◽  
Organizational Inertia

Purpose The purpose of this paper is to investigate how the use of flexible budgets may influence different institutional logics (organizational inertia and flexibility). Design/methodology/approach A qualitative research based on a single case study in a multinational subsidiary company was carried out. The data were mainly collected using the dialog technique through open-ended and semi-structured interviews and complemented with direct observation in informal and formal meetings and the analysis of internal documents. Content analysis was used for the analysis of the findings. Findings The use of flexible budgets, which isolates the negative variations due to the decrease in sales volume, may contribute to organizational inertia. However, this can be counterbalanced if the managers try to minimize the decline in performance through initiatives that promote organizational flexibility. In this case study, it was found that the alignment between the production director and the controller, who frequently work under different institutional logics, was important to stimulate organizational flexibility particularly in continuous improvement projects. Research limitations/implications The findings of this paper are based on only one in-depth case study. Hence, the results cannot be generalized, but a theoretical contribution can be made. Furthermore, the findings are constrained by the constructs used and the specific managerial and theoretical perspectives that have supported the analysis. Practical implications These results can be useful particularly for companies that are dealing with the abrupt drop in the sales volume and use the flexible budget as a performance assessment technique. These firms must pay attention because this combination can stimulate organizational inertia. To counteract this problem, it is necessary that controllers and the managers work by understanding the initiatives that promote organizational flexibility, mainly by Kaizen projects, which can minimize performance decline. Social implications The main contribution may be how to deal with the different managers’ behaviors, given the decrease in sales volume, and it can help an organization survives in times of economic recession and fierce competition environments. Originality/value This paper contributes to both practical and academic dimensions. Indeed, despite being widely used, flexible budgeting is not a widely researched topic.

scholarly journals Institutional logics and organizational change: the role of place and time

2021 ◽  
Author(s):  
Diego Ponte ◽  
Caterina Pesci
Keyword(s):  
Service Provision ◽  
Institutional Logics ◽  
Organizational Setting ◽  
Organizational Changes ◽  
Institutional Approach ◽  
Explanatory Factors ◽  
Contextual Elements ◽  
Micro Level

AbstractThis paper investigates the case of a hybrid organization located in Northern Italy with the aim of providing an understanding of the role of the context, defined in terms of ‘place’ and ‘time’, in shaping organizational changes. A dynamic institutional approach focused on both ‘place’ and ‘time’ as key explanatory factors can provide a valuable framework to understand both the changing institutional demands on the firm and the rationalities behind the changes that occur at organizational, strategic and governance level. Consequently, this paper aims to contribute to the institutional logics literature by describing how these two contextual elements can be used to interpret institutional logic pressures on the organization under investigation as well as govern changes at micro level. The results indicate that the changes were produced by dynamics that are exogenous and endogenous to the organization in the case study and strongly influenced by the context in which it operates. The paper also highlights how changes in terms of service provision, accountability and organizational setting are the results of the ‘place’ and ‘time’ in which these events occur.

Sign in / Sign up

Export Citation Format

Share Document