Coordinating knowledge work across technologies: Evidence from critical care practices

This paper examines how heterogeneous technologies impact the coordination of knowledge work in complex socio-technical settings. It is based on an in-depth field study of critical care practices characterized by intensive knowledge work and technological heterogeneity. We observe that heterogeneous technologies create workflow gaps within which health professionals adapt technology use to contingencies and local needs, prioritize interventions, and identify problems before they become detrimental to patient care. These adaptations provide opportunities for health professionals to continuously align work across heterogeneous technologies and to accomplish broader professional and ideological goals. Our analysis shows that health professionals use three coordination practices when working across heterogeneous technologies: controlling and enhancing information, reconstructing workflows, and circumventing requirements. We theorize how these practices address coordination needs associated with heterogeneous technologies and discuss implications for knowledge work. We provide a more complete understanding of coordination practices in complex, socio-technical settings which contributes to both knowledge work and coordination literatures.     

Datification and the Pursuit of Meaningfulness in Work

Proliferation of digital means of tracking worker activities has contributed to the rise of data‐driven approaches to managing people, with employees often required to record their activities for accountability purposes. Increased requirement for such datification work occurs at a juncture where meaningfulness is one of the most sought‐after work features. Datification work could both facilitate and hinder the pursuit of meaningfulness, yet literature provides little guidance into the nature of the connection and how it transpires. Our inductive study of academic professionals using an accountability system suggests that datification work characteristics link to meaningful work experiences in complex ways. We advance current theory on work meaningfulness by theorizing the role of a new work condition – datification – in meaningfulness experiences of professionals, outlining how system design and the institutional context become important elements influencing meaningful work experiences, and explaining how meaningfulness experiences are constructed through system appropriations.     

新形势下如何做好老干部工作

老干部工作是党的干部工作的重要组成部分,是一项政治性、政策性都比较强的工作。做好老干部工作,事关改革发展和社会稳定大局,如何从政治上、生活上更好地关心和照顾老同志,充分发挥他们的积极作用,这是新形势下老干部工作的重要课题。文章通过充分认识老干部工作的重要性、增强自身工作能力、将老干部政策落实到位、把服务工作做细做扎实等几个方面进行分析,以期更好地做好新形势下的老干部管理与服务工作。     

“I Am My Body”. Physical Selves of Police Officers in a Changing Institution

Most studies on identity work have overlooked the corporeal quality of occupational life. Despite calls to attempt such engagement, little is known about the role of the body in occupations for which corporeal elements are central in the affirmation of identity. This study aims to answer such calls by providing a detailed ethnography of police work. Focusing on four bodily practices, we demonstrate how fitness, intimidation, cleanliness, and toughness are central elements to the officers’ construction of self. We thereby highlight the notion of physical selfhood as a way to understand the body/identity nexus among police officers and their capacity to resist new work requirements. We view bodies through a lens of resistance, rather than docility and compliance as much previous research has done. We aim to contribute to scholarship on identity work by portraying the politicization of bodies as a powerful component, thereby helping professionals to deflect some important institutional pressures affecting their work.     

Confused Professionals?: Capacities to cope with pressures on professional work

Public professionalism is increasingly subject to organizational and societal pressures, which has led to ambiguity concerning its nature. Professionals face conflicting situations due to potential clashes between multifaceted professional, organizational, and societal factors. This raises questions about how these factors affect professional work, how professionals experience conflicts and how they cope. We investigate such conflicts, confusion, and coping strategies in a group of veterinary inspectors. Using semi-structured interviews, we analyse their work and link the resulting insights to different perspectives on professionalism. We show that workers experience conflicts as less stressful when they accept organizational factors, or when they are able to enact a more integrated set of professional/organizational work principles. We call this organizing professionalism. We trace factors that hinder and favour such organizing coping strategies.     

Case study in disaster relief: A descriptive analysis of agency partnerships in the aftermath of the January 12th, 2010 Haitian earthquake

This study analyzes the disaster response and recovery efforts following the January 12th, 2010 Haitian earthquake through the eyes of 18 different relief agencies. Focusing on the formation and maintenance of partnerships after the catastrophic earthquake, this paper explores the concepts of cooperation, mutual understanding, and connectivity among agencies responding to the earthquake. The case study is based on results from interviews and interactions with 18 agencies during a month-long trip to Haiti in the summer of 2010. Of the agencies interviewed, it was found that agencies that had no partnerships or presence in Haiti prior to the earthquake were most likely to build new clinics, orphanages, and schools. Additionally, we found that agencies were more likely to develop new partnerships from new contacts rather than dormant contacts. By studying the partnerships between local and international agencies, it was found that their relationships were less stable than partnerships between international agencies. This study hopes to increase understanding and applicability of research in disaster relief networks by providing a new perspective into how agencies work together.     

The influence of HR practices upon knowledge brokering in professional organizations for service improvement: Addressing professional legitimacy and identity in health care

Drawing upon sociology of professions, our study extends insight into the specific HR practices that shape the microdynamics of knowledge-sharing behaviors among professionals. Empirically, we examine the influence of Human Resource (HR) practices on enactment of a knowledge-brokering role by doctors to drive service improvement in health care. Our study shows, first, HR practices influence professional identity, which is predicated on jurisdictional autonomy and client interest. Second, HR practices influence the legitimacy of any role and associated activities, with professionals valuing collegial leadership and evidence-based practice. Our study highlights it is employee perceptions of the effect of HR practices upon their legitimacy and identity that shape their attitudes and behavior toward knowledge sharing. Thus, different HR practices have different effects on knowledge sharing. Further, the same HR practice may be perceived differently even within the same cadre of professionals, depending upon their relative status and career interests.     

Social identification: linking high performance work systems,psychological empowerment and patient care

This paper examines the mediating effects of social identification on the relationship between high performance work systems (HPWS) and psychological empowerment and the direct relationship between psychological empowerment and clinician perceptions of quality of patient care. We use structural equation modelling on a sample of 254 health professionals from a large regional hospital in Australia. Results demonstrate, first, a strong effect of HPWS on social identification. Second, social identification mediates the relationship between HPWS and psychological empowerment and, third, psychological empowerment has a strong effect on clinician perceptions of quality of patient care. Implications are drawn for management theory and hospital managers.     

Precarious postdocs: A comparative study on recruitment and selection of early-career researchers

This paper investigates how the recruitment and selection for project-based postdoc positions are organised in the current academic landscape characterised by increasing temporary research funding and how principal investigators construct the ‘ideal’ postdoc. Our findings are based on a qualitative comparative multiple-case study in Social and Natural Sciences departments of universities in four European countries. This study contributes to the literature on the neoliberal university and academic staff evaluation by using a systemic, power-sensitive approach that examines how postdocs enter the academic system and how manifestations of precarity are exacerbated. Our critical analysis reveals three manifestations of precarity that the current academic system creates for postdocs, related to control, contracts, and careers. We discuss the effects for individual postdocs and their careers and the quality of knowledge production in public funded higher education institutions.     

Collaboration risk management in IT-enabled asymmetric partnerships: Evidence from telestroke networks

Information technology (IT)-enabled partnerships can unlock previously unattainable value propositions between organizations that have resource, capability, and other asymmetries by allowing larger organizations access to niche and local resources while providing smaller organizations access to enhanced resources and capabilities. However, recent studies have shown that many IT-enabled asymmetric partnerships often fail because the organizations do not effectively manage the involved collaboration risks. Most organizations focus on the strategic aspect of whether partners behave cooperatively or competitively, while paying scant attention to the operational aspect of bringing together partner contributions through coordination. To examine this problem, we report on a case study of two hub-spoke networks that used telemedicine to facilitate expertise sharing and decision making about stroke treatment at emergency departments in rural hospitals (spokes) based on information exchanges with remote neurologists at academic medical centers (hubs). As a result, we contribute to the inter-organizational information systems literature by explaining how organizations in IT-enabled asymmetric partnerships manage collaboration risks. We demonstrate how partners in such relationships perceive and approach strategic cooperation and operational coordination risks differently. We also explain how collaboration interactions change over time as the partners manage risks based on needs and resource endowments. Drawing on these findings, we provide guidance to organizations on how to manage sustainable IT-enabled asymmetric partnerships in general, and telestroke networks in particular.     

Credibility lost: attempting to reclaim an expert identity in an HR professional context

Professional insecurity is a long‐standing concern within HR, with claims to expertise seen as critical to credibility. Considering HR as an epistemic community and drawing on the identity work literature, we examine an identity threat to, and subsequent response by, a training and development (T&D) team. Based on ethnographic exposure to their practice, we explore how team members experience the threat and follow their attempts to re‐establish their position in the local epistemic community, the HR department. We examine both individual and collective identity work, considering how both the identity threat and subsequent responses are embedded within T&D and HR practice more broadly. Through this analysis, we offer academic insight on the nature of HR practice and the construction of claims to expertise.     

How do flexible work arrangements alleviate work-family-conflict? The roles of flexibility i-deals and family-supportive cultures

Flexible work arrangements (FWAs) are becoming common in emerging economies, though it is not clear if and how employees benefit from them in terms of their work-family balance and well-being. In contrast to previous work that used structural-functional explanations, we argue that FWA implementation should be depicted within its socio-political and socio-cultural context. We used survey data collected from 213 professionals in Istanbul, Turkey to examine the roles of flexibility i-deals and perceived family-supportive culture in the relationship between FWA availability and these employee outcomes. Results supported the hypothesis that i-deals mediate the relationship between FWAs and work-to-family conflict. Furthermore, perceived family supportive cultures predicted both work-to-family and family-to-work conflict and moderated the relationship between i-deals and family-to-work conflict. Finally work-to-family conflict mediated the relationship of flexibility i-deals and family supportive cultures with perceived general health. These finding are discussed for their implications for employees who are trying to balance their work and family lives and for organizations who are considering implementing FWAs.     

Cultural Complementarity: Reshaping professional and organizational logics in developing frontline medical leadership

With the rise of clinical management, new skills of medical doctors stand out, including leadership skills. Medical doctors organize medical work and improve patient care. The training of frontline leadership skills, however, is weakly developed in residency programmes. Medical professional cultures tend to resist organizational techniques and values. This paper analyses cultural interventions in health-care organizations, aimed at overcoming ‘clashes’ between professional and organizational logics in frontline domains. These interventions do not work against, but ‘use’ professional traditions, styles and customs as cultural resources. We use one particular project to illustrate this, a project in which internal medicine residents are invited to join quality improvement sessions, during which they identify critical (organizational) experiences with care provision and realize change. We show how residents feel enabled to establish results and cooperate with other professionals. We also show how this project links organizational responsibilities and medical professionalism – how complementarity (instead of conflict) is established. This is done in practical ways, which commit instead of alienate medical professionals.     

Gender, emotion and power in work relationships

We offer a theoretical account of how gender and emotion combine to influence the development of power in work relationships. We document the profound impact gender has on the display, perception and evaluation of emotion in the workplace. We illustrate the reciprocal relationship between emotion and power, and identify cycles of powerlessness that prevent women from developing and leveraging power in their work relationships. By exploring the nexus of gender, emotion and power in work relationships, we offer new insights into how the gendering of emotion creates and perpetuates gender differences in power in organizations. Implications for research and practice are offered.     

The curse of bureaucratisation or the blessings of professionalisation? Nurses’ engaged adoption of quality management in hybrid managerial positions

The paper concerns how new quality management in the Danish hospital sector has created new career and professionalisation opportunities for nurses. While the well-known dualism between the logics of professionalism and managerialism is challenged in the literature, not much is known about how engagement in the tighter steering of practice may converge with professional identities and meaningfulness in work. The paper applies a Bourdieusian and ethnographic approach to the examination of nurses’ enthusiastic involvement in quality management as they take up hybrid managerial positions in an acute care department. The findings demonstrate the importance of the material and symbolic value of scientific-bureaucratic knowledge in legitimizing quality management, achieving meaningfulness in practice and bolstering the professional role of nurses.     

Chance Events and Executive Career Rebranding: Implications For Career Coaches and Nonprofit HRM

We conducted and analyzed interviews with 20 executives from the for‐profit sector who had transitioned into second careers in the nonprofit sector. Our qualitative study provides an in‐depth analysis of the critical events that triggered career agency and stimulated the change process. At each stage of transition, the executives revisited their personal brands, deciding how to best position their skills, knowledge, and values within the context of their new nonprofit organizations. This research contributes to academic and practitioner knowledge of new career paths open to mid‐ and late‐career executives and insights for nonprofit leadership, as many nonprofits can anticipate major shortages of qualified executives. Each stage in the career transition process provides opportunities for human resource professionals to contribute to successful nonprofit leadership change: first, by creating opportunities for “chance events” motivating transition, followed by career coaching opportunities before and throughout the transition. © 2016 Wiley Periodicals, Inc.     

Public–Private Partnerships in the Health Care Sector: A systematic review of the literature

Public–private partnerships (PPPs) have become popular worldwide as a way of improving health care service delivery. In order to enhance our knowledge of PPPs in the health care sector, we conduct a systematic review of forty-six articles published in peer-reviewed journals for the period of 1990–2011. Six lines of research in the PPP domain are identified: effectiveness, benefits, public interest, country overview, efficiency and partners. The main findings suggest that although PPPs are used to address internationally emerging public health issues, questions as to their actual effectiveness, efficiency and convenience, still remain unanswered. We propose viable recommendations and ideas for future research.     

Externalities in a life cycle model with endogenous survival

We study socially vs individually optimal life cycle allocations of consumption and health, when individual health care curbs own mortality but also has a spillover effect on other persons’ survival. Such spillovers arise, for instance, when health care activity at aggregate level triggers improvements in treatment through learning-by-doing (positive externality) or a deterioration in the quality of care through congestion (negative externality). We combine an age-structured optimal control model at population level with a conventional life cycle model to derive the social and private value of life. We then examine how individual incentives deviate from social incentives and how they can be aligned by way of a transfer scheme. The age-patterns of socially and individually optimal health expenditures and the transfer rate are derived. Numerical analysis illustrates the working of our model.     

加强医院宣传工作的重要作用

卫生工作必须依靠整个社会的共同参与,才能与社会经济的发展保持一致,因此医院需要通过媒介宣传卫生工作的地位和作用。我们及时地借助媒介宣传新设备新技术,在市场经济竞争日益激烈的今天,使医院品牌不断为社会熟知,并借助广泛而有效的手段,逐步形成自己的特色优势。     

Knowledge Networks and Careers: Academic Scientists in Industry–University Links*

abstract Careers are central to our understanding of the knowledge creation dynamics of network organizations. Based on the example of R&D project collaboration between firms and universities, this paper examines the emerging forms of career models that support knowledge flows between organizations. It explores how some large firms in the high‐technology sectors have sought to break away from the limitations of internal R&D and firm‐based careers for scientists by engaging in external collaborative projects to gain access to the open knowledge networks of university researchers. It examines how the firms seek to forge close institutional ties with their university partners and develop network career structures in order to engage academic scientists in joint knowledge production. It argues that firms have sought to extend their human resource and knowledge boundaries into the established internal labour markets of the universities with which they collaborate, leading to the formation of a pool of joint human resources with work experiences and career patterns straddling the two sectors. The paper develops the concept of an ‘overlapping internal labour market’ to provide a conceptual bridge between internal labour markets and network organizations.