‘We can only request what's in our protocol’: technology and work autonomy in healthcare

This article explores the tension between standardization and autonomy raised by the implementation of new technology in healthcare organizations. The theoretical frame of this study is grounded in the impact of new technologies on work organization, routinization and autonomy across settings. Empirically it presents evidence from two NHS Trusts in England that implemented a national Electronic Patient Record (EPR). The paper aims to reinvigorate the debate on the tension between standardization and autonomy in professional workplaces such as healthcare. It argues that the implication of technology in professional work conditions processes of task routinization that constrain autonomy, and enables reallocation of discretion between professional groups. We argue that routinization is not restricted to low‐skill work but may travel across contexts and be evidenced in high‐skill work environments. The interplay between routinization and autonomy is also useful in drawing insights concerning the dynamics of change that occur in professional work.     

Articulation work from the middle—a study of how technicians mediate users and technology

This article studies the work performed by technicians in a large demonstration project, EcoGrid 2.0, in the Danish island Bornholm. Based on observations of household visits conducted by technicians, we demonstrate how these act as ‘middlemen’, mediating and linking together the smart technology of the demonstration and the involved users. Formally, technicians’ work is to keep users online; however, they also perform a number of invisible tasks to keep users engaged and active. Our ethnographic study shows two broad categories of invisible work: first, technicians continually facilitate the willingness of users, recurrently affirming the social contract between users and demonstration project. Second, technicians facilitate the abilities of users by improvising informal training sessions of how to operate the system. These findings are used to discuss the importance of invisible articulation work of technical service workers in large scale real‐world experiments.     

Working around technologies—invisible professionalism?

This study discusses how professionalism and work ethics influence how health care professionals work around new technologies. When people avoid using technologies, they are not necessarily ceasing to engage in their work activities. The workaround strategies presented here are rather practical expressions of professionals’ active encounter with the complexity of work situations, and can therefore be important signs of professional ethical judgement. Drawing on science and technology studies and the concept of invisible work, the study discusses workaround situations that arise in health care work in Denmark. The aim and contribution of the study is twofold. First, it attempts to revitalise the discussion on technology workaround strategies as responsible professionalism. Second, it will direct attention to and contribute to an understanding of how the normativity embedded in technological development in the health care sector is central to the work of health care professionals.     

‘It's like,instant respect’: Coworking spaces as identity anchoring environments in the new economy

As employment relationships become more tenuous, as work grows increasingly virtual and as professional reputations circulate across online platforms, coworking provides individuals across various work arrangements with shared workspaces oriented towards sociability, visibility and convenience. Our study explores how coworking spaces also enable individuals to shape their professional identities while providing other important attributes of work to help it feel embodied and grounded. Drawing from interviews and surveys of members of a large coworking chain across the United States, we find that coworking spaces serve as identity anchoring environments. We find that many workers use material elements of the space to ground their professional identities in three ways: evidencing professional credibility, enacting a common ethos and energising connections with others. More broadly, we also find that coworking operators package and sell the physical, spatial and symbolic aspects of work to help certain workers signal their professional selves.     

Working with standards—post‐crisis positioning of bank advisors

Taking recent developments in the financial sector as its point of departure, this article examines how bank advisors are positioned. Increased complexity in banking products and the risk orientation that has followed the financial crisis make demands on the quality of advice. Drawing on qualitative interview studies in two Danish banks, the article questions whether the dominant understanding of bank advisors as primarily sales persons comprises their current positioning. Contradictory demands on bank advisors emerge in the simultaneous emphasis on advisory aspects of the work and in the imposition of new standard procedures; while one points to a positioning as professional advisors, the other tends to undermine it and makes the positioning ambiguous.     

Managerial control and the limits to employee participation in retail work spaces: evidence from a UK IKEA store

This article contributes to labour process debates around managerial control and worker autonomy in the retail workplace. Through critical analysis of managerial strategies in the production of organisational space within an IKEA store, it explores how spatial design and practice shape managerial control and employee participation. Rather than the rhetoric of employee participation espoused by IKEA, our findings emphasise how managers use space to foster employee commitment to corporate objectives. While employees do exercise their own agency and spatial practice, their actions are moulded and constrained by dominant organisational structures and managerial strategies. As such, the article augments existing labour process research by developing new insights about how the spatial dimension shapes managerial control in retail workplaces. Although workers are far from the passive recipients of management decisions apparent in much labour process theory, their participation largely serves the strategic visions and spatial plans of their employer.     

Doing the right thing? HRM and the angry knowledge worker

This paper explores the relationship between human resource (HR) practices, commitment, work and employment relations. Drawing on an in‐depth ethnography of knowledge workers within a global, high‐technology, knowledge‐intensive firm, the paper offers a multidimensional understanding of structures of influence and of commitment that interact in distinctive ways to shape the employee experience. In examining the context and content of ‘best practice’ HR in a ‘celebrated’, leading‐edge company, we have offered a more complex, grounded picture of the intent and outcome of commitment‐seeking policies. The paper demonstrates that, contrary to mainstream and critical scholarship, skilled technical workers in knowledge‐intensive firms can be uncommitted, angry and high performing at the same time.     

Expert labour as a differentiated category: power,knowledge and organisation

The idea of ‘expert labour’ as a category uniting many kinds of knowledge‐based work has long been of interest. At the same time, existing models often do not differentiate between the many forms of ‘new’ expertise in the main business and technological groups. These tend to be consolidated in single categories of ‘entrepreneurial’, ‘organisational’ or ‘commercial’ professions. This paper built on Reed's seminal account of the expert division of labour. It used his analytic dimensions of power, knowledge and organisation to develop a new framework comparing clusters of expert labour in professional services, business services and knowledge work. It offered a more detailed classification and a comparative view that throws fresh light on key debates around new professionalism and emergent technologically defined occupations.     

The role of ICTs in the servitisation and degradation of IT professional work

Recently IT work has been subjected to management approaches that apply production methods to service work. Specialised information and communication technologies (ICTs) used by IT professionals have played an important role in this ‘service turn’, but this has not been adequately explored in the literature. Via a qualitative study of IT professionals situated across the servitised IT functions of five UK‐based organisations, this article considers how these ICTs are inscribed with managerial logics that afford control benefits to managers while undermining professional autonomy and job quality. The article makes two main contributions to the literature. Firstly, it sheds light on how ICTs introduced into organisational IT functions support managerial control objectives and impact the job quality of IT professionals. Secondly, it suggests that ICTs may infect the logic of professionalism that takes pride in the quality of the work performance with a dominant managerial logic that places an emphasis on meeting management objectives.     

施工企业加强现场安全管理浅析

建筑施工企业加强现场安全管理的途径和方法,一是建立健全企业安全管理的组织体系和标准体系;二是做好项目安全管理的总体策划和过程的策划工作;三是加强施工现场安全管理的过程控制;四是提如安全生产责任人员的职业素质和工作技能。