Although resilience is heavily studied in both the healthcare and organizational change literatures, it has received less attention in healthcare information technology (HIT…
Abstract
Purpose
Although resilience is heavily studied in both the healthcare and organizational change literatures, it has received less attention in healthcare information technology (HIT) implementation research. Healthcare organizations are consistently in the process of implementing and updating several complex technologies. Implementations and updates are challenged because healthcare workers often struggle to perceive the benefits of HITs and experience deficiencies in system design, yet bear the brunt of the blame for implementation failures. This combination implores healthcare workers to exercise HIT resilience; however, how they talk about this construct has been left unexplored. Subsequently, this study explores healthcare workers' communicative constitution of HIT resilience.
Design/methodology/approach
Twenty-three physicians (N = 23), specializing in oncology, pediatrics or anesthesiology, were recruited from one healthcare organization to participate in comprehensive interviews during and after the implementation of an updated HIT system DIPS.
Findings
Thematic analysis findings reveal physicians communicatively constituted HIT resilience as their (1) convictions in the continued, positive developments of newer HIT iterations, which marked their current adaptive HIT behaviors as temporary, and (2) contributions to inter-organizational HIT brainstorming projects in which HIT designers, IT staff and clinicians jointly problem-solved current HIT inadequacies and created new HIT features.
Originality/value
Offering both practical for healthcare leaders and managers and theoretical implications for HIT and resilience scholars, this study's results suggest that (1) healthcare leaders must work diligently to create a culture of collaborative HIT design in their organization to help facilitate the success of new HIT use, and (2) information technology scholars reevaluate the theoretical meaningfulness a technology's spirit and reconsider the causal nature of a technology's embedded structures.
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Gary J. Cornwall, Jeffrey A. Mills, Beau A. Sauley and Huibin Weng
This chapter develops a predictive approach to Granger causality (GC) testing that utilizes
Abstract
This chapter develops a predictive approach to Granger causality (GC) testing that utilizes
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Rahime Zaman Fashami, Manijeh Haghighinasab, Nader Seyyedamiri and Pari Ahadi
Elizabeth H. Gorman and Fiona M. Kay
In elite professional firms, minorities are actively recruited but struggle to move upward. The authors argue that initiatives aimed at general skill development can have…
Abstract
In elite professional firms, minorities are actively recruited but struggle to move upward. The authors argue that initiatives aimed at general skill development can have unintended consequences for firm diversity. Specifically, the authors contend that approaches that win partner support through motivational significance and interpretive clarity provide a more effective avenue to skill development for minorities, who have less access than White peers to informal developmental opportunities. The authors also argue that a longer “partnership track,” which imposes a time limit on skill development, will benefit minority professionals. Using data on 601 offices of large US law firms in 1996 and 2005, the authors investigate the effects of five developmental initiatives and partnership track length on the representation of African-Americans, Latinxs, and Asian-Americans among partners. Observed effects are consistent with expectations, but patterns vary across racial-ethnic groups.
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The purpose of this paper is to further adaptive structuration theory (AST) by associating technological appropriations with health information technology workarounds. The author…
Abstract
Purpose
The purpose of this paper is to further adaptive structuration theory (AST) by associating technological appropriations with health information technology workarounds. The author argues that appropriating electronic health record (EHR) technology ironically – in a way other than it is designed to be used – and divergently across an organization results in enhanced perceptions of EHR technology and its implementation.
Design/methodology/approach
Data were collected from 345 healthcare employees in a single healthcare organization that was switching to EHRs from paper records. Two major constructs of AST – unfaithfulness and dissension in appropriation – were operationalized and analyzed using multivariate regressions to test the relationship between the type of appropriation and perceptions of EHR technology’s relative advantage and implementation success.
Findings
Results reveal that both ironic (unfaithful) technological appropriation and dissension in technological appropriation across the organization predicted employees’ perceptions of EHR’s relative advantage and perceptions of EHR implementation success. Furthermore, physicians are the least likely to perceive EHR’s relative advantage or EHR implementation success. These results exemplify that EHR workarounds are taking place and reaffirm AST’s principle that employees evolve technology to better suit their working environments and preferences.
Originality/value
The survey and scales used in this study further demonstrate that there are meaningful statistical measures to accompany the qualitative methods frequently used in the AST literature. In addition, this paper expands AST research by exploring the positive outcomes that follow ironic and divergent technology appropriations.
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The article's purpose is to demonstrate how UK artisan entrepreneurs organise entrepreneurial activities within the context of a creative industry organisation. The research asks…
Abstract
Purpose
The article's purpose is to demonstrate how UK artisan entrepreneurs organise entrepreneurial activities within the context of a creative industry organisation. The research asks how artisan entrepreneurs draw on contexts to manage entrepreneurial activities. The article investigates how these entrepreneurs organise collaborative business solutions through the lens of entrepreneurial capitals and their conversion.
Design/methodology/approach
The research study employed a phenomenological approach to analyse the situated entrepreneurial activities of artisan entrepreneurs. Ethnographic methods assisted in capturing these activities.
Findings
The findings demonstrated the context-dependent collaborative business solutions by artisan entrepreneurs. Such solutions emerge from the interplay of the materiality of buildings, social relations management and personal resources. This materiality facilitates creative forms of social relations management for entrepreneurial activities between artisan entrepreneurs.
Practical implications
The discussed entrepreneurial collaborative solutions are beneficial for many entrepreneurs in fragmented working conditions.
Originality/value
The detailed discussion of how artisan entrepreneurs organise entrepreneurial activities individually and collaboratively sheds light on dynamic microprocesses in context. The lens of entrepreneurial capitals and their conversion for these microprocesses integrates the literature on capital conversions with context as the main contribution to theory. This lens allows to home in on social relations and material environment management adding more fine-grained insights into how these micro-exchange processes work. These insights contribute to the literature on artisan entrepreneurship in the creative industries and entrepreneurship and context.
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To review the literature on delinquency and victimization among Caribbean youth, utilizing an ecological perspective.
Abstract
Purpose
To review the literature on delinquency and victimization among Caribbean youth, utilizing an ecological perspective.
Design/methodology/approach
The review was initiated by a search of peer-reviewed journal articles published between 1993 and 2013, which investigated any or all aspects of juvenile delinquency and/or youth victimization in the Caribbean. Studies were critically reviewed to determine whether they addressed relationships between victimization and delinquency, and the role of the social environment on youth.
Findings
The search yielded 23 relevant studies: 64 percent of the studies were conducted exclusively in Jamaica, and more than 75 percent were school based. Half of the articles addressed the links between victimization and delinquency among Caribbean youth but the majority was primarily descriptive.
Research limitations/implications
Only peer-reviewed journals were included, so unpublished country and organizational reports were not covered in the review.
Practical implications
More current and longitudinal studies are needed, which examine the connections between delinquency and victimization, and the experiences in the smaller or less developed Caribbean countries.
Social implications
The review provides directions for the enhancement of positive youth development policy and practice.
Originality/value
This paper fills the gap in the understanding of the research on delinquency and victimization among Caribbean youth. The ecological framework also adds value to the understanding of the topic by highlighting the importance of various social contexts, such as the family, school, and neighborhood, on youth development in the Caribbean.