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1 – 10 of 12Iris Wallenburg, Anne Marie Weggelaar and Roland Bal
The purpose of this paper is to empirically explore and conceptualize how healthcare professionals and managers give shape to the increasing call for compassionate care as an…
Abstract
Purpose
The purpose of this paper is to empirically explore and conceptualize how healthcare professionals and managers give shape to the increasing call for compassionate care as an alternative for system-based quality management systems. The research demonstrates how quality rebels craft deviant practices of good care and how they account for them.
Design/methodology/approach
Ethnographic research was conducted in three Dutch hospitals, studying clinical groups that were identified as deviant: a nursing ward for infectious diseases, a mother–child department and a dialysis department. The research includes over 120 h of observation, 41 semi-structured interviews and 2 focus groups.
Findings
The research shows that rebels’ quality practices are an emerging set of collaborative activities to improving healthcare and meeting (individual) patient needs. They conduct “contexting work” to achieve their quality aims by expanding their normative work to outside domains. As rebels deviate from hospital policies, they are sometimes forced to act “under the radar” causing the risk of groupthink and may undermine the aim of public accounting.
Practical implications
The research shows that in order to come to more compassionate forms of care, organizations should allow for more heterogeneity accompanied with ongoing dialogue(s) on what good care yields as this may differ between specific fields or locations.
Originality/value
This is the first study introducing quality rebels as a concept to understanding social deviance in the everyday practices of doing compassionate and good care.
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Jitse Jonne Schuurmans, Nienke van Pijkeren, Roland Bal and Iris Wallenburg
The purpose of this paper is to explore the formation and composition of “regions” as places of care, both empirically and conceptually.
Abstract
Purpose
The purpose of this paper is to explore the formation and composition of “regions” as places of care, both empirically and conceptually.
Design/methodology/approach
This paper draws on action-oriented research involving experiments aimed at designing, implementing and evaluating promising solutions to the entwined problems of a burgeoning elderly population and an increasing shortage of medical staff. It draws on ethnographic research conducted in 14 administrative areas in the Netherlands, a total of 273 in-depth interviews and over 1,000 h of observations.
Findings
This research challenges the understanding of a healthcare region as a clearly bounded topological area. It shows that organizations and professionals collaborate in a variety of different networks, some conterminous with the administrative region established by policymakers and others not. These networks are by nature unstable and dynamic. Attempts to form new regional collaborations with neighbouring organizations are complicated by existing healthcare governance and accountability structures that position organizations as competitors.
Practical implications
Policymakers should take the pre-established partnerships of healthcare organizations into account before delineating the area in which regionalization is meant to take place. A better alignment of governance and accountability structures is also needed for regionalization to occur in healthcare.
Originality/value
This paper combines insights from valuation studies with sociogeographical literature and provides a framework for understanding the assembling and disassembling of “regions”.
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Iris Wallenburg, Anne Essén and Roland Bal
Performance metrics have become widely used and much lamented – about tools for measuring healthcare quality. In this paper, the authors reflect on the development and use of…
Abstract
Performance metrics have become widely used and much lamented – about tools for measuring healthcare quality. In this paper, the authors reflect on the development and use of performance metrics in healthcare regulation and clinical practice. Studying multi-actor settings of performance measurement systems in healthcare in Sweden and the Netherlands, the authors show how regulatory agencies (i.e., the inspectorate and national registries), patients, hospitals, and practitioners engage in the constitution of healthcare practices through developing performance indicators that form the input for ranking, ensuing intensive dialogues on what should be measured and accounted for, and to what effects. The authors analyze this process as caring for numbers. The authors discern two practices of caring for numbers: validating and contexting. Validating refers to the practices of making numbers reflect those practices they intend to depict; contexting is about how with the use of numbers specific contexts of healthcare are built. These processes together emphasize the performative character of numbers as well as the reflexive uses of performativity. The paper shows how collaborative and rather pragmatic practices of caring for numbers co-construct specific practices of healthcare. Though this reflexive entanglement of production and use of numbers actors not only constitute specific performance metrics and ranking practices but also perform healthcare.
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Leopold Ringel, Wendy Espeland, Michael Sauder and Tobias Werron
Rankings have become a popular topic in the social sciences over the past two decades. Adding to these debates, the present volume assembles studies that explore a variety of…
Abstract
Rankings have become a popular topic in the social sciences over the past two decades. Adding to these debates, the present volume assembles studies that explore a variety of empirical settings, emphasizing the importance of acknowledging that there are multiple “Worlds of Rankings.” To this end, the first part of the chapter addresses the implications of two modes of criticism that characterize much of the scholarly work on rankings and summarizes extant conceptual debates. Taking stock of what we know, the second part distinguishes three areas of empirical research. The first area concerns the activities of those who produce rankings, such as the collection of data or different business strategies. Studies in the second area focus on inter-organizational, field-level, or discursive phenomena, particularly how rankings are received, interpreted, and institutionalized. The third area covers the manifold effects that research has unveiled, ranging from the diffusion of practices and changes in organizational identities to emotional distress. Taken together, the contributions to this volume expand our knowledge in all three areas, inviting new debates and suggesting pathways forward.
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The purpose of this study is to explore the importance of supplier innovativeness (SI), top management support (TMS) and strategic sourcing (SS) in the development of supply chain…
Abstract
Purpose
The purpose of this study is to explore the importance of supplier innovativeness (SI), top management support (TMS) and strategic sourcing (SS) in the development of supply chain (SC) resilience. The study also argues that organization culture (OC) strongly influences SI, TMS and SS in their importance in generating SC resilience.
Design/methodology/approach
The study adopted a cross-sectional approach for collecting online-survey-based responses for evaluating the validity of the proposed associations. Respondents were chosen ensuring that they have sufficient exposure in SC operations in their respective designations. With two reminders, around 212 completed responses were received and analyzed using partial least squares in SmartPLS 2.0.M3.
Findings
Findings suggested TMS as a positive enabler of SC resilience. However, although SI and SS had positive influences, they were not significant. The study argues that this may be attributed to the presence of OC as a strong precursor for SI, TMS and SS. The findings showed that OC is indeed a strong predictor of SI, TMS and SS.
Originality/value
The study has undersigned empirically the influence of OC in the development of SI, TMS and SS. The study is the foremost to acknowledge the influence of SI, TMS and SS on SC resilience.
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Markus Vanharanta and Phoebe Wong
The purpose of this paper is to ease the methodological application of critical realist multilevel research in business marketing. Although there has been plenty of theoretical…
Abstract
Purpose
The purpose of this paper is to ease the methodological application of critical realist multilevel research in business marketing. Although there has been plenty of theoretical contributions in this field, it is not always clear how critical realism can be best applied in business marketing settings. Accordingly, this paper addresses this gap in literature. Also, this paper addresses the calls for a multilevel conceptualization for resilience, based on the critical realist laminated systems.
Design/methodology/approach
This is a conceptual paper, which uses pre-existing literature to develop a critical realist methodological approach for the purposes of multilevel business marketing research. The contribution is based on literature by combining pre-existing ideas in a new way in the context of business marketing.
Findings
This paper makes a methodological contribution by introducing the critical realist “laminated systems” to business marketing as a multilevel research approach. Furthermore, the authors conceptualize a specific laminated model, the Laminated Interactional Model (LIM), that is designed for the purpose of business marketing research. The LIM is a methodological tool that conceptualizes business marketing based on six levels of analysis, easing the methodological application of critical realism in business marketing settings. In addition, to provide an example, the authors apply the LIM to the literature on resilience, providing a multilevel conceptualization. This is a timely contribution, as resilience has emerged as a central concept addressing interorganizational survival during the COVID-19 pandemic.
Originality/value
This paper makes three main contributions to business marketing. First, this paper provides a methodological contribution by introducing the critical realist notion of “laminated systems” to business marketing. Second, this paper conceptualizes a specific laminated model for business marketing, namely, the LIM. Third, as a response to the COVID-19 pandemic, this paper will apply critical realism and the LIM to the notion of resilience, addressing the calls for multilevel conceptualizations.
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Guilherme Tortorella, Anupama Prashar, Daniel Samson, Sherah Kurnia, Flavio S. Fogliatto, Daniel Capurro and Jiju Antony
Healthcare supply chains (HSCs) have been adopting Industry 4.0 (I4.0) as a means to boost their resilience. The first objective of this study is to identify the effect of…
Abstract
Purpose
Healthcare supply chains (HSCs) have been adopting Industry 4.0 (I4.0) as a means to boost their resilience. The first objective of this study is to identify the effect of contextual variables of HSCs on resilience development and I4.0 adoption. Second, the paper examines the pervasiveness of the relationship between resilience and I4.0 across different contextual characteristics.
Design/methodology/approach
179 organizations from the HSC in Brazil and India were surveyed. Responses were analyzed using multivariate data techniques.
Findings
Large HSC agents are more likely to develop resilience abilities and adopt I4.0 technologies when these factors are analyzed independently. However, the joint analysis of resilience and I4.0 displayed a large number of significant correlations among small organizations.
Originality/value
Findings provide managers of HSC arguments to enhance resilience through the digitalization. HSC organizations can identify HSC organizations' context to tailor initiatives on resilience and digitalization.
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The aim of this study is to investigate ways in which healthcare organisations can successfully maintain operational resilience within intricate and varied engagements during…
Abstract
Purpose
The aim of this study is to investigate ways in which healthcare organisations can successfully maintain operational resilience within intricate and varied engagements during digital transformation processes.
Design/methodology/approach
The present research applied cultural-historical activity theory as the theoretical framework and the ethnographic account as an approach and strategy to interpret and understand the operational resilience of digital transformation tools in daily practices. Fieldwork was based on the research technique of shadowing, whereby the researcher closely accompanied the participants to record their conduct, activities and exchanges.
Findings
Research results propose that effective operational resilience management in the implementation of digital transformation projects is based on (1) identifying and interpreting internal contradictions in everyday interactions as opportunities for capability developments; (2) navigating through multiple sites in fast and improvised movements, which derives in distributed and emergent practices; (3) interplaying between dyadic interactions and networked dependencies, which is achieved through the articulation of varied interests and (4) implementing novel intermediary tools, roles and regulations that facilitate the reduction of disturbances.
Originality/value
The propositions of the present study indicate that the management of operational resilience extends beyond conventional adaptive and socio-technical models in healthcare services. The study emphasises the significance of expressing and converting differing interests into mutual advantages. It additionally demonstrates the intricacy of this obstacle, as it entails navigating through uncertain information, concealed interpretations and conflicting interests.
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Abhay Kumar Grover and Muhammad Hasan Ashraf
Despite its potential, warehouse managers still struggle to successfully assimilate autonomous mobile robots (AMRs) in their operations. This paper means to identify the…
Abstract
Purpose
Despite its potential, warehouse managers still struggle to successfully assimilate autonomous mobile robots (AMRs) in their operations. This paper means to identify the moderating factors of AMR assimilation for production warehouses that influence the digital transformation of their intralogistics via AMRs.
Design/methodology/approach
Drawing on innovation of assimilation theory (IAT), this study followed an explorative approach using the principles of the case study method in business research. The cases comprised of four AMR end users and six AMR service providers. Data were collected through semi-structured interviews.
Findings
Four clusters of moderators that affect each stage of AMR assimilation were identified. These clusters include organizational attributes of end users (i.e. production warehouses), service attributes of service providers, technology attributes of AMRs and relational attributes between the AMR service providers and the AMR end users.
Originality/value
The authors extend the IAT framework by identifying various moderating factors between different stages of the AMR assimilation process. To the authors' knowledge, this is the first study to introduce the perspective of AMR end users in conjunction with AMR service providers to the “Industry 4.0” technology assimilation literature. The study propositions regarding these factors guide future intralogistics and AMR research.
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