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Book part
Publication date: 15 October 2020

Jane S. VanHeuvelen

Autonomy has long been established as a critical component of professional work. Traditionally, autonomy has been examined as the extent to which an individual or a professional…

Abstract

Autonomy has long been established as a critical component of professional work. Traditionally, autonomy has been examined as the extent to which an individual or a professional group controls the decisions and knowledge used in their work. Yet, this framework does not capture the additional work activities that professionals are increasingly expected to perform. Therefore, this chapter argues for theoretically expanding our understanding of professional autonomy by bringing in the concept of articulation work. Using the case of healthcare organisational change, this study assesses how shifts in work practices impact autonomy. Data come from longitudinal ethnographic fieldwork and in-depth interviews conducted at a Neonatal Intensive Care Unit as it underwent significant structural changes. Findings show that professionals were forced to change articulation work strategies in response to new organisational structures. This included changes in the way professionals monitored, assessed, coordinated and collaborated around patient care. Furthermore, these shifts in articulation work held important implications for both workplace and professional autonomy, as professionals responded to changes in their work conditions.

Details

Professional Work: Knowledge, Power and Social Inequalities
Type: Book
ISBN: 978-1-80043-210-9

Keywords

Article
Publication date: 16 August 2021

Vibeke Kristine Scheller

The purpose of this paper is to explain how trajectory management in hospitals is challenged by the introduction of accelerated discharge schemes. The patient trajectory is formed…

Abstract

Purpose

The purpose of this paper is to explain how trajectory management in hospitals is challenged by the introduction of accelerated discharge schemes. The patient trajectory is formed by short stays within health-care organizations, which requires a substantial effort for professionals to be successful in clarifying each patient's medical situation. The patients, at the same time, often have complicated illness stories, and professionals only see a limited part of the patient's trajectory.

Design/methodology/approach

This paper is based on extensive ethnographic studies in a newly established cardiac day unit introducing same-day discharge schemes for patients with ischemic and arrhythmic heart disease.

Findings

The findings demonstrate that the patient trajectory becomes a “temporal patient trajectory” and encounters a short-term reality, where tensions arise between admission time and the trajectory as a whole. In managing temporal patient trajectories, formal organizing and patient experiences intersect in events that emerge from conversations and span past, present and future in relation to patient treatment. Professionals engage in articulation work to maintain coherence by allowing patients to hold different events together over time.

Originality/value

The paper provides new insights into the challenges of managing trajectories in same-day discharge schemes where the pressure to move quickly and ensure patient discharge is intense. The paper offers a novel theoretical perspective on trajectory management as an ongoing temporal process. The analysis displays temporal tensions between patient experiences and the accelerated discharge scheme and how professionals manage to overcome these tensions by bridging the patient's long illness story and the short trajectory within the cardiac day unit.

Details

Journal of Health Organization and Management, vol. 36 no. 1
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 5 October 2021

Pamela J. McKenzie and Elisabeth Davies

This article explores the varied ways that individuals create and use calendars, planners and other cognitive artifacts to document the multiple temporalities that make up their…

Abstract

Purpose

This article explores the varied ways that individuals create and use calendars, planners and other cognitive artifacts to document the multiple temporalities that make up their everyday lives. It reveals the hidden documentary time work required to synchronize, coordinate or entrain their activities to those of others.

Design/methodology/approach

We interviewed 47 Canadian participants in their homes, workplaces or other locations and photographed their documents. We analyzed qualitatively; first thematically to identify mentions of times, and then relationally to reveal how documentary time work was situated within participants' broader contexts.

Findings

Participants' documents revealed a wide variety of temporalities, some embedded in the templates they used, and others added by document creators and users. Participants' documentary time work involved creating and using a variety of tools and strategies to reconcile and manage multiple temporalities and indexical time concepts that held multiple meanings. Their work employed both standard “off the shelf” and individualized “do-it-yourself” approaches.

Originality/value

This article combines several concepts of invisible work (document work, time work, articulation work) to show both how individuals engage in documentary time work and how that work is situated within broader social and temporal contexts and standards.

Details

Journal of Documentation, vol. 78 no. 1
Type: Research Article
ISSN: 0022-0418

Keywords

Article
Publication date: 17 July 2019

D. Allen

The purpose of this paper is to argue for the institutionalisation of emergent forms of organisation in health and social care and offer a conceptual framework for this purpose.

Abstract

Purpose

The purpose of this paper is to argue for the institutionalisation of emergent forms of organisation in health and social care and offer a conceptual framework for this purpose.

Design/methodology/approach

Drawing on ethnographic research on the organising work of nurses and Translational Mobilisation Theory, this paper extends two classic Straussian sociological concepts – illness trajectory and articulation work – to conceptualise emergent organisation as Care Trajectory Management.

Findings

Failures of coordination are well-recognised threats to quality and safety and recent decades have witnessed an explosion of neoliberal technologies and governance arrangements designed to “measure and manage” these risks. Yet in a significant and growing proportion of health and social care provision successful service integration depends not on rational planning, but iterative negotiations and adjustments in response to contingencies. While ubiquitous in health and social care systems, these emergent forms of organisation lack legitimacy, the work involved is relatively invisible and practice is poorly served by prevailing management discourses.

Originality/value

The Care Trajectory Management Framework provides an alternative discourse and logic on which to develop strategies and technologies to support emergent organisational processes in acute and community care contexts.

Details

Journal of Health Organization and Management, vol. 33 no. 7/8
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 1 April 2004

Jeffrey Kim and John King

In this paper we investigate the exploratory nature of knowledge creation and sharing practice in high‐technology industry. Traditional approaches in knowledge management focus on…

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Abstract

In this paper we investigate the exploratory nature of knowledge creation and sharing practice in high‐technology industry. Traditional approaches in knowledge management focus on the storage and retrieval of knowledge, but they do not address the tacit dimension of knowledge process. Using data gathered at three semiconductor manufacturers in Japan and Korea, we examine the social processes by which expert teams cooperate across team boundaries despite differing points of view resulting from increasing team specialization. Three engineering teams are studied: design, process, and process integration. They are responsible for trouble management in the production of dynamic random access memory (DRAM), a class of integrated circuit semiconductor devices. Trouble management is the handling of problems that require exploratory, yet routine problem‐solving practice. The findings suggest that the crucial challenge in achieving effective control of the knowledge management process rests not in strategies for collecting and classifying relevant problem/solution information. Rather, it is in the management of “problematization”, a political process involving the articulation behaviors of different teams of engineers.

Details

Journal of Knowledge Management, vol. 8 no. 2
Type: Research Article
ISSN: 1367-3270

Keywords

Article
Publication date: 8 October 2019

Nicole K. Dalmer and Isto Huvila

The purpose of this paper is to suggest that a closer consideration of the notion of work and, more specifically, information work as a sensitizing concept in Library and…

Abstract

Purpose

The purpose of this paper is to suggest that a closer consideration of the notion of work and, more specifically, information work as a sensitizing concept in Library and Information Science (LIS) can offer a helpful way to differently consider how people interact and engage with information and can complement a parallel focus on practices, behaviours and activities.

Design/methodology/approach

Starting with the advent of the concept of information work in Corbin and Strauss’ work, the paper then summarizes how information work has evolved and taken shape in LIS research and discourse, both within and outside of health-related information contexts.

Findings

The paper argues that information work affords a lens that can acknowledge the multiple levels of effort and multiple processes (cognitive, physical or social-behavioural) related to information activities. This paper outlines six affordances that the use of information work within LIS scholarship imparts: acknowledges the conceptual, mental and affective; brings attention to the invisibility of particular information activities and their constituents; opens up and distinguishes the many different lines of work; destabilizes hierarchies between professionals and non-professionals; emphasizes goals relating to information activities and their underlying pursuits; and questions work/non-work dichotomies established in existing LIS models.

Originality/value

This paper is a first in bringing together the many iterations of information work research in LIS. In doing so, this paper serves as a prompt for other LIS scholars to take up, challenge the existing borders of, and thus advance the concept of information work.

Details

Journal of Documentation, vol. 76 no. 1
Type: Research Article
ISSN: 0022-0418

Keywords

Open Access
Article
Publication date: 14 March 2024

Niki Chatzipanagiotou, Anita Mirijamdotter and Christina Mörtberg

This paper aims to focus on academic library managers’ learning practices in the context of cooperative work supported by computational artefacts. Academic library managers’…

Abstract

Purpose

This paper aims to focus on academic library managers’ learning practices in the context of cooperative work supported by computational artefacts. Academic library managers’ everyday work is mainly cooperative. Their cooperation is supported predominantly by computational artefacts. Learning how to use the computational artefacts efficiently and effectively involves understanding the changes in everyday work that affect managers and, therefore, it requires deep understanding of their cooperative work practices.

Design/methodology/approach

Focused ethnography was conducted through participant observations, interviews and document analysis. Ten managers from a university library in Sweden participated in the research. A thematic method was used to analyse the empirical material. Computer supported cooperative work (CSCW) and work-integrated learning was used as the conceptual lens.

Findings

Five learning practices were identified: collaboration, communication, coordination, decision-making processes and computational artefacts’ use. The findings show that learning is embedded in managers’ cooperative work practices, which do not necessarily include sufficient training time. Furthermore, learning was intertwined with cooperating and was situational. Managers learned by reflecting together on their own experiences and through joint cooperation and information sharing while using the computational artefacts.

Originality/value

The main contribution lies in providing insights into how academic library managers learn and cooperate in their everyday work, emphasizing the role of computational artefacts, the importance of the work context and the collective nature of learning. It also highlights the need for continual workplace learning in contemporary knowledge work environments. Thus, the research generates contributions to the informatics field by extending the understanding of managers’ work-integrated learning in their everyday cooperative work practices supported by computational artefacts’ use. It also contributes to the intersection of CSCW and work-integrated learning.

Details

The Learning Organization, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0969-6474

Keywords

Book part
Publication date: 17 February 2015

Anna Carreri

This chapter investigates how normative beliefs attributed to insecure paid work and care responsibilities affect social understandings of the work–family boundary, and either…

Abstract

Purpose

This chapter investigates how normative beliefs attributed to insecure paid work and care responsibilities affect social understandings of the work–family boundary, and either challenge or reinforce traditional links between gender and moral obligation.

Methodology

Within an interpretive approach and from a gender perspective, I present a discourse analysis of 41 interviews with Italian parents.

Findings

This chapter shows that women in the sample felt forced into blurred boundaries that did not suit their work–family normative beliefs. Men in the sample perceived that they had more boundary control, and they created boundaries that support an innovative fatherhood model. Unlike women, men’s boundaries aligned with their desires.

Research limitations

The specific target of respondents prevents empirical comparisons between social classes. Moreover, the cross-level analysis presented is limited: in particular, further investigation is required at the level of organizational cultures.

Originality

The study suggests not only thinking in terms of work–family boundary segmentation and integration but also looking at the normative dimensions which can either enhance or exacerbate perceptions of the work–family interface. The value of the study also stems from its theoretically relevant target.

Details

Work and Family in the New Economy
Type: Book
ISBN: 978-1-78441-630-0

Keywords

Open Access
Article
Publication date: 8 May 2018

Davina Allen

The purpose of this paper is to introduce translational mobilization theory (TMT) and explore its application for healthcare quality improvement purposes.

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Abstract

Purpose

The purpose of this paper is to introduce translational mobilization theory (TMT) and explore its application for healthcare quality improvement purposes.

Design/methodology/approach

TMT is a generic sociological theory that explains how projects of collective action are progressed in complex organizational contexts. This paper introduces TMT, outlines its ontological assumptions and core components, and explores its potential value for quality improvement using rescue trajectories as an illustrative case.

Findings

TMT has value for understanding coordination and collaboration in healthcare. Inviting a radical reconceptualization of healthcare organization, its potential applications include: mapping healthcare processes, understanding the role of artifacts in healthcare work, analyzing the relationship between content, context and implementation, program theory development and providing a comparative framework for supporting cross-sector learning.

Originality/value

Poor coordination and collaboration are well-recognized weaknesses in modern healthcare systems and represent important risks to quality and safety. While the organization and delivery of healthcare has been widely studied, and there is an extensive literature on team and inter-professional working, we lack readily accessible theoretical frameworks for analyzing collaborative work practices. TMT addresses this gap in understanding.

Details

Journal of Health Organization and Management, vol. 32 no. 3
Type: Research Article
ISSN: 1477-7266

Keywords

Book part
Publication date: 23 October 2008

Adele E. Clarke

During Strauss's formative years as a sociologist, neither sex nor gender, nor for that matter race/ethnicity, was central to the broader American sociological agenda. Social…

Abstract

During Strauss's formative years as a sociologist, neither sex nor gender, nor for that matter race/ethnicity, was central to the broader American sociological agenda. Social class and mobility were, and Strauss wrote on these issues, both in terms of their social psychological dimensions vis-à-vis transformations of identity (1959) and their situatedness (1971b/2006). Immigration issues were also vivid for American sociology (especially for Chicago School sociologists) and for Strauss, a child of German Jews. He took up these concerns most directly in his urban sociology (Strauss, 1961, 1991, pp. 287–312), and in his work on large-scale symbolization (1971a, 1971b/2006, 1993, pp. 162–167).

Details

Studies in Symbolic Interaction
Type: Book
ISBN: 978-1-84855-127-5

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