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Open Access
Article
Publication date: 20 March 2017

James A. Shaw, Pia Kontos, Wendy Martin and Christina Victor

The purpose of this paper is to use theories of institutional logics and institutional entrepreneurship to examine how and why macro-, meso-, and micro-level influences…

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Abstract

Purpose

The purpose of this paper is to use theories of institutional logics and institutional entrepreneurship to examine how and why macro-, meso-, and micro-level influences inter-relate in the implementation of integrated transitional care out of hospital in the English National Health Service.

Design/methodology/approach

The authors conducted an ethnographic case study of a hospital and surrounding services within a large urban centre in England. Specific methods included qualitative interviews with patients/caregivers, health/social care providers, and organizational leaders; observations of hospital transition planning meetings, community “hub” meetings, and other instances of transition planning; reviews of patient records; and analysis of key policy documents. Analysis was iterative and informed by theory on institutional logics and institutional entrepreneurship.

Findings

Organizational leaders at the meso-level of health and social care promoted a partnership logic of integrated care in response to conflicting institutional ideas found within a key macro-level policy enacted in 2003 (The Community Care (Delayed Discharges) Act). Through institutional entrepreneurship at the micro-level, the partnership logic became manifest in the form of relationship work among health and social care providers; they sought to build strong interpersonal relationships to enact more integrated transitional care.

Originality/value

This study has three key implications. First, efforts to promote integrated care should strategically include institutional entrepreneurs at the organizational and clinical levels. Second, integrated care initiatives should emphasize relationship-building among health and social care providers. Finally, theoretical development on institutional logics should further examine the role of interpersonal relationships in facilitating the “spread” of logics between macro-, meso-, and micro-level influences on inter-organizational change.

Details

Journal of Health Organization and Management, vol. 31 no. 1
Type: Research Article
ISSN: 1477-7266

Keywords

Content available
Book part
Publication date: 15 May 2018

Crystal Abidin

Abstract

Details

Internet Celebrity: Understanding Fame Online
Type: Book
ISBN: 978-1-78756-079-6

Content available
Article
Publication date: 15 December 2023

Luis Jimenez-Castillo, Joseph Sarkis, Sara Saberi and Tianchi Yao

The authors explore the impact of an emerging technology, blockchain technology, on diverse governance mechanisms and sustainable supply chain practices and how its relationships…

Abstract

Purpose

The authors explore the impact of an emerging technology, blockchain technology, on diverse governance mechanisms and sustainable supply chain practices and how its relationships with the linkage of these elements.

Design/methodology/approach

The methodology incorporates a literature review and a qualitative empirical analysis of the Electronic Product Environmental Assessment Tool (EPEAT) standards. Expert opinions from various firms and organizations within the electronics sector are assessed. Through a thematic analysis, the relationships are identified and examined.

Findings

Data immutability, transparency and traceability capabilities of blockchain technology enhance the relationship between environmental standards and ecological supply chain sustainability practices. Although immature, the blockchain can influence the governance of supply chain sustainability practices. Immaturity of technology, lack of expertise, sharing information and trust have delayed adoption.

Originality/value

There is limited empirical evidence regarding blockchain's impact on governance mechanisms, specifically hybrid public-private mechanisms and sustainable supply chain practices. The study further evaluates how particular blockchain features may exert varying influences on these aspects and different sustainable supply chain traits. As an exploratory study, it proposes new areas for further research, including how blockchain's traceability function can improve sustainability standard adoption. Additionally, there is a call for integrating blockchain with technologies like IoT and sensors which may influence supply chain governance mechanisms, standards and sustainability practices.

Details

Journal of Enterprise Information Management, vol. 37 no. 1
Type: Research Article
ISSN: 1741-0398

Keywords

Content available
Book part
Publication date: 9 March 2022

Piero Formica

Abstract

Details

Ideators
Type: Book
ISBN: 978-1-80262-830-2

Content available
Article
Publication date: 9 November 2012

333

Abstract

Details

International Journal of Manpower, vol. 33 no. 8
Type: Research Article
ISSN: 0143-7720

Open Access
Article
Publication date: 7 August 2020

Elizabeth Mansfield, Jane Sandercock, Penny Dowedoff, Sara Martel, Michelle Marcinow, Richard Shulman, Sheryl Parks, Mary-Lynn Peters, Judith Versloot, Jason Kerr and Ian Zenlea

In Canada, integrated care pilot projects are often implemented as a local reform strategy to improve the quality of patient care and system efficiencies. In the qualitative study…

1810

Abstract

Purpose

In Canada, integrated care pilot projects are often implemented as a local reform strategy to improve the quality of patient care and system efficiencies. In the qualitative study reported here, the authors explored the experiences of healthcare professionals when first implementing integrated care pilot projects, bringing together physical and mental health services, in a community hospital setting.

Design/methodology/approach

Engaging a qualitative descriptive study design, semi-structured interviews were conducted with 24 healthcare professionals who discussed their experiences with implementing three integrated care pilot projects one year following project launch. The thematic analysis captured early implementation issues and was informed by an institutional logics framework.

Findings

Three themes highlight disruptions to established logics reported by healthcare professionals during the early implementation phase: (1) integrated care practices increased workload and impacted clinical workflows; (2) integrating mental and physical health services altered patient and healthcare provider relationships; and (3) the introduction of integrated care practices disrupted healthcare team relations.

Originality/value

Study findings highlight the importance of considering existing logics in healthcare settings when planning integrated care initiatives. While integrated care pilot projects can contribute to organizational, team and individual practice changes, the priorities of healthcare stakeholders, relational work required and limited project resources can create significant implementation barriers.

Details

Journal of Integrated Care, vol. 29 no. 2
Type: Research Article
ISSN: 1476-9018

Keywords

Content available
Article
Publication date: 1 March 2007

Gina Vega and Roland E. Kidwell

This article advances a conceptual typology delineating the differences and similarities between business- and social-sector new venture creators. Our classification scheme…

6094

Abstract

This article advances a conceptual typology delineating the differences and similarities between business- and social-sector new venture creators. Our classification scheme differentiates business and social entrepreneurs, considering characteristics of social entrepreneurs in a larger entrepreneurial context.Within a conceptual 2x2 typology based on two dimensions: drive (passion vs. business) and desired return (financial ROI vs. social ROI), we identify and classify 80 examples of new venture creators into one of the quadrants of an enterprise model of entrepreneurs. Preliminary results reveal similarities between social and traditional entrepreneurs and differentiate social entrepreneurs in terms of traits, goals, tendencies, and motivational sources.

Details

New England Journal of Entrepreneurship, vol. 10 no. 2
Type: Research Article
ISSN: 2574-8904

Open Access
Article
Publication date: 22 March 2021

Marke Kivijärvi

This paper critically examines how female students at a Finnish business school understand gender in management.

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Abstract

Purpose

This paper critically examines how female students at a Finnish business school understand gender in management.

Design/methodology/approach

The analysis is based on female students' learning diaries from a basic management course.

Findings

The findings show how students respond to the topic of gender inequality through a neoliberal postfeminist discourse. The students' discourse is structured around three discursive moves: (1) rejecting “excessive” feminism, (2) articulating self-reliant professional futures and (3) producing idealized role models through successfully integrating masculinity and femininity.

Originality/value

This article contributes to current understanding of the role of postfeminist sensibilities in shaping student participation in the management profession. Awareness of students' responses to gender-equality initiatives offers management educators insight into the inclusion of equality topics in teaching in ways that support equal gender socialization in the management profession.

Details

Equality, Diversity and Inclusion: An International Journal, vol. 40 no. 6
Type: Research Article
ISSN: 2040-7149

Keywords

Open Access
Article
Publication date: 2 August 2019

Maria de Lourdes Miranda-Medina, Christian Tomastik, Tia Truglas, Heiko Groiss and Martin Jech

The purpose of this paper is to provide a general picture for describing the formed tribofilm, including chemical and physical aspects in the micro-scale and the nano-scale. In a…

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Abstract

Purpose

The purpose of this paper is to provide a general picture for describing the formed tribofilm, including chemical and physical aspects in the micro-scale and the nano-scale. In a previous study, the durability of zinc dialkyl dithiophosphate (ZDDP) tribofilms on cylinder liner samples has been investigated in a tribometer model system by using fresh and aged fully formulated oils and replacing them with PAO8 without additives. Analyses of the derived tribofilms by means of X-ray photoelectron spectroscopy and scanning electron microscopy could give some hints about the underlying mechanisms of the tribofilm build-up and wear performance, but a final model has not been achieved.

Design/methodology/approach

Thus, characterisation of these tribofilms by means of focused ion beam-transmission electron microscopy (FIB-TEM) and energy dispersive X-ray spectroscopy is presented and a concluding model of the underlying mechanisms of tribofilm build-up is discussed in this paper.

Findings

For tribotests running first with fresh fully formulated engine oil, a rather homogeneous ZDDP-like tribofilm is found underneath a carbon rich tribofilm after changing to non-additivated PAO8. However, when the tests run first with aged fully formulated engine oil, no ZDDP-like tribofilm has been found after changing to non-additivated PAO8, but a wear protective carbon rich tribofilm.

Originality/value

The obtained results provide insights into the structure and durability of tribofilms. Carbon-based tribofilms are built up on the basis of non-additivated PAO8 because of the previously present ZDDP tribofilms, which suggests an alternative way to reducing the consumption of antiwear additives.

Details

Industrial Lubrication and Tribology, vol. 72 no. 4
Type: Research Article
ISSN: 0036-8792

Keywords

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