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Rural areas that are struggling to recruit and retain qualified health practitioners are caught in the crossfire of turf battles between allied health practitioners and physician groups. The most intensely political of these inter-occupational turf battles is between anesthesiologists (MDAs) and certified registered nurse anesthetists (CRNAs), who are the sole providers of anesthesia in two-thirds of rural hospitals (American Association of Nurse Anesthetists (AANA), 2007a, 2007b). The ability of many rural hospitals to provide anesthesia services is dependent on CRNAs. This study uses data collected from CRNAs in Iowa and Arizona in 2005 to focus on the impact of the turf battle on the professional interactions and opinions of CRNAs. Arizona and Iowa were chosen for this study because not only do the policies in these states contrast with each other, but the contexts in which CRNAs practice are also dissimilar. The majority of Arizona's CRNAs work in urban areas in close proximity with MDAs. Most CRNAs in Arizona report that their workplace interactions with MDAs have suffered as a result of the turf battle, despite the lack of any action to opt out of the federal Medicare requirement of physician supervision of CRNAs. While most CRNAs in Iowa perceive that job opportunities and the quality and cost of health care have improved as a result of opting out of the federal supervision requirement of CRNAs, the impact on their social interactions in the workplace depends on location and the structural context of their work. Most CRNAs in Iowa's urban areas continue to work in a structural context of de facto supervision by MDAs. As a result, only a minority report that their professional interactions in the workplace have improved. The outcome for Iowa's rural CRNAs is decidedly different. The majority function as independent practitioners and have experienced an improvement in their social interactions in the workplace and greater economic reward. These occupational privileges should improve the ability of Iowa's rural hospitals to recruit and retain CRNAs and, as a consequence, surgical services in rural areas.

The article offers an answer to the question, “When companies are caught between recessionary financial constraints and epic market discontinuity, what approaches actually deliver innovation efficiently and effectively?”

The article offers guidelines for enterprises seeking to implement a form of open innovation with external product development firms that offers the prospect of being more nimble than internally-managed R&D and less expensive, risky and complex than outright merger and acquisition activity.

Pick the right challenges to “outsource collaboratively” to external innovation partners. One rule of thumb: partner externally when the defined challenge is something your team cannot effectively tackle–for example, new spaces, channels, materials, processes or supply chain. Outsourcing to experienced innovators can reduce internal competition, accelerate organizational learning and counteract internal turf battles. 10;

Experienced innovators seek authorization to manage their initiative as a portfolio of projects: instead of isolated stabs at innovation, they create a diversified array of programs, with different risk/reward ratios and different foci.

The author has extensive experience working as a a corporate sponsor of open innovation projects and as a contract R&D innovation manager and his teams have had to deal with programs that meander and drift because corporate politics shift, decisions are opaque and strategic communication breaks down. The guidelines offered are designed to prevent such breakdowns.

Professionals often dislike dirty work, yet they accommodate or even embrace it in everyday practice. This chapter problematizes Andrew Abbott’s professional purity thesis by examining five major forms of impurities in professional work, namely impurity in expertise, impurity in jurisdictions, impurity in clients, impurity in organizations, and impurity in politics. These impurities complicate the relationship between purity and status as some impurities may enhance professional status while others may jeopardize it, especially when the social origins of professionals are rapidly diversifying and professional work is increasingly intertwined with the logics of market and bureaucracy. Taking impurities seriously can help the sociology of professions move beyond the idealistic image of an independent, disinterested professional detached from human emotions, turf battles, client influence, and organizational or political forces and towards a more pragmatic understanding of professional work, expertise, ethics and the nature of professionalism.

More and more major companies are using the Web to push their brands, but many have faced serious problems in organizing their e‐business efforts, according to The Conference Board. The survey of 60 leading U.S. companies found that efforts have been stalled because of turf battles over what brands to promote and what corporate units should be in charge of Web‐based branding activities.

Fundholding (the opportunity to hold a budget at practice level) has given general practitioners (GPs) purchasing power for medical services within the reformed UK National Health Service (NHS). This new purchasing power equates to financial leverage with the NHS consultants in hospitals. Argues that fundholding is presented as an opportunity for GPs to engage in a “turf battle” with the hospital consultants without this battle becoming publicly visible. Fundholding as an accounting‐based intervention masked the nature of the professional challenge which GPs launched against the consultants and, hence, allowed territorial claims to be renegotiated through the medium of contracting. This circumvented the damage to medical professional ideologies which would have ensued if intra‐professional conflicts had become overt. The empirical study which is referred to indicates that GPs are using contracts to improve processes of case management at the hospital interface (an area where consultants have failed to communicate with GPs) and to have an input into the setting of quality standards within the hospitals. The increased financial flexibility conferred through holding budgets is also enabling GPs to expand in‐house services for primary care. Theorizes the changing power relations between GPs and consultants through exploring four dimensions of intra‐professional differentiation: task specialization; client differentiation; organization of work; and career pattern. Concludes that budgets have constituted a catalyst for professional development through reconnecting the monetary bonds between the polarized professionals in British medicine. This study indicates that, as fundholding progresses, the boundary between primary and secondary care is becoming blurred; that lead fundholding GPs are being managerialized; and that the purchasing dialogue between the GPs and the Trusts is marginalizing the role of the Health Boards (bodies which had previously held sole responsibility for the co‐ordination and delivery of health care but which now have a more limited purchasing/commissioning role).

The time is right for renewed and updated attention to the relationship between public relations (PR) and human resources (HR) departments in the context of corporate social responsibility (CSR) and sustainability. For too long, conflict between the two practice areas has obscured opportunities for collaboration which benefits organizations and stakeholders. This chapter offers theoretical underpinnings for examining an interdepartmental, cross-unit working relationship between HR and PR – and advances a vision for why it is needed now.

Horizontal mega portals power the Internet by guiding millions of users who wish to communicate, search, shop, and perform a multitude of other tasks made possible via the Internet. The purpose of this study is to find which portal service functions generate satisfied users in Korea and in the USA based on the concept that mega portals developed in different countries may have different macro‐level services that satisfy the portals' users.

The survey instrument was used to capture portal service usage and overall portal satisfaction. The exploratory nature of this study lends itself to a limited hypothesis regarding the significance of mega portal macro services on user satisfaction. Partial least square analysis via PLS‐Graph was used to analyze the data for the measurement model for portal satisfaction.

The result of the study shows that the influential C‐services factors for user satisfaction are different between Korea and the USA. User satisfaction for portal usage is significantly influenced by Content and Community in Korea and is significantly influenced by Content and Communication in the USA. But user satisfaction is not significantly influenced by Commerce and/or Coordination for either country.

This study verifies that there are preference differences between countries. As turf battles between major Internet portals continue, any ramp up of portal services without regard for what might be a very high user audience appeal or for what might be different based on cultural differences will likely generate a disappointing outcome.

Purpose – In this chapter, we report on the lessons of cross-disciplinary collaborative workshop between sociologists and engineering educators to synthesize what is known about legitimating and disseminating educational reform and to develop a research agenda for what needs to be known in order to spread educational reform and to overcome on-the-ground resistance to change.

Methodology/approach – This chapter is based on a case study of this workshop, describing the “white papers” prepared by participants prior to the workshop and the research agendas that emerged from discussions of them during the workshop and after.

Findings – The workshop resulted in a sophisticated research agenda as well as some modest efforts to create cross-disciplinary links to implement it. However, a one-time workshop did not overcome institutional barriers to this kind of activity.

Research limitations – Since this is a case study of a single collaboration we cannot generalize to all cross-disciplinary collaborations, although it does provide an example of what works to facilitate cross-disciplinary efforts and what obstacles remain.

Practical implications – An advantage to the workshop was the absence of institutional barriers to cross-disciplinary collaboration. Attendees were removed from their institutions, departments, disciplines, and turf battles. However, without increased institutional support for cross-disciplinary efforts, such as this one, the value of the social sciences for diffusing the innovations of science and engineering reform movements may not be realized.

Over the last decades concepts and practices related to intangibles gained momentum at international level especially within the economic, accounting and management arenas. However, dating back to the beginning of the 1900s, intangibles was a topic that in the USA dominated the law and taxation fields. Indeed, at that time few papers were published in accounting journals and reviews, whereas the majority populated law and taxation publications. The paper aims to discuss this issue.

Drawing upon the sociology of the profession, the ways through which lawyers and accountants constructed a “professional competition and power” (Dezalay and Sugarman, 2005) upon this arena are here explored. In particular, an in-depth analysis of the papers published on this field from the beginning of the 1900s until the 1970s in the USA is carried out.

Notwithstanding the current conceptualisation of intangibles as a field of research and practice at the margins (Miller, 1998) of accounting, the results achieved in the present research suggest that, at least historically, the topic of intangibles was highly intertwined not only within the different streams of accounting studies and practice, but also with the developments in legal and taxation fields that were surrounding the US economic, social and political institutional scenario.

The work intends to contribute to the current literature providing insights into the “genealogy” (Foucault, 1977) of the intangibles territory and the “turf battles” (Dezalay, 1995) it went through in order to become what has been defined as “a field upon which questions of disciplinary legitimacy have been raised” (Zambon, 2006) and, consequently, as characterized by “an intrusion of ‘external’ specialists into the accounting domain” (Power, 2001).