Acknowledgements: We thank Henrich Greve and three anonomous reviewers for their extraordinary guidance throughout the review process. We would also like to thank Patricia Thornton, Marcus Britton, Ryon Lancaster, Peer Fiss, Klaus Weber and Brayden King for their thoughtful comments and critiques."Event Attention, Environmental Sensemaking, and Change in Institutional Logics:An Inductive Analysis of the Effects of Public Attention to Clinton's Health Care Reform Initiative."We explore attention to Clinton's health care reform proposal, ongoing debates, and its political demise to develop theory that explains how events create opportunities for cognitive realignment and transformation in institutional logics. Our case analysis illustrates how a bottoms-up process of environmental sensemaking led to the emergence and adoption of a logic of managed care, which provided new organizing principles in the hospitals' organizational field. In addition to theorization, highlighted by prior research, we propose a second mechanism of environmental sensemaking: representation of change through exemplars and environmental features. The interplay between theorization, representation and ongoing event attention can lead to change in institutional logics over an event's life course. We found that the managed care logic did not emerge in a fully-formed fashion, but that actors theorized individual dimensions of the logic consistent with changing representations of hospitals' relationships with other actors in the field. As the event unfolded, the individual dimensions came to be theorized as part of an overall managed care logic. The label "managed care," previously understood as a specific organizational form, took on a new meaning to symbolize the organizing principles for hospitals' relationships with a variety of institutional actors as alternative models not congruent with the changing organizational field were abandoned. 2 INTRODUCTIONEvents play a central role in shaping institutional change (Baron et al. 1986, Hoffman 1999, Fligstein 1991. Critical events are contextually dramatic happenings that focus sustained attention and invite the collective definition and redefinition of social issues (Pride 1995). Despite the prominence of eventcentered explanations, prior theoretical and empirical research has not focused on understanding how or why some events can alter existing institutional arrangements and trigger issue redefinitions. Hoffman (1999) and Hoffman and Ocasio (2001) provide an exception, focusing on public attention to events as a precursor to field-level change. This research shows that events are made salient and attract attention when they impact an industry's image and identity. This work fails to explain, however, the mechanisms by which event attention leads to institutional change.To fill this theoretical and empirical gap, this paper examines the effects of event attention on the emergence and adoption of dominant institutional logics. Institutional logics are the socially constructed organizing principl...

We examine how streams of communication enable the reproduction and change of the underlying principles that constitute institutional logics. While past research has shown that communication provides instantiations of institutional logics, the link between specific instances of communication and the emergence of institutional logics has not been explicitly shown. To remedy this gap, we propose that collections of communicative events distributed throughout organizations and institutional fields can converge on systems of categories so as to yield the meaningful and durable principles that constitute institutional logics. We explore how four analytically distinct communicative functions-coordinating, sensegiving, translating, and theorizing-enable this emergent process of reproduction and change.

The global scale and unpredictable nature of the current COVID-19 pandemic have put a significant burden on health care and public health leaders, for whom preparedness plans and evidence-based guidelines have proven insufficient to guide actions. This article presents a review of empirical articles on the topics of “crisis leadership” and “pandemic” across medical and business databases between 2003 (since SARS) and—December 2020 and has identified 35 articles for detailed analyses. We use the articles’ evidence on leadership behaviors and skills that have been key to pandemic responses to characterize the types of leadership competencies commonly exhibited in a pandemic context. Task-oriented competencies, including preparing and planning, establishing collaborations, and conducting crisis communication, received the most attention. However, people-oriented and adaptive-oriented competencies were as fundamental in overcoming the structural, political, and cultural contexts unique to pandemics.