Co-optation as a response to competing institutional logics: Professionals and managers in healthcare

Andersson, Thomas; Liff, Roy

doi:10.1093/jpo/joy001

Cited by 81 publications

(109 citation statements)

References 50 publications

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“…However, we also found evidence of some consultants expressing co-optation as a more defensive strategy (Andersson & Liff, 2018), as a way of heading off an increasing number of complaints:…”

Section: One Of the Things That I Value In My Job Is The Ability To Ementioning

confidence: 65%

Changing Logics in Healthcare and Their Effects on the Identity Motives and Identity Work of Doctors

Martin

Bushfield

Siebert

et al. 2020

Organization Studies

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Recent literature on hybridity has provided useful insights into how professionals have responded to changing institutional logics. Our focus is on how shifting logics have shaped senior medical professionals’ identity motives and identity work in a qualitative study of hospital consultants in the United Kingdom’s National Health Service. We found a binary divide between a large category of traditionalist doctors who reject shifting logics, and a much smaller category of incorporated consultants who broadly accept shifting logics and advocate change, with little evidence of significant ambivalence or temporary identity ‘fixes’ associated with liminality. By developing a new inductively generated framework, we show how the identity motives and identity work of these two categories of doctors differ significantly. We explore the underlying causes of these differences, and the implications they hold for theory and practice in medical professionalism, medical professional leadership and healthcare reform.

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Section: One Of the Things That I Value In My Job Is The Ability To Ementioning

confidence: 65%

Changing Logics in Healthcare and Their Effects on the Identity Motives and Identity Work of Doctors

Martin

Bushfield

Siebert

et al. 2020

Organization Studies

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“…The traditional conflict model of institutional logics has been challenged, and there are calls for more nuanced approaches (Andersson & Liff, 2018). Many of these studies are case studies that provide little insight into the influence of institutional context on organizational fields.…”

Section: Conflicting Institutional Logics?mentioning

confidence: 99%

A New Professional Landscape: Entangled Institutional Logics in Two Swedish Welfare Professions

Alvehus

Andersson

2018

NJWLS

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Previous research has made three parallel but incompatible observations on the contemporary development of welfare professions: loss of professional autonomy, hybridization, and maintained autonomy. Yet, research providing contextual understanding of the simultaneous occurrence of these three observations is lacking. The aim of this theoretical paper is to identify and explain seemingly contradictory coexisting features of modern welfare professions through a comprehensive reading of current literature on the health care and teaching professions in Sweden. The literature has demonstrated entangled institutional logics, in which simultaneous but differing effects occur, thereby developing a new professional landscape.

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“…It was possible to place arguments within either a business‐like logic, or a professional logic. In studies of institutional logics in healthcare a division is sometimes drawn between physicians who base their actions on a logic of cure and nurses who base theirs on a logic of care (Andersson & Liff, ). In this study, however, we found that managers and directors argued on the basis of a business‐like logic whereas physicians and nurses both argued similarly on the basis of a professional logic which foregrounded the organisational and competence needs of their professional group.…”

Section: Discussionmentioning

confidence: 99%

Establishing a multidisciplinary day-care surgery department: Challenges for nursing management

Øygarden

Bjaalid

et al. 2018

J Nurs Manag

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Aim To increase our understanding of challenges in implementing multidisciplinary organisational models in hospitals. Background Health‐service policies internationally are pushing for multidisciplinary and patient‐centred organising models but there are challenges involved in moving from profession‐ and discipline‐based organising to the new solutions. Method Qualitative case study, interview and document data collected in real time following the implementation process. Results It was possible to argue for and against the new department applying either a business‐like logic or a professional logic. The respective logics gave different prescriptions for how a hospital department should be organised. Conclusion and Implications for Nursing Management The institutional logics perspective enables managers to understand resistance to new ways of organising work and may be useful in trying to foresee and handle challenges in implementing new organisation models. Managers need to analyse models carefully in terms of which parts may be seen as problematic in their own organisation, and invite all relevant stakeholders into participatory change processes. If the goal is to gather multiple professions and disciplines under one manager in order to increase patient centredness, arrangements must be made for professionals to stay connected to the wider community of practice centred around their specialized knowledge and skills.

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Co-optation as a response to competing institutional logics: Professionals and managers in healthcare

Cited by 81 publications

References 50 publications

Changing Logics in Healthcare and Their Effects on the Identity Motives and Identity Work of Doctors

Changing Logics in Healthcare and Their Effects on the Identity Motives and Identity Work of Doctors

A New Professional Landscape: Entangled Institutional Logics in Two Swedish Welfare Professions

Establishing a multidisciplinary day-care surgery department: Challenges for nursing management

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