2013
DOI: 10.1080/12294659.2013.10805237
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Leadership in Street-Level Bureaucracy: An Exploratory Study of Supervisor-Worker Interactions in Emergency Medical Services

Abstract: Street-level bureaucrats operate in a world relatively free of supervision, exercising discretionary abilities often without the presence of formal authority figures or managers. Although wide latitude in decision making is a norm of frontline work, leaders may occasionally be present to supervise service provision. This exploratory research employs narrative inquiry to examine the interactions of street-level personnel and formal authority figures during service provision in emergency medical services. Result… Show more

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Cited by 31 publications
(36 citation statements)
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“…As frontline workers, these military liaisons are tasked with implementing civil-military crisis management policies. Similar to other frontline workers, they are faced with task pressures, lack of resources, and involuntary clients (see Henderson & Pandey, 2013;Lipsky, 1980). Due to their professionalism, considerable discretion, and the interorganizational work context, they display characteristics of policy entrepreneurs (Arnold, 2015;Durose, 2007Durose, , 2011Kørnøv et al, 2015) and are involved in the negotiation of policy outcomes (see Allison, 1971;Johansson, 2012).…”
Section: Case Descriptionmentioning
confidence: 99%
“…As frontline workers, these military liaisons are tasked with implementing civil-military crisis management policies. Similar to other frontline workers, they are faced with task pressures, lack of resources, and involuntary clients (see Henderson & Pandey, 2013;Lipsky, 1980). Due to their professionalism, considerable discretion, and the interorganizational work context, they display characteristics of policy entrepreneurs (Arnold, 2015;Durose, 2007Durose, , 2011Kørnøv et al, 2015) and are involved in the negotiation of policy outcomes (see Allison, 1971;Johansson, 2012).…”
Section: Case Descriptionmentioning
confidence: 99%
“…The third stream of research is concerned with the way front‐line managers deal with front‐line workers discretion, rule compliancy and rule deviation. Henderson and Pandey () for instance investigated narratives of interactions of street‐level personnel and formal authority figures during service provision in emergency medical services. The authors found that occasions for compliance and disregard for managerial directives are manifest.…”
Section: Literature Overviewmentioning
confidence: 99%
“…In addition, they report that compliant behaviour was evident when patient clinical needs were relatively clear and the effects of the directives were in accordance with the paramedic's notions of appropriate action. Deviation from orders was apparent when patient's positive outcomes were dependent on ignoring orders (Henderson et al., ).…”
Section: Literature Overviewmentioning
confidence: 99%
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“…The street-level bureaucrats literature (see Lipsky, 1980Lipsky, , 2010 and the parallel study of policy implementation (see Van Meter and Van Horn, 1972) demonstrates 'the inevitable gap between law-in-the-books and law-in-action' (Hunter, Bretherton, Halliday & Johnson, 2016, p. 81). Reasons for inconsistent or failure to activate legal levers include a lack of knowledge and procedures around legal provisions (see Baldwin & Black, 2007;Gofen, 2010;Weber, 2013), clarity of policy guidance and alignment with personal and professional values (see Bergen & Wile, 2004;Henderson & Pandey, 2013;Maynard-Moody & Musheno, 2003;Summers & Semrud-Clikeman, 2000;Tummers, 2011).…”
Section: Why a Tpp Truancy Intervention?mentioning
confidence: 99%