Risking the Sustainability of the Public Health System: Ethical Conundrums and Ideologically Embedded Reform

Professional identity research in the health professions—a scoping review

“…Forty-five studies (28%) were concerned with the political, social and healthcare reforms and advances. This included the impact on professional identity (35 or 22%) (Bertin & Pantalone, 2019 ; Blomberg, 2016 ; Bludau, 2017 ; Bochatay, 2018 ; Brunton, 2017 ; Carpenter & Platt, 1997 ; Cascón-Pereira et al, 2016 ; Currie et al, 2010 ; Dahl & Clancy, 2015 ; de Meis et al, 2007 ; Feen-Calligan, 2012 ; Frechette et al, 2020 ; Furtaw, 2004 ; Gent, 2017 ; Gomaa, 1999 ; Handy et al, 2020 ; Hendrikx, 2018 ; Hurley, 2009 ; Iglesias & De Bengoa Vallejo, 2011 ; Kyratsis et al, 2017 ; Larsson et al, 2009 ; McMurray & Pullen, 2008 ; Mishra et al, 2012 ; O’Shea & McGrath, 2019 ; Ocek & Vatansever, 2014 ; Piil et al, 2012 ; Porter & Wilton, 2019 ; Sanders, 2019 ; Snelgrove, 2009 ; Takashima & Saeki, 2019 ; Thompson, 2005 ; Thomson et al, 2014 ; Vincifori & Molinar, 2014 ; Wiles & Vicary, 2019 ; Zufferey, 2012 ), the role of professional identity in adjusting to these reforms or advances (8) (Bertrand, 2009 , 2010 ; Dadich et al, 2015 ; Deppoliti, 2003 ; Franco & Tavares, 2013 ; Gregg & Magilvy, 2001 ; Hammond et al, 2016 ; Wright, 2007 ) as well as the broader impact of political and social reform on recruitment and retention of health care workers through professional identity effects (2) (Allen, 2011 ; Deppoliti, 2008 ).…”

“…This included one study which in which societal expectations around gender was the focus of professional identity (Lewis, 2004 ) and one study in which situated learning was identified as the focus (Beckett & Gough, 2004 ). Narrative perspectives of professional identity were identified in 10 studies (Blomberg, 2016 ; Brunton, 2017 ; Carra et al, 2017 ; Clandinin & Cave, 2008 ; Dahl & Clancy, 2015 ; de Meis et al, 2007 ; Dombeck, 2003 ; Fragkiadaki et al, 2019 ; Karpetis, 2014 ; Leigh, 2014 ) and poststructural and critical perspectives in 6 studies (Bludau, 2017 ; Gent, 2017 ; McMurray & Pullen, 2008 ; McNamara, 2010 ; Ngai, 2007 ; O’Shea & McGrath, 2019 ). Individual perspectives were identified in three studies including psychological/developmental approaches theories (Branch, 2016; Chan et al, 2018 ) and learning impacting the individual (1) (Arai et al, 2017 ).…”

Explaining health system responses to public reporting of cardiac surgery mortality in England and the USA

“…This approach is consistent with wider institutional theory which posits institutions as the array of interests and ideas, norms and practices as well as formal structures and rules (Alvesson and Spicer, 2019). Scott's notion of institutional pillars is insightful as it argues that institutions comprise regulative, normative and cultural-cognitive elements, which Scott termed ‘pillars’ (Checkland et al , 2012; Muzio et al , 2013; Brunton, 2017). The pillars are not mutually exclusive; they interact together so that each shapes and is shaped by the behaviours by individuals and groups, at different institutional levels – at the clinical–patient interface, at organisational levels and at policy/institutional levels.…”

Ideologies in Markets, Organizations, and Business Ethics: Drafting a Map: Introduction to the Special Issue

“…That and how beliefs are put into action is addressed by the majority of the articles in this volume. ''Beliefs in action'' have led to, for example, shifting frontiers between economy and polity (Djelic and Etchanchu 2015) and the mobilization of ideologies to prevent the importation of Chinese solar panels to Europe (Kolk and Curran 2015); it sparked activities of social movements (Panayiotis 2016) or social entrepreneurs (Dey and Lehner 2016); coined health reforms in New Zealand (Brunton 2016); or counteracted CSR measures (Bento et al 2016).…”