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Understanding institutional work through social interaction in highly institutionalized settings: Lessons from public healthcare organizations

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  • Andersson, Thomas
  • Gadolin, Christian

Abstract

The present study describes and analyses how social interactions between individual actors form institutional work in the highly institutionalized setting of healthcare organizations. Based on a qualitative case study, we affirm that social interactions mainly form maintaining institutional work, thus primarily upholding the rigidity of healthcare organizations. Social interactions either preserve distance between different actors or prevent their mutual influence, which decreases the effects of institutional complexity. However, when institutional work goes beyond maintaining, social interaction is characterized by processes of claiming influence and granting influence between individual actors who adhere to different institutional logics, which allows effects of institutional complexity. Such institutional work is contingent upon physicians’ strong power position, and granting influence is likely to precede claiming influence.

Suggested Citation

  • Andersson, Thomas & Gadolin, Christian, 2020. "Understanding institutional work through social interaction in highly institutionalized settings: Lessons from public healthcare organizations," Scandinavian Journal of Management, Elsevier, vol. 36(2).
    • Handle: RePEc:eee:scaman:v:36:y:2020:i:2:s0956522119302180
    DOI: 10.1016/j.scaman.2020.101107
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    1. Sztompka, Piotr, 2008. "The Focus on Everyday Life: a New Turn in Sociology," European Review, Cambridge University Press, vol. 16(1), pages 23-37, February.
    2. Sirris, Stephen, 2019. "Coherent identities and roles? Hybrid professional managers’ prioritizing of coexisting institutional logics in differing contexts," Scandinavian Journal of Management, Elsevier, vol. 35(4).
    3. T. Lawrence & R. Suddaby & B. Leca, 2009. "Introduction : Theorizing and studying institutional work," Post-Print hal-00808954, HAL.
    4. Laura Empson & Imogen Cleaver & Jeremy Allen, 2013. "Managing Partners and Management Professionals: Institutional Work Dyads in Professional Partnerships," Journal of Management Studies, Wiley Blackwell, vol. 50(5), pages 808-844, July.
    5. Paresh Wankhade & Geoffrey Heath & James Radcliffe, 2018. "Cultural change and perpetuation in organisations: evidence from an English emergency ambulance service," Public Management Review, Taylor & Francis Journals, vol. 20(6), pages 923-948, June.
    6. Lindberg, Kajsa, 2014. "Performing multiple logics in practice," Scandinavian Journal of Management, Elsevier, vol. 30(4), pages 485-497.
    7. Rodolphe Durand & Hayagreeva Rao & Philippe Monin, 2003. "Institutional Change in Toque Ville: Nouvelle Cuisine as an Identity Movement in French Gastronomy," Post-Print hal-00480858, HAL.
    8. Ernst, Jette, 2019. "The curse of bureaucratisation or the blessings of professionalisation? Nurses’ engaged adoption of quality management in hybrid managerial positions," Scandinavian Journal of Management, Elsevier, vol. 35(3).
    9. Leo McCann & Edward Granter & Paula Hyde & John Hassard, 2013. "Still Blue-Collar after all these Years? An Ethnography of the Professionalization of Emergency Ambulance Work," Journal of Management Studies, Wiley Blackwell, vol. 50(5), pages 750-776, July.
    10. Thomas Lawrence & Roy Suddaby & Bernard Leca, 2009. "Introduction: theorizing and studying institutional work," Post-Print hal-00576557, HAL.
    11. T. Lawrence & R. Suddaby & B. Leca, 2011. "Institutional work - Re-focusing institutional studies of organization," Post-Print hal-00802293, HAL.
    12. Elizabeth Goodrick & Trish Reay, 2010. "Florence Nightingale Endures: Legitimizing a New Professional Role Identity," Journal of Management Studies, Wiley Blackwell, vol. 47(1), pages 55-84, January.
    13. Hayagreeva Rao & Philippe Monin & Rodolphe Durand, 2003. "Institutional change in toque ville : Nouvelle cuisine as an identity movement in French gastronomy," Post-Print hal-02311672, HAL.
    14. Arman, R. & Liff, R. & Wikström, E., 2014. "The hierarchization of competing logics in psychiatric care in Sweden," Scandinavian Journal of Management, Elsevier, vol. 30(3), pages 282-291.
    15. Kristiansen, Margrethe & Obstfelder, Aud & Lotherington, Ann Therese, 2015. "Nurses’ sensemaking of contradicting logics: An underexplored aspect of organisational work in nursing homes," Scandinavian Journal of Management, Elsevier, vol. 31(3), pages 330-337.
    16. Vossen, Emmie & van Gestel, Nicolette, 2019. "Translating macro-ideas into micro-level practices: The role of social interactions," Scandinavian Journal of Management, Elsevier, vol. 35(1), pages 26-35.
    17. Andersson, Thomas & Cäker, Mikael & Tengblad, Stefan & Wickelgren, Mikael, 2019. "Building traits for organizational resilience through balancing organizational structures," Scandinavian Journal of Management, Elsevier, vol. 35(1), pages 36-45.
    18. Paul S. Adler & Seok-Woo Kwon, 2013. "The Mutation of Professionalism as a Contested Diffusion Process: Clinical Guidelines as Carriers of Institutional Change in Medicine," Journal of Management Studies, Wiley Blackwell, vol. 50(5), pages 930-962, July.
    19. Topal, Cagri, 2015. "A relational perspective of institutional work," Journal of Management & Organization, Cambridge University Press, vol. 21(4), pages 495-514, July.
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    2. Vogelgsang, Lukas, 2022. "‘When creativity gets you fired—why professionals tasked with innovation employ subversion when facing competing institutional demands in hybrid organizations’," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics.

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