Coping with contradictions: Hybrid professionals managing institutional complexity

Journal of Professions and Organization

Volumn 2, Issue 1, 2015, Pages 78-102

  Blomgren, Maria ^a   Waks, Caroline ^a  

^a UPPSALA UNIVERSITY   (Sweden)

Author keywords

Health care; Hybrid professionals; Institutional complexity; Institutional logics; Translation

Indexed keywords

EID: 84946029472     PISSN: 20518803     EISSN: 20518811     Source Type: Journal    
DOI: 10.1093/jpo/jou010     Document Type: Article

References (79)

1. Abbott, A. (1988) The System of Professions: An Essay on the Division of Expert Labor. Chicago, IL: University of Chicago Press.
2. Battilana, J. and Dorado, S. (2010) 'Building Sustainable Hybrid Organizations: The Case of Commercial Microfinance Organizations', Academy of Management Journal, 53/6: 1419-40.
3. Bejerot, E. and Hasselbladh, H. (2011) 'Professional Autonomy and Pastoral Power: The Transformation of Quality Registers in Swedish Health Care', Public Administration, 89/4: 1604-21.
4. Blomgren, M. (2007) 'The Drive for Transparency: Organizational Field Transformations in Swedish Healthcare', Public Administration, 85/1: 67-82.
5. and Sahlin-Andersson, K. (2007) 'Quest for Transparency: Signs of a New Institutional Era in the Health Care Field'. In: P., Laegreid and T., Christensen (eds.) Transcending New Public Management, pp. 155-178. Ashgate: Aldershot.
6. and Waks, C. (2010) 'Ett nytt tänk. öppna jämförelser i hälso-och sjukvardens lednings-, styrnings-och kvalitetsarbete'. Stockholm: SALAR.
7. Brante, T. (2011) 'Professions as Science-Based Occupations', Professions and Professionalism, 1/1: 4-20.
8. Corbin, J. and Strauss, A. (2008) Basics of Qualitative Research. London: Sage Publications.
9. Cyert, R. M. and March, J. G. (1963) A Behavioral Theory of the Firm. Englewood Cliffs: Prentice Hall.
10. Czarniawska, B. (2009) 'Emerging Institutions: Pyramids or Anthills?', Organization Studies, 30: 423-41.
11. Czarniawska-Joerges, B. and Sevón, G. (1996) Translating Organizational Change. New York: Walter de Gruyter.
12. DiMaggio, P. (1997) 'Culture and Cognition', Annual Review of Sociology, 23: 263-87.
13. and Powell, W. W. (1983) 'The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields', American Sociological Review, 48: 147-60.
14. Drori, G., Meyer, J., Ramirez, F. et al. (2003) Science in the Modern World Polity: Institutionalization and Globalization. Stanford, CA: Stanford University Press.
15. Dunn, M. B. and Jones, C. (2010) 'Institutional Logics and Institutional Pluralism: The Contestation of Care and Science Logics in Medical Education, 1967-2005', Administrative Science Quarterly, 55: 114-49.
16. Friedland, R. and Alford, R. R. (1991) 'Bringing Society Back In: Symbols, Practices, and Institutional Contradictions'. In: W., Powell and P. J., DiMaggio (eds.) The New Institutionalism in Organizational Analysis, pp. 232-63. Chicago, IL: The University of Chicago Press.
17. Fischer, M. D. and Ferlie, E. (2013) 'Resisting Hybridisation Between Modes of Clinical Risk Management: Contradiction, Contest, and the Production of Intractable Conflict', Accounting, Organizations and Society, 38: 30-49.
18. Freidson, E. (1994) Professionalism Reborn. Theory, Prophecy and Policy. Chicago, IL: The University of Chicago Press.
19. (2001) Professionalism: The Third Logic. Cambridge: Polity Press.
20. Garpenby, P. (1999) 'Resource Dependency, Doctors and the State: Quality Control in Sweden', Social Science and Medicine, 49/3: 405-24.
21. Glaser, B. G. and Strauss, A. (1967) Discovery of Grounded Theory. Strategies for Qualitative Research. Chicago: Aldine Publishing Company.
22. Goodrick, E. and Reay, T. (2011) 'Constellations of Institutional Logics: Changes in the Professional Work of Pharmacists', Work and Occupations, 38/3, 372-416.
23. Greenwood, R., Suddaby, R., and Hinings, C. R. (2002) 'Theorizing Change: The Role of Professional Associations in the Transformation of Institutionalized Fields', Academy of Management Journal, 45/1: 58-80.
24. Diaz, A. M., Li, S. X. et al. (2010) 'The Multiplicity of Institutional Logics and the Heterogeneity of Organizational Responses', Organization Science, 21/2: 521-39.
25. Raynard, M., Kodeih, F. et al. (2011) 'Institutional Complexity and Organizational Responses', The Academy of Management Annals, 5/1: 317-71.
26. Hopwood, A. and Miller, P. (1994) Accounting as a Social and Institutional Practice. Cambridge: Cambridge University Press.
27. Hult, E. (2012) The Proliferation of Evidence-Based Medicine: Ideas, Translations and Advocates. Uppsala: Department of Business Studies, Uppsala University.
28. Kraatz, M. S. and Block, E. S. (2008) 'Organizational Implications of Institutional Pluralism'. In: R., Greenwood, C., Oliver, K., Sahlin et al. (eds.) The Sage Handbook of Organizational Institutionalism, pp. 243-75. London: Sage Publications.
29. Kitchener, M. J. (2002) 'Mobilizing the Logic of Managerialism in Professional Fields: The Case of Academic Health Centre Mergers', Organization Studies, 23/3: 391-420.
30. Kurunmäki, L. (2004) 'A Hybrid Profession: The Acquisition of Management Accounting Expertise by Medical Professionals', Accounting Organizations and Society, 29/3-4: 327-47.
31. Levay, C. (2006) 'De nationella kvalitetsregistren som verktyg för transparens'. In: C., Levay and C., Waks (eds.) Strävan efter transparens: Granskning, styrning och organisering i sjukva rdens nätverk. Stockholm: SNS.
32. and Waks, C., (eds.) (2006) Strävan efter transparens: Granskning, styrning och organisering i sjukvardens nätverk. Stockholm: SNS.
33. (2007) 'Creating Transparency. The Role of Professionals in Visualizing Heath Care'. Paper presented at the 23rd EGOS Colloquium, 5-7 July 2007, Vienna.
34. (2009) 'Professions and the Pursuit of Transparency: Two Cases of Soft Autonomy', Organization Studies, 30/5: 509-27.
35. Lounsbury, M. (2002) 'Institutional Transformation and Status Mobility: The Professionalization of the Field of Finance', Academy of Management Journal, 45/1: 255-66.
36. (2007) 'A Tale of Two Cities: Competing Logics and Practice Variation in the Professionalizing of Mutual Funds', The Academy of Management Journal, 50/2: 289-307.
37. Läkartidningen (2008) 'Kan kvalitetsregister värdera vardkvalitet?', 47/105: 3452-5.
38. (2009a) 'Att ekonomiskt stimulera till bättre kvalitet i varden-nagra förslag', 14/106: 1028-9.
39. (2009b) 'Kvalitetsregisterarbete ska tala granskning', 18- 19/106: 1289-90.
40. (2009c) 'De psykiatriska kvalitetsregistren bidrar inte till ökad kunskap om sjukdom och behandling', 18-19/106: 1290.
41. (2009d) 'Kritiken visar behov av ökade kunskaper om registrens syfte', 26-27/106: 1749-51.
42. (2009e) 'Huvudfragan ännu obesvarad!', 28-29/106: 1835-6.
43. (2009f) 'Evidensbasera kvalitetsregistren!', 30-31/106: 1912-3.
44. (2009g) 'Kvalitetsmätning behövs-men kan inte värdera vardkvalitet', 34/106: 2067-8.
45. McGivern, G., Currie, G., Ferlie, E., et al. (in press) 'Hybrid Manager-Professionals' Identity Work, the Maintenance and Hybridization of Medical Professionalism in Managerial Contexts', Public Administration.
46. McPherson, C. M., and Sauder, M. (2013) 'Logics in Action: Managing Institutional Complexity in a Drug Court', Administrative Science Quarterly, 58/2: 165-96.
47. Meyer, J. (1996) 'Otherhood: The Promulgation and Transmission of Ideas in the Modern Organizational Environment'. In: B., Czarniawska and G., Sevón (eds.) Translating Organizational Change, pp. 241-52. Berlin: De Gruyter.
48. Miller, P., Kurunmäki, L. and O'Leary T. (2008) 'Accounting, Hybrids and the Management of Risk', Accounting, Organizations and Society, 33: 942-67.
49. Rose, N. (1990) 'Governing Economic Life', Economy and Society, 19: 1-31.
50. Murray, F. (2010) 'The Oncomouse That Roared: Hybrid Strategies as a Source of Distinction at the Boundary of Overlapping Institutions', American Journal of Sociology, 116/2: 341-88.
51. Noordegraaf, M. (2007) 'From "Pure" to "Hybrid" Professionalism: Present-Day Professionalism in Ambiguous Public Domains', Administration and Society, 39/6: 761-85.
52. (2011) 'Risky Business: How Professionals and Professional Fields (Must) Deal with Organizational Issues', Organization Studies, 32: 1349.
53. Östergren, K. and Sahlin-Andersson, K. (1998) Att hantera skilda världar. Läkares chefskap i mötet mellan profession, politik och administration. Stockholm: Landstingsförbundet.
54. Pache A. C. and Santos, F. (2010) 'When Worlds Collide: The Internal Dynamics of Organizational Responses to Conflicting Institutional Demands', Academy of Management Review, 35/3: 455-76.
55. (2013) 'Embedded in Hybrid Contexts: How Individuals in Organizations Respond to Competing Institutional Logics', Research in the Sociology of Organizations, 39B: 3-35.
56. Power, M. (1997) The Audit Society. Oxford: Oxford University Press.
57. Reay, T. and Hinings, C. R. (2005) 'The Recomposition of an Organizational Field: Health Care in Alberta, Organization Studies, 26/3: 351-84.
58. (2009) 'Managing the Rivalry of Competing Institutional Logics', Organization Studies, 30: 629-52.
59. Golden-Biddle, K., and Germann, K. (2006) 'Legitimizing a New Role: Small Wins and Micro-processes of Change', Academy ofManagement Journal, 49/4: 977-98.
60. Sahlin-Andersson, K. (1996) 'Imitating by Editing Success: The Construction of Organizational Fields'. In: B., Czarniawska and G., Sevón (eds.) Translating Organizational Change, pp. 69-92. Berlin: De Gruyter.
61. and Engwall, L. (2002) 'Carriers, Flows, and Sources of Management Knowledge'. In: K., Sahlin-Andersson and L., Engwall (eds.) The Expansion of Management Knowledge, pp. 3-32. Stanford, CA: Stanford University Press.
62. Sahlin, K. and Wedlin, L. (2008) 'Circulating Ideas: Imitation, Translation and Editing'. In: R., Greenwood, C., Oliver, K., Sahlin et al. (eds.) The Sage Handbook of Organizational Institutionalism, pp. 218-42. London: Sage Publications.
63. SALAR and NBHW (2006) Öppna jämförelser av hälso- och sjukvardens kvalitet och effektivitet [Open Comparison]. Stockholm: Sveriges kommuner och Landsting och Socialstyrelsen.
64. (2007)Öppna jämförelser av hälso-och sjukvardens kvalitet och effektivitet [Open Comparison]. Stockholm: Sveriges kommuner och Landsting och Socialstyrelsen.
65. (2008)Öppna jämförelser av hälso-och sjukvardens kvalitet och effektivitet [Open Comparison]. Stockholm: Sveriges kommuner och Landsting och Socialstyrelsen.
66. (2009)Öppna jämförelser av hälso-och sjukvardens kvalitet och effektivitet [Open Comparison]. Stockholm: Sveriges kommuner och Landsting och Socialstyrelsen.
67. Scott, W. R. (2008) 'Lords of the Dance: Professionals as Institutional Agents', Organization Studies, 29: 219.
68. Ruef, M., Mendel, P. J., et al. (2000) Institutional Change and Health Care Organizations. London: The University of Chicago Press.
69. Silverman, D. (2005) Doing Qualitative Research. London: SAGE Publications.
70. Smets, M. and Jarzabkowski, P. (2013) 'Reconstructing Institutional Complexity in Practice: A Relational Model of Institutional Work and Complexity', Human Relations, 66: 1279-309.
71. Stake, R. E. (1994) 'Case Studies'. In: N. K., Denzin and Y.S., Lincoln (eds.) Handbook of Qualitative Research, pp. 236-47. London: Sage.
72. Thornton, P. H. (2002) 'The Rise of the Corporation in the Craft Industry: Conflict and Conformity in Institutional Logics', Academy of Management Journal, 45/1: 81-101.
73. and Ocasio, W. (1999) 'Institutional Logics and the Historical Contingency of Power in Organizations: Executive Succession in the Higher Education Publishing Industry, 1958-1990', American Journal of Sociology, 105: 801-43.
74. (2008) 'Institutional logics'. In: R., Greenwood, C., Oliver, K., Sahlin et al. (eds.) Sage Handbook of Organizational Institutionalism. pp. 99-129. Los Angeles, CA: Sage.
75. and Lounsbury, M. (2012) The Institutional Logics Perspective: A New Approach to Culture, Structure and Processes. Oxford: Oxford University Press.
76. Waring, J. and Currie, C. (2009) 'Managing Expert Knowledge: Organizational Challenges and Managerial Futures for the UK Medical Profession'. Organization Studies, 30: 755-78.
77. Weick, K. (1976) 'Educational Organizations as Loosely Coupled Systems'. Administrative Science Quarterly, 21: 1-19.
78. Westenholz, A. (2009) 'Institutional Entrepreneurs Performing in Meaning Arenas: Transgressing Institutional Logics in Two Organizational Fields'. In: R. E., Meyer, K., Sahlin, M. J., Ventresca et al. (eds.) Institutions and Ideology, pp. 283-311. Bingley: Emerald.
79. Zilber, T. B. (2013) 'Institutional Logics and Institutional Work: Should They Be Agreed?' Research in the Sociology of Organizations, 39A: 77-96.