Two qualitative studies in the U.K. health care sector trace eight purposefully selected innovations. Complex, contested, and nonlinear innovation careers emerged. Developing perspective on spread further, we theorize that multi-professionalization shapes "nonspread." Social cognitive boundaries between different professions retard spread, as individual professionals operate within unidisciplinary communities of practice. This new theory helps explain barriers to multiprofessional...

Sexual harassment of women in organizational settings has recently become a topic interest to researchers and the general public alike. Although numerous studies document its frequency, development conceptual models identifying antecedents consequences proceeded at slower pace. In this article, an empirical test proposed model is described. According model, climate for sexual job gender context are critical harassment; harassment, turn, influences work-related variables (e.g., satisfaction);...

Over the years manufacturing managers have been unified by their acceptance of certain terminology to describe generic production processes. This has facilitated sharing ideas and management techniques development our understanding process choice implications on strategies. In service literature, no model so powerful or pervasive as model. Postulates that a typology which transcends narrow industry boundaries may lead some cross‐fertilization an methods appropriate each type. Proposes...

Previous evidence regarding the outcomes of sexual harassment in workplace has come mainly from self-selected samples or analogue studies those using inadequate measures. The experiences, coping responses, and job-related psychological 447 female private-sector employees 300 university were examined. Discriminant function analyses indicated that women who had not been harassed experienced low, moderate, high frequencies could be distinguished on basis both outcomes. These attributed to...

We examine the ‘identity work’ of manager–professional ‘hybrids’, specifically medical professionals in managerial roles British National Health Service, to maintain and hybridize their professional identity wider professionalism organizational policy contexts affected by managerialist ideas. Empirically, we differentiate between ‘incidental hybrids’, who represent protect traditional institutionalized while temporarily hybrid roles, ‘willing developed professional–managerial identities...

The last two decades have seen a shift in public services organizations from hierarchies to networks. Network forms are as particularly suited handling ‘wicked problems'. We make an assessment of the nature and impact this shift. Using recent evidence United Kingdom (UK) National Health Service (NHS), we explore functioning eight different policy also interested whether there has been radical transition – or not hierarchical network forms.

This article aims to provide a reassessment of the processes diffusion innovations into organizations, based on new empirical data. The focus is latter stages process. draws results two studies, which examined in health care UK. These projects were matched pair qualitative using purposeful selections comparative case studies. demonstrate ambiguous, contested nature scientific knowledge. highly interactive diffusion, with active adopters illustrated. There no evidence single adoption...

This article focuses on the diffusion and adoption of innovations in clinical practice. The authors are specifically interested underresearched questions concerning latter stages creation, diffusion, new knowledge, namely: What makes this information credible therefore utilized? Why do actors decide to use knowledge? And what is significance social context which a part? first appeared Health Care Management Review, 27(3), 35-47.

Research has consistently documented a discrepancy between experiencing offensive sex-related behaviors and labeling these situations as sexual harassment, leading to several attempts understand this phenomenon. The authors propose that the issue of why it is women who report such experiences generally do not indicate they have been sexually harassed an important psychological question, may provide path through nested meanings workplace harassment. argue for value moving beyond descriptive...

This article focuses on the diffusion and adoption of innovations in clinical practice. The authors are specifically interested underresearched questions concerning latter stages creation, diffusion, new knowledge, namely: What makes this information credible therefore utilized? Why do actors decide to use knowledge? And what is significance social context which a part?

This article illustrates how distributed change agency can implement complex organizational changes in the absence of formal management plans, roles, and structures. Distributed typically involves small teams senior groups. In this qualitative study service improvements treatment prostate cancer at an acute hospital, Grange, roles were more widely, with responsibilities `migrating' among a large informal cast supporting four central characters. distribution appears to have been triggered by...

The current study examines experiences of interpersonal mistreatment in federal litigation among a random sample 4,608 practicing attorneys. Using both quantitative and qualitative survey data, we documented the nature interplay general incivility, gender-related unwanted sexual attention. Nearly 75% female attorneys had experienced some form this misconduct previous five years, compared to half male An in-depth examination instigators revealed that not only fellow but also judges, court...

Research on sexual harassment has recently expanded to include examination of men's experiences. Such research, however, ignored the power dynamics involved in and typically assumed exclusively heterosexual situations. We examine legal cases illustrating many forms that male-male may take complex array situations which such occurs. then report frequencies experiences three large samples working men as well sex perpetrators harassment. Finally, we evaluations these determine degree they found...

Although considerable attention has been paid to the frequency of sexual harassment in military (e.g., Martindale, 1991 M. (1991). Sexual military: 1988. Sociological Practice Review, 2, 200–216. [Google Scholar]), and more recent work begun document its antecedents Hunter Williams, Fitzgerald, & Drasgow, 1999 J., L. F., . F. (1999/this issue). The effects organizational practices on individual outcomes military. Military Psychology, 11,303–328.[Taylor Francis Online], [Web Science ®] ,...

The competency framework has attracted interest in the business world at a time when organisations are faced with pressing need to develop right calibre of people and particularly their managers. Organisations have always been striving ‘effective’ manager. Nowadays demand achieve this goal rests on rate change which necessitates continuous transformation. therefore enthusiastically applied as panacea, sometimes little thought its potentially wider implications. article starts critical...

Evidence-based medicine was one of the earliest manifestations evidence-based policy and practice, has exercised substantial influence on other areas. Based data from seven empirical studies carried out between 1993 1999, this article examines origins impact EBM, complexities implementation which have emerged. Policy makers EBM enthusiasts alike frequently taken a somewhat simplistic view gap they seek to address. Understanding clinicians' mixed reactions rhetoric helps explain both why had...

This article examines empirical evidence on the impact of introduction a quasi-market in healthcare UK professionals, especially doctors. Data are drawn from two longitudinal studies occurring between 1990 and 1994, aspects changes to health system. collection involved range methods, including observation, interviews, questionnaires archival material. The findings show that unilateral analysis quasimarket professionals is inadequate understand situation. responses change have had major...