The interplay of managerial and non-managerial controls, institutional work, and the coordination of laterally dependent hospital activities

This is the author accepted manuscript. The final version is available from Emerald via the DOI in this record.Purpose The purpose of this paper is to explore two hospital departments, one of which is laterally dependent on the other to function, but which are subject to distinct vertical managerial controls. This complexity in vertical–lateral relations generates tension amongst the hospital’s senior managers and a perception of coordination difficulties. However, this paper shows how the interplay between managerial and non-managerial controls, plus important employee “work”, moderates tension and facilitates day-to-day lateral coordination at the patient-facing level. Design/methodology/approach This is a case-study, relying mostly on the findings of semi-structured interviews. Theoretically, the paper draws from previous insights on inter-organisational relations (but informing the focus on intra-organisational coordination) and an “institutional work” perspective. Findings Consistent with much extant literature, this paper reveals how non-managerial controls help to moderate tensions that could emerge from the coercive use of managerial controls. However, the authors also show a maintained influence and flexibility in the managerial controls at patient-facing levels, as new circumstances unfold. Research limitations/implications The findings of this paper could generalise neither all laterally dependent spaces in hospitals nor patterns across different hospitals. The authors recommend future research into the dynamics and interaction of managerial and non-managerial controls in other complex settings, plus focus on the purposeful work of influential agents. Originality/value The paper has two primary contributions: extending our knowledge of the interplay between managerial and non-managerial controls inside complex organisations, where non-managerial controls reinforce rather than displace managerial controls, and highlighting that it is seldom just controls per se which “matter”, but also agents’ purposeful actions that facilitate coordination in complex organisations

Resolving learning paradoxes within a UK new-build housebuilder

The build quality of new UK homes is negatively affected by poor quality management practices during the construction process. By implementing stringent quality management (QM) standards, housebuilders can improve build quality but implementing these organization-wide changes relies on housebuilder staff, designers and sub-contractors learning new working practices. This paper explores the tensions which emerge within housebuilders, as they implement new QM procedures. A longitudinal qualitative case study was conducted, where time was spent with housebuilder staff in three regional offices, two years apart. Methods include participant observation, semi-structured interviews and a review of organizational documentation. The findings highlight several learning paradoxes which arise at different stages of the housebuilding process and show how actors manage (or cope with) these paradoxes through their daily practices. This includes processes of simplifying and applying, improvising and problem-solving and aggregating and analyzing. Whilst these either-or approaches enable staff to resolve the immediate tensions that arise from different organizational processes, they often fail to meet longer-term learning objectives, detrimentally affecting build quality over time. Without structural changes to the way volume housebuilders annually report to both the UK Government and their shareholders, organizations in the UK housebuilding sector face challenges in reconciling different learning processes

Characterising the Transfer of Biomarkers within the Phobos-Mars System

Procedural and analytical developments required for impact and heat investigation into the detection of biomarkers transported from Mars to Phobos

Reconceptualizing CSR in the media industry as relational accountability

In this paper, we reconceptualize CSR in the media industries by combining empirical data with theoretical perspectives emerging from the communication studies and business ethics literature. We develop a new conception of what corporate responsibility in media organizations may mean in real terms by bringing Bardoel and d’Haenens’ (European Journal of Communication 19 165–194 2004) discussion of the different dimensions of media accountability into conversation with the empirical results from three international focus group studies, conducted in France, the USA and South Africa. To enable a critical perspective on our findings, we perform a philosophical analysis of its implications for professional, public, market, and political accountability in the media, drawing on the insights of Paul Virilio. We come to the conclusion that though some serious challenges to media accountability exist, the battle for responsible media industries is not lost. In fact, the speed characterizing the contemporary media environment may hold some promise for fostering the kind of relational accountability that could underpin a new understanding of CSR in the media

Retinotopic remapping of the visual system in deaf adults

Sound is a vital cue in helping hearing people orient their gaze and attention towards events outside their central line of sight, especially in the far periphery, where vision is poor. Without sound cues, deaf individuals must rely on vision as an ‘early warning system’ for peripheral events, and in fact numerous behavioural studies demonstrate that deaf adults have superior visual sensitivity, particularly to far peripheral stimuli. We asked whether an increased demand on peripheral vision throughout development might be reflected in early visual brain structures. Using functional magnetic resonance imaging (fMRI), we mapped visual field representations in 16 early, profoundly deaf adults and 16 hearing age-matched controls. To target the far periphery, we used wide-field retinotopic mapping stimuli to map visual field eccentricity out to 72°, well beyond conventional mapping studies. Deaf individuals exhibited a larger representation of the far peripheral visual field in both the primary visual cortex and the lateral geniculate nucleus of the thalamus. Importantly, this was not due to a total expansion of the visual map, as there was no difference between groups in overall size of either structure, but a smaller representation of the central visual field in the deaf group, suggesting a redistribution of neural resources. Here, we demonstrate for the first time that the demands placed on vision due to lifelong hearing loss can sculpt visual maps at the first level of inputs from the retina, increasing neural resources for processing stimuli in the far peripheral visual field

Food venue choice, consumer food environment, but not food venue availability within daily travel patterns are associated with dietary intake among adults, Lexington Kentucky 2011

Objective The retail food environment may be one important determinant of dietary intake. However, limited research focuses on individuals’ food shopping behavior and activity within the retail food environment. This study’s aims were to determine the association between six various dietary indicators and 1) food venue availability; 2) food venue choice and frequency; and 3) availability of healthy food within food venue. Methods In Fall, 2011, a cross-sectional survey was conducted among adults (n=121) age 18 years and over in Lexington, Kentucky. Participants wore a global position system (GPS) data logger for 3-days (2 weekdays and 1 weekend day) to track their daily activity space, which was used to assess food activity space. They completed a survey to assess demographics, food shopping behaviors, and dietary outcomes. Food store audits were conducted using the Nutrition Environment Measurement Survey-Store Rudd (NEMS-S) in stores where respondents reported purchasing food (n=22). Multivariate logistic regression was used to examine associations between six dietary variables with food venue availability within activity space; food venue choice; frequency of shopping; and availability of food within food venue. Results 1) Food venue availability within activity space – no significant associations. 2) Food Venue Choice – Shopping at farmers’ markets or specialty grocery stores reported higher odds of consuming fruits and vegetables (OR 1.60 95% CI [1.21, 2.79]). Frequency of shopping - Shopping at a farmers’ markets and specialty stores at least once a week reported higher odds of consumption of fruits and vegetables (OR 1.55 95% CI [1.08, 2.23]). Yet, shopping frequently at a super market had higher odds of consuming sugar-sweetened beverages (OR 1.39 95% CI [1.03, 1.86]). 3) Availability of food within store – those who shop in supermarkets with high availability of healthy food has lower odds of consuming sugar-sweetened beverages (OR 0.65 95% CI [0.14, 0.83]). Conclusion Interventions aimed at improving fruit and vegetable intake need to consider where individuals’ purchase food and the availability within stores as a behavioral and environmental strategy

Neighborhood characteristics associated with the location of food stores and food service places

http://deepblue.lib.umich.edu/bitstream/2027.42/56186/1/Morland K, Neighborhood characteristics associated with the location of food stores and food service places, 2002.pd

Why do eggs fail? Causes of hatching failure in threatened populations and consequences for conservation

Reproductive failure is ubiquitous. However, research on the mechanisms underpinning reproductive failure is still lacking in most species. This gap in our understanding has particularly strong repercussions for threatened species and it hinders our ability to establish effective interventions to improve survival. In this review, we focus on why eggs fail to hatch – one of the most critical and understudied aspects of bird reproduction. We identify the main drivers of hatching failure in threatened populations of birds and the key mechanisms that cause failure at different stages of development inside the egg. We then discuss the importance of management interventions aimed at reducing hatching failure in species of conservation concern. Our review highlights the need for a better understanding of the mechanistic basis of hatching failure in non‐model bird species and identifies the methodological tools necessary to achieve this