Connecting worlds: the translation of international auditing standards into post-Soviet audit practice

This paper analyses the use and circulation of nternational auditing standards within a large post-Soviet Russian audit firm, as it faces up to the challenges of international harmonisation. It describes this process as one of ‘connecting worlds’ and translation. In a detailed field study based investigation, it traces various attempts to articulate and link Soviet and post-Soviet worlds, old and new imagined audit worlds. The paper underscores the fragile and precarious nature of international standardisation projects. It shows how ideals of audit universalism and international comparability become enmeshed in, and challenged by, global divisions of audit labour, problems and practices of power and exclusion, and struggles for intra-professional distinction, which in turn undermine as well as promote the connecting of worlds through standards

Stress on the Ward – An Empirical Study of the Nonlinear Relationship between Organizational Workload and Service Quality

We discuss the impact of organizational workload on professional service outcomes, such as survival rates in hospitals. The prevailing view in the literature is that service quality deteriorates when organizational workload increases. In contrast, we argue that the relationship between workload and service outcomes is nonlinear and that there is a quality-optimal workload level. Whilst outcomes deteriorate with increasing workload when workload levels are already high, they will improve if workload increases from a low level. We reach this hypothesis by combining three perspectives: (i) the queuing theory perspective, with its focus on congestion, (ii) a discretionary choice perspective, with a focus on decisions made by professionals in response to changes in workload, and (iii) an endocrinological perspective, with a focus on the subconscious eff ects of workload on worker performance through the cognitive impact of stress hormones. Using a patient census of 1.4 million patients in 624 departments across 101 hospitals, we provide empirical support for the nonlinearity hypothesis in the context of hospital survival rates. We further discuss the implications for hospital capacity planning and the wider implications for service operations management.Service quality; service outcomes; organizational workload; hospital capacity planning; behavioral operations; stress

Explaining Differences in Remuneration Rates of Nursing Homes in Germany

Remuneration rates of German nursing homes are prospectively negotiated between long-term care insurance (LTCI) and social assistance on the one side and nursing homes on the other. They diff er considerably across regions while there is no evidence for substantial differences in care provision. This paper explains the differences in the remuneration rates by observable characteristics of the nursing home, its residents and its region with a special focus on the largest federal state North-Rhine-Westphalia, in which the most expensive nursing homes are located. We use data from the German Federal Statistical Office for 2005 on all nursing homes that off er full-time residential care for the elderly. We find that differences in remuneration rates can partly be explained by exogenous factors. Controls for residents, nursing homes, and district characteristics explain roughly 30% of the price difference; 40% can be ascribed to a regionally different kind of negotiation between nursing homes and LTCI. 30% of the raw price difference remains unexplained by observable characteristics.Nursing homes; determinants of remuneration rates; regional price differences

Michel Foucault and the administering of lives

This chapter suggests that Michel Foucault is a nuisance for scholars of organizations, albeit a productive one. Foucault disavowed the study of organizations, yet his work was fundamentally concerned with the administering of lives, a central concern of scholars of organizations. The chapter explores this tension by examining four displacements that Foucault sought to effect: first, a move from asking ‘why’ type questions to ‘how’ type questions; second, a concern with subjectivity that discards the ethical polarization of subject and object in favour of an analysis of the historically varying ways in which the capacities and attributes of subjects are constituted; third, a focus on practices rather than organizations, and a concern to analyse sets or assemblages of practices in terms of how they emerge and how they are stabilized over time; fourth, a focus on rationalities in the plural. It then examines the ‘Foucault effect’ in organization studies