Universität zu Köln

Wilhelm, Hendrik, Bullinger, Bernadette ORCID: 0000-0001-6700-3554 and Chromik, Jessica (2020). White Coats at the Coalface: The Standardizing Work of Professionals at the Frontline. Organ. Stud., 41 (8). S. 1169 - 1201. LONDON: SAGE PUBLICATIONS LTD. ISSN 1741-3044

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Abstract

This study advances theory on professionals by introducing a novel 'coalface perspective' to study frontline professionals' standardizing work. Our multimethod quantitative and qualitative approach explores when, why and how medical professionals in German university hospitals actively maintain care pathway enactment - a technique to standardize day-to-day medical work - in their everyday patient treatment. Professionals' actively standardizing their work is an understudied yet highly relevant phenomenon that the established 'autonomy perspective' - which covers how professionals resist standardization - falls short of explaining. Introducing a coalface perspective overcomes this shortcoming by uncovering novel links between professionals' day-to-day problem-driven motivations for standardizing work, the characteristics of everyday situations of frontline professional work and practices of standardizing work at the frontline. This study has implications for research on frontline professionals and coalface-perspective research in general.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wilhelm, Hendrik UNSPECIFIED UNSPECIFIED UNSPECIFIED Bullinger, Bernadette UNSPECIFIED orcid.org/0000-0001-6700-3554 UNSPECIFIED Chromik, Jessica UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-144580
DOI:	10.1177/0170840619862833
Journal or Publication Title:	Organ. Stud.
Volume:	41
Number:	8
Page Range:	S. 1169 - 1201
Date:	2020
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	1741-3044
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CLINICAL-PRACTICE; CARE PATHWAYS; INSTITUTIONAL CHANGE; RULES; COORDINATION; PERFORMANCE; LEGITIMACY; GUIDELINES; SOCIOLOGY; FRAMEWORK Multiple languages Management Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14458