This article reviews scholarship dealing with the notion of “boundary work,” defined as
purposeful individual and collective effort to influence the social, symbolic, material, or …

Background Healthcare systems are overloaded and changing. In response to growing
demands on the healthcare systems, new models of healthcare delivery are emerging …

This study presents a micro‐level investigation that provides new insights into how
employees' knowledge sharing affects their own innovative work behaviours (IWB s). Our …

Background Formal evaluations of programmes are an important source of learning about
the challenges faced in improving quality in healthcare and how they can be addressed. The …

The creation of new roles commonly threatens the power and status of elite professionals
through the substitution of their labour. In this paper we examine the institutional work …

Context: Understanding how and why programs work—not simply whether they work—is
crucial. Good theory is indispensable to advancing the science of improvement. We argue …

This paper presents an ethnographic account of the implementation of Lean service
redesign methodologies in one UK NHS hospital operating department. It is suggested that …

Specialization within professions creates challenges for maintaining the macro-level values
of the profession in the everyday work of specialists at the micro level inside organizations …

Delivery of interdisciplinary integrated care is central to contemporary health policy.
Hospitals worldwide are therefore attempting to move away from a functional organisation of …

This study aims to contribute to the limited set of interactional studies of health occupational
relations. A “negotiated order” perspective was applied to a multi-site setting to articulate the …