Institutional Perspective Research Articles

Anticipatory declarations in obstetric care: a relational and spatial examination of patient empowerment, institutional impacts and temporal challenges.

Seeking an anticipatory declaration from the Court of Protection (CoP) to manage a risk of future loss of capacity in pregnant people during labour and delivery appears to be occurring more frequently. This article examines a growing case sample of recent CoP judgments in which anticipatory declarations have been sought and adopts a combined relational and spatial approach to question whether these types of anticipatory declarations empower patient autonomous choice, and to illuminate the complex web of relational, spatial, and temporal factors that hold influence over the way in which mental capacity law operates. Viewing such processes from both a patient and institutional perspective offers useful insights into the law's normative workings, boundaries, and constraints, and ultimately points to conclusions on the (in)effectiveness of anticipatory declarations as a legal mechanism for dealing with the risk of a patient losing capacity in the future. Moreover, however, taking a broader, spatial view signals the challenges posed by these cases to mental capacity legislation itself. The justifiability of the binary construct of capacity/incapacity has been challenged by some writers in this field, and this article offers further reflection on the integrity of this binary through its discussion of anticipatory orders for pregnant people.

The Evolutionary Trajectory and Developmental Dynamics of Intergovernmental Cooperative Environmental Governance from the Perspective of Historical Institutionalism

The Evolutionary Trajectory and Developmental Dynamics of Intergovernmental Cooperative Environmental Governance from the Perspective of Historical Institutionalism

Assessment of national reimbursement anticancer medications availability in China: based on a medical institution perspective

BackgroundHigh clinical value national reimbursement anticancer medications (NRAMs) are pivotal treatments for patients with cancer. However, the availability of NRAMs in medical institutions is unknown. This study aimed to assess the availability of NRAMs in national and provincial medical institutions.MethodsThis cross-sectional study utilized national health insurance data to access the availability of NRAMs in national and provincial medical institutions. Further statistical analyses and visualizations were conducted in terms of medical institution level and daily cost. Using the Spearman’s rank correlation test (α = 0.05), we calculated the correlation between the availability rates of NRAMs and their negotiation access time, daily cost, per capita disposable income, provincial gross product, and number of policy releases.ResultsOverall, 81 NRAMs, with an average availability rate of approximately 1.01% nationwide, were included. There were significant differences between provinces for each drug, and the availability of NRAMs gradually decreased in tertiary (13.41%), secondary (1.58%), and primary medical institutions (< 0.05%). Differences were also observed in the availability rate of NRAMs in various daily drug cost ranges. Among the factors examined, negotiation access time (r1 = 0.425), daily cost (r2 = − 0.326), per capita disposable income (r3 = 0.645), provincial gross product (r4 = 0.433), and number of policy releases (r5 = 0.461) were all correlated with the availability of NRAMs.ConclusionsThe low availability of NRAMs in national and provincial medical institutions indicates that their willingness to equip NRAMs needs to be improved. All factors examined in this study affected the availability of NRAMs. Our findings can guide policymakers in improving relevant policies.

What influences perceptions about the concept of return on investment from healthcare quality improvement programmes? An institutional theory perspective

PurposeThis paper aims to highlight the factors influencing the conceptualisation of return on investment (ROI) from healthcare quality improvement (QI) programmes.Design/methodology/approachIn their previous work, the authors found that the concept of ROI from QI is broad and includes numerous internal and external benefits for organisations. In this paper, the authors developed a framework outlining the factors that influence this conceptualisation of QI-ROI from an institutional theory perspective. The framework is based on the synthesis of their serial studies on the determinants of the concept of ROI from QI. The research was performed from 2020–2023 and involved a global multidisciplinary systematic literature review (N = 68), qualitative interviews (N = 16) and a Delphi study (N = 23). The qualitative and Delphi studies were based on the publicly-funded mental healthcare in UK. Participants included board members, clinical and service directors, as well as QI leaders.FindingsThe authors outline a framework of internal and external institutional forces that influence the conceptualisation of ROI from QI programmes in mental healthcare and similar organisations. Based on these factors, the authors state several conjectures. In doing this, the authors highlight the ambiguities and uncertainties surrounding QI-ROI conceptualisation. These challenge leaders to balance various monetary and non-monetary benefits for organisations and health systems. This explains the broadness of the QI-ROI concept.Originality/valueThe authors developed a framework highlighting the forces underpinning the broad, ambiguous and sometimes uncertain nature of the QI-ROI concept. They raise awareness about dilemmas to be confronted in developing or applying any tool to evaluate the value for money of QI programmes. Specifically, the work highlights the limitations of the ROI methodology as a primary tool in the QI context and the need for a more comprehensive tool.

Property, credit, and monetary sabotage: Contemporary capitalism in institutionalist perspective

Property, credit, and monetary sabotage: Contemporary capitalism in institutionalist perspective

Civil society and governance. A survey of local authority and NPO collaboration from an institutional perspective

ABSTRACT There is a renewed interest in third sector organizations with hope for contributions to systems of new public governance and welfare services. This study is based on a survey to the local authorities in Sweden and aims to analyze how collaboration between public and third sector organizations occurs at the local level. A special focus for the study is idea-driven public partnerships (IOPs). The results indicate that collaboration mainly occurs outside of the core fields of welfare and also that the national level agreements set standards to be used in especially the larger local authorities who are more in need of formalized policies to handle the local relations. The institutionalized collaborative relations are diverse and mainly meant to promote a thriving third sector for its democratic values, but there are also certain welfare fields with less local remit such as sports, leisure time activities, and homelessness where NPOs are not crowded out by the public sector. Collaboration with IOPs are more common in larger local authorities and places with a larger proportion of immigrants.

The influence of family life on the pedagogical praxis of male teachers in early childhood education and care

ABSTRACT There is increasing literature regarding the experiences of men working in Early Childhood Education and Care (ECEC). Around the world, men are an under-represented group in ECEC settings. The article uses a cultural-historical wholeness approach to explore the interconnected dimensions of the personal and institutional perspectives of male ECEC teachers. The focus is on the participants’ personal experiences (family) and professional practices (pedagogy) when working with young children (aged under five years). Data were gathered from four participants through approximately six hours of semi-structured interviews and included discussion of personal and pedagogical artefacts collected from the men’s personal life and work in ECEC settings. Findings suggest that for all participants, family practices were particularly important in shaping pedagogy, and influence the development of motives and everyday practices. We argue that the intersection of personal and professional family practices informs and enhances the pedagogical praxis of male teachers in ECEC.

Assessing the perceived importance and difficulty of implementing good governance principles in national sport federations

ABSTRACT Research Questions Little is known about how organizational actors who have assumed the responsibility of implementing good governance principles perceive their task. The study attempted to fill this gap by posing two interrelated questions: Do these organizational actors perceive codified governance principles as being important for raising the governance standards in their organizations? Do they consider these codified governance principles a difficult undertaking to exercise? Methodology Underpinned by the tenets of the institutional perspective, the study draws on goal-setting theory to measure the perceived importance and difficulty of implementing good governance within national sport federations. It employed a quantitative research design, collecting 268 responses from board members and paid staff from 26 European countries. Data were treated with IBM SPSS 28, while the principles were tested for internal consistency using Cronbach's alpha. Findings While transparency, accountability, and democratic processes were important and relatively easy to implement, social responsibility was considered the most important principle. Paid staff perceived implementing these principles as significantly less difficult than board members. The principles perceived as more important are easier to implement than those perceived as less important. There is a consensus that the four examined principles constitute an important set of governance proxies that are not difficult to implement. Contributions The study moves away from the ‘governance debate’ and focuses on what sport governance looks like in practice. It does so by going beyond single cases that illustrate how political governance (through codification) influences organizational governance by examining the perceptions of organizational actors from several European countries.

Labor market reform as an external enabler of high-growth entrepreneurship: A multi-level institutional contingency perspective

We investigate the impact of friction-reducing labor market reforms on regional high-growth entrepreneurship (HGE) through the effects of reduced legal enforceability of noncompete agreements (NCAs). We draw on new institutional economic theory and the external enablement framework, with insights from the theory of market-preserving federalism, to explore how these reforms enable (disable) HGE within the context of other, concurrent institutional changes at different governance levels. We assemble a novel multi-level longitudinal dataset and employ staggered difference-in-differences estimation to assess causal effects. Our findings suggest that while reducing the enforceability of NCAs can foster regional HGE, the effectiveness of such reforms is heavily influenced by concurrent federal and local institutional changes. In sectors facing significant federal regulatory expansion, the benefits brought by the reduction of NCA enforceability are negated. However, local pro-market institutional changes can counteract the disabling effects of federal regulatory expansion. This highlights the need to consider how the evolving institutional environment influences potential enablers of HGE, cautioning against claims that these labor market reforms (or other exogenous environmental changes) universally yield positive entrepreneurship outcomes.

Corporate governance and the internationalisation of African firms: An institutional investor perspective

Corporate governance and the internationalisation of African firms: An institutional investor perspective

Incarnation and decay: reconciling the organizational decision-making and organizational institutional theory perspectives on budgetary research

PurposeThe organizational decision-making perspective (ODM) has a legacy regarding its concern for budgeting as an essential organizational routine in decision-making. Budgeting has also become a direct concern to organizational institutional theory (OIT) because of its prominent role in institution building, where budgeting can build trust in inter-organizational relationships. This paper builds on these two perspectives to explore organizational budget processes' formation, disruption, and re-creation over time.Design/methodology/approachWe conducted a comprehensive review and critical analysis of the ODM and OIT perspectives, focusing on a fundamental paradox between ODM's emphasis on stability through organizational routines and OIT's focus on organizational legitimacy through the decoupled expression of organizational values. We then expanded on these paradoxical concerns in the context of budgeting, formalizing them into specific research propositions for future studies.FindingsTensions around the stability, decay, and re-creation of budgets as organizational routines emerge as a pressing issue requiring further empirical investigation from the ODM perspective. A critical issue in the OIT perspective is the potential for organizational budgets to provide an opportunity to decouple from practice through routinized expressions of rationality and to facilitate loose coupling in practice. These findings offer a fresh perspective and open up new avenues for future research in this area.Originality/valueThis paper contributes to the accounting and organizational research literature by shedding light on how organizations respond to the potential decay of budget routines and the manifestation of organizational values in decoupling processes by further re-creating and elaborating budget processes.

Corporate Purpose Breadth - An Institutional Perspective on Accountability for Stakeholders

Corporate Purpose Breadth - An Institutional Perspective on Accountability for Stakeholders

Breaking free from the invisible cage: Leveraging institutional logics to understand and facilitate organizational change projects

Organizational change projects suffer from a high failure rate. Extant literature identified structural inertia as the main cause of resistance to change. This structural inertia puts invisible shackles on organizations and makes the change process difficult or even pulls organizations back to their former state. However, it is still unknown how these organizations can be unchained. Drawing on an institutional logic perspective and based on an intriguing organizational change project of a state-owned company in China, we explored how institutional logic changes in organizational change projects. The results indicate that institutional change occurs through organizational deinstitutionalization, organizational institution building, and organizational reinstitutionalization across both individual and organizational levels. We developed a theory for successfully securing change efforts that relies on the level-crossing alteration of institutional logic that shackles employee behaviors. A model of institutional logic change is proposed to illustrate the organizational change carried out in the form of projects from an institutional logic perspective. Theoretical and practical contributions are discussed.

Stakeholder and Institutional Perspectives in Social Activism Research: Systematic Literature Review

Stakeholder and Institutional Perspectives in Social Activism Research: Systematic Literature Review

Institutional pressures and greenwashing in social responsibility: reversing the link with hybridization capability

PurposeDespite the ongoing scholarly interest in greenwashing, it is not well known the impact of multiple institutional pressures on greenwashing in corporate social responsibility (CSR). Following the institutional logics perspective, this study investigates how three distinct logics – commercial, public, and social welfare – drive greenwashing and whether organizational capability for blending diverse CSR expectations reverses this link.Design/methodology/approachThe current study conceptualized and tested an original model on how three institutional logics influence greenwashing in CSR, with the mediation effect of hybridization capability as a response to logic plurality. Partial least squares structural equation modeling was performed on a survey data, which was collected from 150 middle managers in Turkey.FindingsThe results show that while commercial logic has no direct or indirect impact on greenwashing, public and social welfare logics drive greenwashing in CSR. However, these effects are reversed when the CSR hybridization capability increases.Practical implicationsThis study contributes to the understanding of what predicts CSR greenwashing by integrating a comprehensive theoretical framework involving multiple institutional logics, conflicting stakeholder demands, and organizational hybridity.Originality/valueTo the best of our knowledge, this is the first study that theoretically and empirically analyzed how the exposure of multiple external pressures affects the CSR greenwashing and how it can be reversed by CSR hybridization capability. This capability mitigates the threats and challenges of multiple logics and turns them into an opportunity to gain legitimacy in the eyes of stakeholders by preventing greenwashing.

Institutional and Resource-Based Perspectives on Corporate Sexual Equality and Firm Performance

Institutional and Resource-Based Perspectives on Corporate Sexual Equality and Firm Performance

Troubling masculinities: a feminist, relational approach to researching sexual exploitation and abuse by peacekeepers

ABSTRACT This article reflects on my political and methodological choices around interviews and the empirical insights they have yielded into the causes and consequences of peacekeeper sexual exploitation and abuse (SEA). I explore a feminist, relational approach that pursues generative, collaborative discussions with interlocutors during which inquiry and analysis are co-developed. I discuss how this approach created better spaces for collaborative dialogue and meaning-making with my interlocutors and set foundations for a relational analysis by allowing me to hear the discordant perspectives of institutions and local communities about the causes, consequences and experiences of SEA. I outline two empirical arguments this approach generated, to illustrate the method and its outcomes, and show that listening for how people experience the structures and power of peacekeeping generates robust analysis and can ground a dynamic relationship between researchers, communities and institutions which can be a valuable mechanism for challenging institutional preferences for instrumental analyses.

Sustainable Finance Implementation on Institutional Aspects in Indonesia and the European Union

Realizing sustainable finance practices towards a zero-carbon emission economy requires support and participation from all stakeholders, especially regulators from an institutional perspective. Sustainable finance is crucial in driving transformative economic growth towards sustainability. This study aims to scrutinizes the appropriate institutional elements that can bolster sustainable finance initiatives within Indonesia and the European Union (EU). Using the content analysis method, this research delves into various written media, regulations, laws, and documents. The study reveals that, from an institutional perspective, both the EU and Indonesia align their sustainable finance implementation with regulators' work plans, characterized by shared goals and objectives. However, technical complexities and evolving regulatory aspects pose challenges, stemming from the need to reconcile diverse political views and adapt to changing circumstances. The results indicate that while strong institutional frameworks and regulatory plans exist, practical implementation of sustainable finance faces hurdles. These include the need for clearer guidelines, enhanced inter-agency coordination, and more robust mechanisms to monitor and enforce compliance. Although sustainable finance initiatives in both regions show promise, continuous improvement and adaptation are essential to effectively contribute to a zero-carbon emission economy.

Sustainability performance and earnings management: institutional and regulatory perspectives

Sustainability performance and earnings management: institutional and regulatory perspectives

Study of SPALD-T Implementation Based on Regulation of the Minister of Public Works and Public Housing Number 04/PRT/M/2017 (Case Study: Surabaya City)

PUPR Ministerial Decree No. 4 of 2017 states that SPALD development is based on 6 criteria including population density, groundwater depth, soil permeability, financing capacity, land slope, and specific areas. If it refers to one of these criteria, Surabaya City is potentially obliged to implement SPALD-T. This research aims to examine how SPALD-T can be implemented in Surabaya City in terms of technical and institutional aspects. The research method was carried out using descriptive analysis with additional mapping using GIS. Descriptive analysis was carried out to describe the condition of Surabaya City. Meanwhile, mapping is used to determine priority locations that can be implemented by the relevant agencies to implement SPALD-T in Surabaya City. Based on the studies that have been carried out, Surabaya City is included in the areas that need to implement SPALD-T in wastewater management efforts. Furthermore, from an institutional perspective, Surabaya City is ready to implement SPALD-T because it has mapped out the tasks between planning, construction, operations and maintenance. The scheme that can be implemented in Surabaya City is SPALD-T for residential areas with a service area of 1 RT 1 WWTP using an anaerobic processing system.