Institutional Settings Research Articles

Owning towards death: The asset condition as existential conundrum

Abstract Moral and pragmatist sociology has studied capitalism as a set of institutions that require justification, which has historically been offered through forms of rewarding and meaningful work, anchoring the human life course in a narrative of individual and collective progress. However, emerging with neoliberalism, then becoming explicit after 2008, contemporary capitalism has become organised around the logic of assets and wealth as opposed to labour and production. This provokes a vacuum of justification. Once all actors are (as Minsky argued) balance sheet actors and profit becomes a function of sheer temporality, the economy ceases to function as a moral order and instead becomes imbued with existential concerns of temporality, durability, survival, and finitude. Possessed only of certain contingently acquired assets and liabilities, the self becomes wholly contingent in the sense described by Heidegger; that is, as ‘thrown’ into having had a past and into a relationship of ‘care’ towards the future. The article identifies symptoms of this existential condition in empirical studies of wealth elites, for whom (in the absence of conventional liberal and production-based measures of worth) problems of meaning, purpose, and finitude are endemic.

AAPM task group report 314: Fault recovery in external beam radiation therapy.

Task Group (TG) 314 of the American Association of Physicists in Medicine (AAPM) was charged to develop guidance for recovering from fault states in radiation therapy, specifically regarding the delivery of photon or electron beams using a linear accelerator (linac) including ancillary systems. The fault conditions addressed may involve software, hardware, or a combination of causes. The report provides detailed recommendations for the proactive steps to be taken before a fault, the actions to be taken at the time of a fault, and the safety steps before returning a linac to clinical service, as well as the activities that device manufacturers and standard organizations can do to prevent and resolve the faults. A user-maintained log of prior faults; establishment of remote access by the vendor; and user training in emergency gantry, couch, and door motions are all useful proactive steps. At the moment of downtime and after ensuring the safety of the patient, the report stresses the importance of capturing fault information, prompt contact with the service engineer after the initial assessment, and considerations for communicating the estimated duration before the linac is returned to service. The medical physicist has a critical responsibility to assess the impact of the fault on patient care. Before resuming clinical use, the medical physicist must both determine the level of testing required to ensure safe operation of the linac and ensure any partially or totally delivered treatments have been correctly saved for accurate completion of the treatment fraction. The report stresses the roles of the radiation therapist, medical physicist, and service engineer to efficiently and safely address linac downtime. The appendices contain a description of the efforts of several organizations regarding linac safety: Integrating the Healthcare Enterprise-Radiation Oncology, International Standards Organization/International Electrotechnical Commission, Radiation Oncology Safety Stakeholder Initiative, and the AAPM Vendor Relations and Product Usability Subcommittee. Disclaimer: The recommendations of this TG should not be used to establish regulations. These recommendations are guidelines for Qualified Medical Physicists and others to use and appropriately interpret for their institution and clinical setting. Each institution may have site-specific or state-mandated needs and requirements which may modify their usage of these recommendations.

Cultivating Care in the Classroom: Bridging Cultural Approaches in Malaysian and UK Higher Education

This paper investigates the role of care in the classroom by examining the impact of a care-infused virtual drama approach on English as a Second Language (ESL) learners at two Malaysian Higher Education Institutions (HEIs), incorporating teacher reflections and insights from student interviews. Due to the prevalence of power imbalances (Nawi, 2014) and authoritarian practices (Tee et al., 2018) in Malaysia, this paper further explores the perspectives of three Malaysian Graduate Teaching Assistants (GTAs) at the University of Warwick to understand their experiences and understanding of the notion of care within the context of a UK higher education institution. Through one-on-one semi-structured and pair interviews conducted online via Microsoft Teams, these GTAs shared how they manifest care and provide support for their learners at the University of Warwick. The insights from Malaysia and the UK accentuate the significance of fostering care in diverse educational environments, revealing its potential to enhance students’ engagement and well-being across cultural and institutional settings.

How informal intergovernmental organizations facilitate cooptation and promote peaceful change in times of power rivalry

ABSTRACT Cooptation provides a strategy for powerful states to manage power rivalries through institutional change. It entails coopting weaker (and possibly rising) states to support the institutional order by granting them a greater say in that order. However, the ability of states to broker such arrangements depends on the willingness of rivals to be coopted and on the properties of institutions through which cooptation is pursued. In this article, I contrast the comparative efficacy of pursuing cooptation through formal intergovernmental organizations (FIGOs) such as the UN or IMF, with pursuing cooptation through informal intergovernmental organizations (IIGOs) such as the G20, which are not legalized and have no independent operational capacity. I argue that while FIGOs have a comparative advantage for managing and maintaining a prevailing institutional order through adaptation, IIGOs often offer a more propitious institutional setting for achieving peaceful transformation of an institutional order in response to power rivalry.

Care Refusal by Older Adults With Dementia Receiving Professional Care: A Scoping Review.

Care refusal behaviors by institutionalized older adults with dementia pose significant challenges for professional caregivers in residential care settings. This scoping review mapped the determinants and effects of care refusal in this population. A systematic search of five databases identified 19 studies published between 2013 and 2023. The findings indicated that personal, relational, environmental, and organizational factors influence care refusal behaviors in institutional settings. Cognitive impairment, communication difficulties, elderspeak, unfamiliar institutional environments, and task-oriented care were key determinants. Care refusal compromised health outcomes, disrupted care provision, and exacerbated neuropsychiatric symptoms in residential care facilities. Terminological inconsistencies and methodological limitations were identified as research gaps. Developing standardized terminology and person-centered strategies represents priority areas for coordinated action across policy, practice, and research to address the impact of refusal behaviors while upholding the rights of institutionalized older adults with dementia.

Empowered Minipublics for Democratic Renewal? Evidence from Three Conjoint Experiments in the United States, Ireland, and Finland

This article investigates the potential of deliberative minipublics to provide a new set of institutions for democratic renewal. Using three preregistered and identical conjoint experiments in the United States, Ireland, and Finland, it first shows that minipublics are moderately attractive institutional innovations, but that in all three country contexts, citizens in general are very reluctant to grant them empowerment and autonomy as well as ask for additional provisions (such as large size or large majorities for recommendations). Subgroup analyses, however, reveal that especially participation in minipublics as well as trust in other citizens as decision-makers in combination with low political trust produces more support for empowered and autonomous minipublics. But what stands out in the empirical analysis is that most citizens want minipublics as additions to the representative system, not as a replacement of the existing democratic infrastructure, as some minipublic advocates have suggested.

Business Transformation in a Distinctive Institutional Setting: A Study of Regional Development Banks in Indonesia

Limited research exists on business transformation strategy within the Indonesian banking sector, particularly regarding regional development banks, which play a crucial role in regional economic advancement. This study investigates the drivers of successful business transformation in Indonesian RDBs and their impact on organizational performance, examining the moderating role of regional government intervention. Employing structural equation modeling, the study analyzed data from 255 branch managers across 27 RDBs. Results reveal that talent development, transformational leadership, and digital adoption significantly drive successful business transformation, which in turn enhances organizational performance. Contrary to expectations, regional government intervention did not demonstrate a moderating effect. This study provides valuable insights for RDB managers and policymakers, emphasizing the imporace of talent development, leadership, and digital adoption as key pillars of successful transformation and highlighting the need for a nuanced understanding of institutional influences within this sector.

Finland: Political Developments and Data in 2023

AbstractParliamentary elections in 2023 brought in a discourse on debt. Power was passed from the Marin I to the Orpo I government. This was historically the most right‐wing government to date in Finland, whose formation also took historically long but finally united both the populist‐nativist right with the liberal right in the same coalition. The ministerial appointments raised questions among the opposition, and the issue of racism was discussed in connection to the coalition partners. The government's austerity policies sought to limit the power of trade unions, which in turn generated strong reactions. Proposals to limit strike action were faced with opposition. As the three largest parties shifted around, the political centre chose to remain in the opposition and also took issue with the underfunding of social services. The parliamentary polarisation formed a stark contrast to the consensual way in which Finland had approached North Atlantic Treaty Organisation membership, for which a compatible institutional setting was built.

Institutional policing work in a constellation of labels and spaces of place: video game development management insights

Purpose This paper aims to explore (a) the dynamics of place and space in an institutional setting and (b) institutional work done in different spaces of the same place. Design/methodology/approach Traditional ethnographic methods (participant-observation, interviews and artefacts) were used over the course of 12 months of fieldwork in a multi-organizational video game development space. Findings The paper presents two main findings. First, the authors show how the place was a dynamic rainbow constellation and manifested as different spaces over time and for different actors. The authors describe the spaces based on existing literature (accelerator, experimental, incubator or coworking space) or inductively (atrium and hybrid). Second, the authors show how institutional work changed depending on the spatial conceptions of the institutional place. In particular, the authors show dynamic rainbow constellation of fluid spaces raises different forms of institutional policing work (self, backroom, spectacle, tangential and preventative) and the conditions under which institutional policing work is subtly fluid and takes form, but also changes. Originality/value Significant contributions are made to understanding how actors work at forming a rainbow constellation ring of fluid labels and spaces of a place. This paper explicates and amplifies the forms of institutional policing work, providing a novel case example of that social interaction.

Experiences of Informal Caregivers Caring for Individuals With Chronic Schizophrenia in Asia: A Systematic Review and Meta-Synthesis.

In Asia, many caregivers are culturally obliged to assume the role of taking care of individuals experiencing chronic schizophrenia, even as they grapple with stigma and compassion fatigue. Despite the significance of this phenomenon, the collective experiences of Asian caregivers remain poorly understood. To synthesise qualitative evidence on the experiences of informal caregivers when caring for individuals with chronic schizophrenia in Asia. A search was conducted on seven databases for studies published between 2013 and 2023. The included studies were appraised using the Critical Appraisal Skills Program tool. Data extraction was based on the Joanna Briggs Institute (JBI) Qualitative Extraction Form. The data synthesis was based on the framework by Sandelowski and Barroso. Our review included the experiences of 1345 informal caregivers from 57 included studies. The analysis yielded the overarching theme of 'Navigating Challenges, Forging Resilience'. Three themes were identified: (i) challenges in caregiving, (ii) lack of support and (iii) coping and resilience. Our findings highlighted the Asian caregivers' stressors, particularly cultural and traditional factors, a facet often overlooked in the literature. Mental healthcare practitioners must provide caregivers with comprehensive information. Anticipatory guidance is essential during the initial stages of the diagnosis. To negate geographical limitations, caregiver-training sessions can be pre-recorded and posted to online platforms. Finally, cultural and spiritual beliefs can be integrated into the treatment plans for individuals with schizophrenia in the community. Within the institutional setting, mental healthcare practitioners are encouraged to provide caregivers with comprehensible information or training in person and through written or online platforms, which can transcend geographical limitations. Anticipatory guidance is essential, especially during the initial stages of the diagnosis, when confusion and uncertainties are prevalent. Periodic home visits by mental healthcare practitioners can help ease caregivers' concerns and enhance their caregiving confidence. Finally, cultural and spiritual beliefs should be integrated into the treatment plans for individuals with schizophrenia in the community as it promotes cultural acceptability, encourages referrals to appropriate institutions and reduces the stigma of mental healthcare.

Changing Nationalist Styles in Galicia: The Politics of Dual Identity

Abstract In the Spanish region of Galicia, immediately north of Portugal, the Bloque Nacionalista Galego (BNG) has achieved unprecedented electoral success, emerging as a prominent nationalist force within the Spanish political landscape. This study analyzes the discursive and performative repertoires employed by Galician nationalism and explores how the prevalent dual national identity in the region shapes these strategies. Reversing Brubaker’s theoretical framework and using framing and visual analysis, we compare the BNG’s strategies during two different institutional settings: its time in government (2005–2009) and its role leading the opposition (2020–2023). The findings reveal the failure of Galician nationalism to nationalize identity when in power, as policies aimed at promoting Galician identity generated a backlash and, ultimately, produced frame dealignment between the nationalists and the Galician people. The new BNG presents a social project based on the defense of Galician interests and the moderation of the nationalist discourse. It successfully accomplishes frame alignment by adapting to the non-conflictive, dual national identity shared by most Galicians while proposing an inclusive political style.

The response of public education spending to changes in student cohort sizes

ABSTRACT In this paper, we study the elasticity of educational spending with respect to changing student numbers, in a system where educational spending is autonomously determined at a regional level. While many studies focus on the potential effect of an ageing society on educational spending, only a few explicitly analyse the direct effect of changing cohort sizes. We find that education expenditures respond rather loosely to changing student numbers and that the elasticity strongly depends on regional and institutional settings. In rural areas, for instance, educational spending tends to be completely inelastic, which raises questions regarding both, efficiency and equity concerns.

Bringing research into policy: understanding context-specific requirements for productive knowledge brokering in legislatures

Background: Knowledge brokering is suggested as an instrument to improve productive use of research in policy organisations. Previous research asserted that research utilisation is dependent on dynamics of knowledge exchange in institutional settings, but these claims have not received substantial empirical attention (Saarela et al, 2015; Akerlof et al, 2019; MacKillop et al, 2020). Viewing knowledge brokering as the involved role, three specific challenges are identified: high legitimacy requirements for the brokered knowledge and the broker; the need to cater for a wide range of topics, audiences and uses; and the need to compete with other evidence suppliers. Aims and objectives: The research question of the article is: how do legislative knowledge brokers navigate context-specific knowledge transfer challenges presented by their institutional context? Methods: An in-depth interpretive case study of the UK Parliamentary Office of Science and Technology. The analysis includes interviews with parliamentary actors, shadowing and participant observation. Findings: The results substantiate the challenges of legislative knowledge brokering in the UK context and inductively identify a further challenge of demonstrating impact. Legislative knowledge brokers employ multiple strategies to navigate the challenges: co-shape and adhere to the norms of impartiality, mobilise external expertise, collaborate with in-house and external research support actors, employ anticipation techniques, build broker chains, seek understanding of own role and impact. Discussion and conclusion: The article contributes to the understanding of knowledge brokering as a context-dependent role. The conclusions discuss influence of knowledge brokers’ work remit and positionality in deploying strategies to overcome the legislative challenges.

Modeling The Evolution of Community Structure by the Dynamic Network Analysis: Sustainability Transition in Kyoto Eco-School Districts, Japan

Sustainability transition increasingly relies on local institutional settings and community-based efforts where local agencies play pivotal roles. A significant gap lies in understanding the dynamic interplay among community-based organizations over time that shape evolving strategic collaborations in different stages to drive local institutional change. This study adopts a dynamic network approach to map the evolving community structure, identify key organizations, and detect collaboration patterns among local actors by the case study of Kyoto, Japan. Furthermore, it explores the influence of significant events and policies on the network evolution. The study uncovers three main findings. Firstly, a three-stage evolution of the local network is concluded that presents incremental change towards an expanding, decentralized community structure, forming collaborative governance. Secondly, five collaboration patterns and their dynamics are revealed, reflecting evolving strategic alliances that play different roles in leveraging resources throughout the process. Thirdly, the effects of policies and events on the network are well reflected and explained through matching the time series data. The Kyoto case uncovers hidden community dynamics that illuminate local pathways to sustainable practices, offering guidance for policymaking and practices that resonate more broadly with globally relevant contexts.

The legality of roads in Chile, 1842–1969: A historical overview

Currently, no academic work examines the history of the legality of roads in Chile during its independent existence as a sovereign country. Addressing this gap in the literature, this paper focuses specially on the period from 1842 to 1969, when different actors articulated a set of guiding ideas about the duties of the state and the legal powers of the administrative authority in terms of planning, construction and management of road infrastructure that would allow connectivity between population centers and across regions, according to the ideas and resources available at their historical time. This historical overview of Chilean “road law” is done in the light of insights and questions of contemporary intellectual history and institutional history. In this regard, it is argued that the evolution of road infrastructure norms and institutions during the period under study can be divided into three historical regimes, based on their fundamental legislative milestones, guiding ideas, institutional settings, and strategies of state action: from 1842 to 1887, a period of a decentralized “minimal road state” with precarious roads characterized by both material and juridical uncertainty; from 1887 to 1920, the emergence of a “proto-developmentalist road state” intent on strengthening its grip on the nationwide road infrastructure; and from 1920 to 1969, a period of a “techno-developmentalist road state” that created a nationwide paved road network for the new technology of mobile vehicles.

Beyond Digital Literacy: Exploring Factors Affecting Digital Performance of University Staff

Digital literacy is essential but doesn’t guarantee digital performance. Many researchers consider factors such as attitude, cultural environment, or institutional setting in their frameworks when researching digital literacy. Yet, their significance often gets lost in a catalog of required skills and knowledge. Here we develop a model outlining factors influencing university personnel’s digital performance across diverse tasks, and we discuss associated challenges. The model derives from literature and insights from 20 qualitative interviews with academic staff in teaching, research, or consulting roles. Results show that institutional settings and employee empowerment are pivotal in shaping openness to digital tools. Intentions fail due to resource constraints and lack of recognition, leading to limited experience with digital opportunities. Well-being significantly influences willingness to embrace digital resources amidst the balancing act of anticipating future efficiency against investing time and resources. Maintaining a team atmosphere often results in alignment with the least digitally competent. With appropriate conditions, time resources, and support, staff could efficiently utilize digital resources, even with only basic skills, which fosters the integration of all workforces. We argue for comprehensive assessments of university employees’ digital performances, considering context and holistic aspects beyond personal skills and knowledge. Our model encompasses digital literacy, openness to digital developments, digital culture, primary conditions, services/empowerment offerings, and mindfulness.

Business groups and firm-specific characteristics: influences on entrepreneurial orientation

PurposeThe purpose of this study is to investigate the impact of business group (BG) affiliation on affiliated firms' entrepreneurial orientation (EO). The authors further investigate the possible contingent factors affecting this relationship – the age of BGs and the affiliated firm’s external linkages (ratio of external to in-house interlocks) on the relationship in an emerging market context.Design/methodology/approachThe study employs a dynamic panel data framework using the system-generalized method of moments (Sys-GMM) on a sample of 670 NSE-listed Indian firms during the 2006–2019 period. EO is measured through content analysis of the letters to shareholders (LTS) issued by the companies between the period 2006 and 2019.FindingsBG affiliates have more EO than standalone firms, as affiliates can access group-wide resources and capabilities apart from firm-specific resources. Affiliates of older BG have less EO since they are more entrenched in the institutional settings of their BG. Affiliates with more external linkages of board members will have a higher level of EO, as such linkages would subside inertial tendencies by exposing them to novel sets of information, resources and strategic practices. Further, the negative effect of BG age on EO is countered by external linkages. Overall, the study shows that the effect of group affiliation is not uniform and is contingent on the factors we have theorized and tested.Originality/valueThe paper proposes the resource-based view and the institutional void theory as likely candidates for explaining the contribution of BGs towards the EO of its affiliates, especially in the context of emerging markets. The contingent role of BG age highlighted in the paper forewarns managers about the importance of establishing internal mechanisms to preserve the EO in affiliates. Our findings about the positive role played by external linkages of the board members provide one such mechanism that can be leveraged to enhance affiliated firm’s EO.

The compounding effect of mandatory GHG emissions disclosure and voluntary ESG disclosure on firm value in Korea

PurposeThis study attempts to examine the effect of greenhouse gas (GHG) emissions disclosure and its compounding effect with environmental, social, and governance (ESG) disclosure on firm value in Korea. This study focuses on the unique institutional setting in Korea that implements mandatory GHG emissions disclosure and voluntary ESG disclosure.Design/methodology/approachUsing a dataset comprising 25,968 firm-year observations from publicly listed Korean firms from 2000 to 2021, we applied an ordinary least squares (OLS) regression model to test hypotheses.FindingsThe results show that, in a voluntary disclosure regime, ESG disclosure has a positive impact, whereas in a mandatory disclosure regime, GHG emissions disclosure has a negative impact on firm value. The results also indicate that when a firm discloses both its GHG emissions and ESG performance information, the voluntary disclosure of ESG information synergistically mitigates the adverse effects of mandatory disclosure of GHG emissions information. This synergy contributes significantly to enhancing the firm’s overall value. The findings indicate that a firm can enhance its value by proactively disclosing ESG information, especially when it is compulsorily required to report GHG emissions data.Originality/valueThis study investigated the effect of corporate non-financial disclosure on firm value by shedding light on the differential attributes between voluntary and mandatory disclosures and between quantitative and qualitative information.

1.Q. Round table: Primary healthcare workforce crisis in Europe: global policy discourse and national implementation

Abstract Background Primary healthcare (PHC) has emerged as a powerful global concept, but little attention has been directed towards the pivotal role of the healthcare workforce and the diverse institutional setting in which they work. Recent WHO efforts have underscored the challenges in aligning the global PHC-oriented model with national health systems, highlighting the need for tailored approaches to fulfil diverse needs and contexts. Although significant progress has been made in advancing PHC, some gaps persist, particularly surrounding the integration of PHC and healthcare workforce debates and its prioritisation within national health agendas. These gaps lead to disconnects between PHC policy implementation and workforce considerations, exasperating the existing workforce crisis and obstructing effective service delivery. Objectives This workshop bridges the gap between PHC workforce policy and the ongoing healthcare workforce crisis, focusing on the European region and different types of health systems, socio-economic conditions, health labour markets and workforce compositions. We apply a health system and multi-level governance approach, arguing the need for greater attention to the implementation of global policy concepts and the diverse national and regional conditions, interests, and needs. The workshop begins with an overview of the PHC workforce situation, presenting novel results drawn from European comparative research and nine selected country case studies, followed by a panel discussion. The panellists provide in-depth evidence on various PHC workforce challenges and introduce illustrative examples of policy interventions and good-practice models coming from the case countries. Insights from the WHO Centre for Primary Health Care advance the debate by highlighting strategies and capacity for transformative PHC workforce policies, and the need for further investigation to critically align global and national approaches. The policy recommendations emerging from the panel will be critically reflected in a plenary discussion. The workshop will stimulate debate and improve knowledge exchange across countries, in particular in the WHO European region, as well as between research, policy and practice. It will strengthen both the PHC model and the healthcare workforce, and finally advance the building of resilient health systems. Key messages • Shift the primary healthcare debate from idealistic attributes to actionable implementation strategies, emphasising policy dynamics, political contexts, and diverse stakeholder interests. • Understand the various PHC-oriented models and their dynamics to determine the necessary quantity, competencies, and composition of HCWs and how they can be governed effectively to implement PHC.

Promoting student success and retention through care teams and case management at small institutions

AbstractCare teams, an important structure at most institutions of higher education, coordinate the work of various units to intervene with students who are at risk of attrition, academic failure, and/or are experiencing socio‐emotional struggles. The authors provide various examples of how case management and Care Teamwork is structured in the small institution setting. Using their institutions as case studies, the authors provide examples of various collaborative structures that coordinate case management and support at‐risk students; and situate this work in the small institution setting, with particular attention to the expectations that these institutions and students’ families have for high touch student success efforts; and discuss ways in which technology supports and contributes to case management and Care Team work.