Not-for-profit Research Articles

Good Governance in Not-for-Profit Organizations: A Review of the Literature on Boards of Directors

ABSTRACT We review factors that contribute to good governance in not-for-profit (NFP) organizations, specifically the performance and effectiveness of Boards of Directors. Assessing Board performance is a difficult task because of the variety of missions that NFPs strive to achieve and the assortment of stakeholders that they aim to appease. It is further complicated by the limited amount of data that are available and relevant to NFP Boards. Researchers often control for good governance by using an organization’s self-reported information about basic policies and procedures as a proxy for performance, but assessing a Board directly often involves more nuanced information. This review provides background information about NFP Boards, discusses relevant governance theories and the related Board roles commonly examined in NFP research, examines what is known about the performance and effectiveness of Boards in those roles, and suggests ideas for future NFP Board governance research. JEL Classifications: M40; M41.

Internet Devices and Internet Access Among Migrant and Seasonal Farmworkers, North Carolina, 2023.

Migrant and seasonal farmworkers work in rural areas where internet access may be limited. We assessed internet access, cost of access, and devices available to farmworkers through a statewide survey in North Carolina. During the 2023 agricultural season, we surveyed 1034 migrant and seasonal farmworkers during routine outreach visits in partnership with community health workers employed by 8 community health centers or by nonprofit health service agencies serving farmworkers in North Carolina. We surveyed participants aged ≥18 years by using time-venue sampling and surveyed up to 5 farmworkers at migrant housing locations. We weighted participants to the total population of farmworkers living in surveyed housing and calculated frequencies and percentages of internet access, internet speed, internet cost, available internet devices, and awareness and use of the Affordable Connectivity Program-a program that was run from 2021 through May 31, 2024, by the Federal Communications Commission to make internet access more affordable in the United States. We assessed predictors of internet access and ability to use online videos by using regression models. Participants were predominantly Spanish-speaking men who lived in housing provided by farm owners. Among participants, 9.8% had internet connections with a cable or digital subscriber line, and 23.5% did not have consistent internet access. Most participants used cellular network internet (84.9%) and mobile phone devices (93.9%). Even among farmworkers who lived in their housing year-round, few had heard of (34.4%), applied to (4.8%), or used (2.0%) the Affordable Connectivity Program. Interventions are needed to increase internet access and digital inclusion for migrant and seasonal farmworkers in North Carolina. Development of state and county broadband infrastructure should consider farmworker housing.

Evaluating use of evidence in U.S. state governments: A conjoint analysis

AbstractEvidence‐based practice (EBP) has become a global public management movement to improve constituents' lives through government decision making. However, how civil servants' decisions are influenced by scientific evidence remains unanswered. In this study, we answer two related research questions: (1) How do different elements of evidence impact civil servants' program preferences? (2) How does the rating of evidence influence their program preferences? Collaborating with major governmental and nonprofit agencies that promote the use of EBPs, we invited civil servants from three U.S. state governments to a paired conjoint experiment. Our analysis shows that: Civil servants prefer programs with evidence that is: (1) from their own states; (2) more recent; (3) shows positive effect on people from different demographic groups; and is (4) created by independent government teams and university research teams. We also find the “evidence‐based” rating drives civil servants' preferences toward evidence with higher internal validity.

Examining dimensions of career intentions: insights from medical and nursing students at a private not-for profit university in Vietnam

BackgroundUnderstanding students’ career intentions through evidence-based approaches is crucial for developing effective career guidance and intervention strategies. Although there has been considerable attention in this field, research remains limited, particularly in low- and middle-income countries (LMICs) in Asia. These regions have unique socioeconomic conditions and cultural norms that potentially shape decision-making processes. This study provides insights into the career intentions of medical and nursing students and identifies the key determinants influencing their choices at a newly established private institution (VinUniversity) in Vietnam.MethodsThis study employs a mixed-methods design. The quantitative phase involved a survey of all undergraduate medical and nursing students. The qualitative phase consisted of in-depth 11 individual interviews with a purposive sample until data saturation.ResultsA total of 198 students (77%) participated in the quantitative phase. The majority of students (75.8%) expressed interest in clinical practice, with preferences notably high for surgical specialties (30.9%), internal medicine (10.1%), and pediatrics (10.1%). 22.7% of students expressed a desire to work overseas, and a significant number (70.7%) indicated the lack of a career guidance program. Qualitative data revealed that personal interest, family influence, financial stability, and societal appreciation were primary influencers in career choice.DiscussionThe study underscores the complex interplay between personal interests, family influence, financial considerations, and societal expectations in shaping career choices. The persistent low interest in family medicine and primary care continued to be a concern.ConclusionThis study provides further insights into the career intentions and influencing factors among medical and nursing students at VinUniversity. The implications for practice include implementing tailored career guidance programs, offering diverse elective tracks that incorporate global health experiences, and establishing structured mentorship programs. It is also recommended to measure the impact of these interventions through longitudinal follow-up studies to enhance career satisfaction, better prepare future healthcare professionals, and contribute to the improvement of healthcare systems.

Value capture for nonprofits. The case of museums’ new business models

Utilizing a framework of innovation categories adapted from the private sector, this article sheds light on both the creation and capture of consumer value within the context of nonprofit organizations, specifically museums. With government budget cuts increasingly straining museums’ core resources, there is an urgent need to reassess their traditional business models. While museums have historically focused on innovation for value creation, opportunities for value capture remain underexplored. This study aims to elucidate the opportunities and constraints surrounding the evolution of nonprofit business strategies, offering insights into how museums can navigate the challenges posed by shrinking resources. By encouraging a shift toward unconventional thinking, we propose that nonprofits can discover new pathways to sustainability and resilience in the face of financial adversity.

Becoming community researchers: The development and implementation of a competency-based program enabling older adult learning of qualitative research in a public health setting

ABSTRACT Partnering a local nonprofit social agency, the authors developed and implemented a learning program for a group of older persons preparing them to conduct qualitative research within a healthcare setting as community researchers in Singapore. This paper illustrates how learning for new occupations, job identities, and work can be supported via a competency-based approach that enables and clarifies links between research work, older adult learning, and assessment. It demonstrates how learning processes and contexts matter as much, if not more than outcomes, skills, and tasks typical of conventional competency-based training. Thus, the paper builds upon but also challenges the paradigm of competency-based training. It offers a more developmental approach or strategy for older adult learning that promotes dialogic, reflexive, and hands-on/applied learning, corresponding with educational gerontology principles.

Navigating Life: Delaware Families Experiencing Homelessness with Young Children.

This study explored the lived experience of Delaware families residing in homeless shelters and motels with young children. We focused on their daily experiences to gain understanding about their day-to-day living to foster understanding about optimal supports that can facilitate more permanent housing arrangements. We used qualitative approaches to obtain descriptions about the daily lives of families experiencing homelessness with young children. Semi-structured interviews were conducted between November 2022 and February 2023. This study analyzes data from three families using open and thematic coding methods. Families experiencing homelessness with young children discussed their struggle to locate housing, attend to day-to-day tasks, and maintain and obtain employment. Having access to conveniently located affordable and available child care and reliable transportation were discussed across the themes. Evidence building through gathering pertinent qualitative information is a critical step toward understanding the needs of families experiencing homeless. Findings from this study can inform state-level policy and state and non-profit agencies' practices. Current policies that support family homelessness could be adjusted to better address connecting families to resources (e.g., direct connection to landlords), transportation (e.g., increasing allotted bus passes, providing a "free" monthly bus pass), and child care (e.g., co-located care - shelter plus child care, funding enrollment slots left "open" specifically for families experiencing homelessness).

What Makes Peer Fundraisers Successful? Examining Peer‐to‐Peer Fundraising Success in the Context of Peer‐to‐Peer Nonprofit–Business Collaboration

ABSTRACTTo advance the conceptual understanding of what drives peer‐to‐peer fundraising success, this study takes a first step toward conceptualizing antecedents of peer fundraiser success based on a real‐world nonprofit–business collaboration. Drawing on social network and signaling theories, combined with knowledge from peer‐to‐peer fundraising literature, the authors developed and tested a mid‐range theory‐driven framework of peer fundraising success. The study collected observable data from a peer‐to‐peer collaboration between UNICEF and Les Mills, labeled “Workout for Water” campaign, and analyzed a unique dataset of 1899 fitness instructors who were engaged in the campaign as peer fundraisers. By contrasting characteristics and actions of successful and unsuccessful peer fundraisers, the empirical evidence from the two‐part model affirms several antecedents distinguishing between those peer fundraisers who achieve fundraising success and those who do not. The personal efforts to initiate additional actions and peer fundraiser's professional reputation within the peer community are particularly important. Furthermore, personalizing the individual's online fundraising page is important for overcoming the barrier of receiving no donations. As a key implication for practice, we present how to better realize peer‐to‐peer fundraising campaigns within a nonprofit–business collaboration setting.

CEO Benevolence and Corporate Social Performance

The involvement of corporate CEOs/directors in not‐for‐profit (NFP) leadership is significant for corporate and NFP sectors. We refer to this activity as ‘benevolence’. These benevolent leaders bring synergistic effects to each leadership position. Although research has examined various characteristics of NFPs and corporate leaders independently, the impact of this combination of serving NFPs and listed firms is worth examining, given current debates on the form and function of stakeholder capitalism. We provide preliminary exploration of NFP leadership positions of CEOs/directors, from 2010 to 2019. Data were hand‐collected from CEO/director biographies in annual reports. NFP roles were verified through public sources (e.g., Australian Charities and Not‐For‐Profit Commission). We identify meaningful patterns in NFP leadership positions held by the those in the top echelons. In evaluating whether benevolent leaders influence corporate ethical outcomes, we find a significant positive association. Our findings establish the foundation for future inquiries on the influence of benevolent leaders on many corporate outcomes.

Employee Compensation of Nonprofit Child Welfare Agencies in New York: Crises and Strategies

ABSTRACTWhile existing literature documents the low compensation of nonprofit human services workers, it is not well understood how managers of these organizations perceive and respond to the problem. Adopting resource dependency and competing institutional logics perspectives, we chose the New York nonprofit child welfare sector—a heavily government‐funded field—as a collective case to study these issues. Based on interviews with 17 leaders of the primary NY nonprofit child welfare agencies, we found that these agencies' employee compensation was primarily constrained by government contracts, and they were torn by conflicting institutional logics from the state, the labor market, private funders, and unions. Overall, government contracts and market competition determined worker pay, and nonprofit child welfare agencies faced labor competition not only from peer organizations, but also from the government and for‐profit sectors. With the “great resignation” atmosphere and increased cost of living intensified by the COVID‐19 pandemic, agencies were under tremendous pressure to raise worker pay. However, programs chronically underfunded by the government were incapable of providing competitive wages and were experiencing high staff turnover and vacancies. Agency leaders agreed on the need to push the government to pay programs adequately but disagreed about advocacy goals and messaging. Most leaders had reservations about aggressive collective bargaining measures such as “going on strike.” These common but attenuated labor dynamics, related managerial responses, and implications for the future of the sector are discussed, particularly in response to competing institutional pressures.

Electric buses as an air pollution and meteorological observation network: Methodology and preliminary results

Many local agencies in the United States and other countries are tasked to install air pollution monitoring systems of highly accurate sensors that have high acquisition, operating, and maintenance costs. The need for expanded coverage of air quality measurements across Salt Lake County (SLCO), Utah is being met by mounting air quality and temperature sensors on an expanding fleet of battery electric buses (BEBs). Monitoring air quality from a mobile sensor network provides real-time insights into air pollution patterns at high temporal and spatial resolution. Mobile measurements contribute to assessing residents' exposure to air pollution, facilitating the implementation of cost-effective public health policies and highlighting disparities. The Electric Bus Air Quality Observation Project was launched in SLCO during July 2021 and has collected millions of observations to date. A BEB traveling at typical traffic speeds (~10 m s−1) can provide multiple measurements along city block lengths of up to ~200 m. With careful analysis that factors in the time response of the differing sensors, variability from block-to-block may be attributed to fine-scale factors (e.g., pollution and heat sources, tree shading and urban vegetation, etc.). Preliminary findings showcase the value of increased coverage and resolution. During an extreme heat event in July 2023, both the morning and afternoon temperature readings showed differences of over 6.5 °C (12 °F), primarily as an east-west gradient with similar gradients in ozone. We conclude that temperature and pollutant concentration readings, at fine spatial and temporal resolutions, will facilitate future health studies and equitable policy and mitigation strategies. Our study demonstrates that our partnerships established with governmental, non-profit, and transit agencies facilitate the successful transfer of research and development to operational real-time mobile air quality monitoring.

Disclosure of the Determinants for CLBG Board Effectiveness in Malaysia

This paper identified factors determining the Board of Director's effectiveness in the Company Limited by Guarantee (CLBG) in Malaysia due to the growing interest in the board's disclosure practices studies on a nonprofit company. The methodology involves survey by observing the websites and annual reports of twenty (20) CLBG as the case study to measure the extent of disclosure of the factors determining the Board of Directors and its committee effectiveness. The paper uses multiple-regression analysis to determine the significant determinants of the effectiveness of the Board of Directors. Findings show that disclosure by CLBG is important to the public.

The role of advocacy in sustaining male contraceptive research and development.

Novel male contraceptives have been in development for well over half a century, and despite a robust predicted global market for new methods, funding for research and development has been extremely limited. While the pharmaceutical industry previously supported male contraceptive research and development, industry partners are only spectators in the current space, awaiting a product that has been de-risked by the public sector before re-entering the field. Current male contraceptive development efforts are thus primarily funded by nonprofit, non-governmental, and government agencies who also act as the primary advocates for the field. Specific organizations include the International Consortium on Male Contraception, the Population Council, the Male Contraceptive Initiative, the World Health Organization, and the US National Institutes of Health. The funding provided by these public agencies, alongside their social and policy-based advocacy efforts such as market research, public education, and calls to action have kept the male contraceptive product development space afloat, resulting in a pipeline of potential products advancing towards market approval. However, as these products mature into more expensive clinical stages of development, they continue to face significant funding challenges, which many programs may not overcome. To fully realize the benefits of novel male contraceptive options, it is incumbent on philanthropic entities, impact investors, venture capital, and/or the pharmaceutical sector to provide significant and timely support for male contraceptive research and development.

Clinical Sociology and Community Interventions

At least 235,000 people experience homelessness in Canada each year, with over 35,000 experiencing homelessness on any given night (Gaetz et al. 2013a). For many, maintaining housing is challenging due to the absence of essential life skills. This paper departs from a community-identified problem with conventional life skills programming and uses sociological tools to address it. Community partners have expressed a need for a life skills curriculum that is inclusive, representing the intersecting needs and experiences of a diversity of clients, and that will address budgetary constraints of not-for-profit (NFP) organizations in the region. The Community-Ideas Factory: The Life Skills Project consists of an interdisciplinary research team and 16 NFPs collaborating to build a comprehensive, inclusive, relevant, and effective online life skills intervention. Adopting a clinical sociological and community-engaged research approach, our findings emphasize the importance of recognizing that essential life skills are diverse and shaped by the larger social, political, and economic context, such as social inequities. Notably, social justice is identified as a crucial life skill, uncovering the intersectionalities that shape individuals' lives and that must be integrated into life skills programming. This ground-breaking finding is facilitated by our methodology, deviating from the positivist research approaches prevalent in life skills studies. Significantly, the entire life skills curriculum is Equity, Diversity, and Inclusion (EDI)-informed. The intervention addresses immediate financial strains for partner organizations. We anticipate that the intervention will interrupt current cycles of homelessness while holding promise as a preventative measure.

Pandemic Response: Best Practices in IT Leadership

The rapid spread of the COVID-19 virus resulted in shelter-in-place orders disrupting business operations and supply chains. IT leadership was faced with the rapid implementation of crisis management and business continuity plans as well as on-the-fly adaptations required to stay operational. Four CIOs from various businesses discussed the challenges of dealing with a rapidly spreading pandemic, strategies to mitigate the loss of business continuity, and lessons learned in the transition to hybrid or fully remote work environments. This paper recounts and analyzes the best practices gained from these interviews. Data was collected through online interviews with CIOs from for-profit and non-profit businesses. The transcripts of the recorded interviews were then analyzed for similar strategic approaches, aspects of success, and areas that needed improvement. The results revealed best practices in dealing with the loss of a centralized work environment, strategies to leverage technology

For Good’s Sake: Strategic Social Media Influencer Communication in Non-Profit Organizations

ABSTRACT Strategic social media influencer communication has become increasingly professionalised in recent years, as evidenced by the emergence of established processes and routines. The continued success and opportunities associated with social media influencer communication are also relevant for non-profit organisations. Theory suggests that both credibility and the social relationship with their followers – two central aspects of the success of social media influencers – are also mission-critical for non-profit organisations. However, the impact of these requirements on the processes of strategic social media influencer communication in non-profit organisations is almost unexplored so far. Therefore, this study uses expert interviews with non-profit organisations, agencies and social media influencers to investigate how the processes in non-profit organisations differ from those encountered in for-profit entities. The results show that the main process steps (planning, organisation and evaluation) are organised similarly to for-profit campaigns, e.g. with brands. Differences emerge with regard to the special communicative requirements of non-profit organisations, which necessitate specific changes in the design and weighing of the individual steps. These must already be taken into account in the conceptualisation stage of strategic social media influencer communication of non-profit organisations. The study also indicates that the social media influencers’ perspective as independent strategic actors (and businesses) in strategic communications deserve attention in further research.

The commercialisation of microfinance: deploying management control to address institutional complexity

PurposeThe study aimed to examine the transformation of a non-profit microfinance institution (MFI) into a hybrid social enterprise, and the role of formal and informal controls in reconciling the discordance between the two conflicting (social and commercial) objectives that emerged due to the transformation.Design/methodology/approachA case study of a non-governmental MFI located in Southeast Asian country was conducted. This case study drew on the institutional logics perspective as an analytical tool to understand the complexity of change and the mobilisation of management control practices to align two conflicting goals at the core of the MFI’s organisational strategies. This study adopted the interpretive approach and relied on multiple data sources, including semi-structured interviews and documentary evidence.FindingsThe application of commercial principles in the operations of the MFI occurred in several phases. First, the MFI changed from a non-profit business model to a hybrid social enterprise, which pursued a double bottom-line strategy. The informal control practices inherent in the organisation’s culture created a high level of social awareness embedded within a social logic. In contrast, the formal control practices were directly linked to the new commercial logic. The synergy between the two logics was optimised by reinforcing formal and informal control practices.Originality/valueThis study offers insights into the role of control systems in reconciling the discordance between competing social and financial objectives within a non-governmental MFI that enjoys substantial financial and nonfinancial support from the government.

Framework of the strengths and challenges of clinically integrated trials: An expert panel report

The limitations of the explanatory clinical trial framework include the high expense of implementing explanatory trials, restrictive entry criteria for participants, and redundant logistical processes. These limitations can result in slow evidence generation that is not responsive to population health needs, yielding evidence that is not generalizable. Clinically integrated trials, which integrate clinical research into routine care, represent a potential solution to this challenge and an opportunity to support learning health systems. The operational and design features of clinically integrated trials include a focused scope, simplicity in design and requirements, the leveraging of existing data structures, and patient participation in the entire trial process. These features are designed to minimize barriers to participation and trial execution and reduce additional research burdens for participants and clinicians alike. Broad adoption and scalability of clinically integrated trials are dependent, in part, on continuing regulatory, healthcare system, and payer support. This analysis presents a framework of the strengths and challenges of clinically integrated trials and is based on a multidisciplinary expert "Think Tank" panel discussion that included representatives from patient populations, academia, non-profit funding agencies, the U.S. Food and Drug Administration, and industry.

A decade of outsourcing in health and social care in England: What was it meant to achieve?

The increased private provision of publicly funded health and social care over the last 75 years has been one of the most contentious topics in UK public policy. In the last decades, health and social care policies in England have consistently promoted the outsourcing of public services to private for-profit and non-profit companies with the assumption that private sector involvement will reduce costs and improve service quality and access. However, it is not clear why outsourcing often fails to improve quality of care, and which of the underlying assumptions behind marketising care are not supported by research. This article provides an analysis of key policy and regulatory documents preceding or accompanying outsourcing policies in England (e.g., policy document relating to the 2012 and 2022 Health and Social Care Acts and the 2014 Care Act), and peer-reviewed research on the impact of outsourcing within the NHS, adult's social care, and children's social care. We find that more regulation and market oversight appear to be associated with less poor outcomes and slower growth of for-profit provision. However, evidence on the NHS suggests that marketisation does not seem to achieve the intended objectives of outsourcing, even when accompanied with heavy regulation and oversight. Our analysis suggests that there is little evidence to show that the profit motive can be successfully tamed by public commissioners. This article concludes with how policymakers should address, or readdress, the underlying assumptions behind the outsourcing of care services.

Partnership building for scale-up in the Veteran Sponsorship Initiative: Strategies for harnessing collaboration to accelerate impact in suicide prevention.

To evaluate the implementation and trust-building strategies associated with successful partnership formation in scale-up of the Veteran Sponsorship Initiative (VSI), an evidence-based suicide prevention intervention enhancing connection to U.S. Department of Veterans Affairs (VA) and other resources during the military-to-civilian transition period. Scaling VSI nationally required establishing partnerships across VA, the U.S. Department of Defense (DoD), and diverse public and private Veteran-serving organizations. We assessed partnerships formalized with a signed memorandum during pre- and early implementation periods (October 2020-October 2022). To capture implementation activities, we conducted 39 periodic reflections with implementation team members over the same period. We conducted a qualitative case study evaluating the number of formalized VSI partnerships alongside directed qualitative content analysis of periodic reflections data using Atlas.ti 22.0. We first independently coded reflections for implementation strategies, following the Expert Recommendations for Implementing Change (ERIC) taxonomy, and for trust-building strategies, following the Theoretical Model for Trusting Relationships and Implementation; a second round of inductive coding explored emergent themes associated with partnership formation. During this period, VSI established 12 active partnerships with public and non-profit agencies. The VSI team reported using 35 ERIC implementation strategies, including building a coalition and developing educational and procedural documents, and trust-building strategies including demonstrating competence and credibility, frequent interactions, and responsiveness. Cultural competence in navigating DoD and VA and accepting and persisting through conflict also appeared to support scale-up. VSI's partnership-formation efforts leveraged a variety of implementation strategies, particularly around strengthening stakeholder interrelationships and refining procedures for coordination and communication. VSI implementation activities were further characterized by an intentional focus on trust-building over time. VSI's rapid scale-up highlights the value of partnership formation for achieving coordinated interventions to address complex problems.