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Effective use of data across public health organisations (PHOs) is essential for the provision of health services. While health technology and data use in clinical practice have been investigated, interactions with data in non-clinical practice have been largely neglected. The purpose of this paper is to consider what constitutes data, and how people in non-clinical roles in a PHO interact with data in their practice.

This mixed methods study involved a qualitative exploration of how employees of a large PHO interact with data in their non-clinical work roles. A quantitative survey was administered to complement insights gained through qualitative investigation.

Organisational boundaries emerged as a defining issue in interactions with data. The results explain how data work happens through observing, spanning and shifting of boundaries. The paper identifies five key issues that shape data work in relation to boundaries. Boundary objects and processes are considered, as well as the roles of boundary spanners and shifters.

The study was conducted in a large Australian PHO, which is not completely representative of the unique contexts of similar organisations. The study has implications for research in information and organisational studies, opening fields of inquiry for further investigation.

Effective systems-wide data use can improve health service efficiencies and outcomes. There are also implications for the provision of services by other health and public sectors.

The study contributes to closing a significant research gap in understanding interactions with data in the workplace, particularly in non-clinical roles in health. Research analysis connects concepts of knowledge boundaries, boundary spanning and boundary objects with insights into information behaviours in the health workplace. Boundary processes emerge as an important concept to understand interactions with data. The result is a novel typology of interactions with data in relation to organisational boundaries.

The purpose of this paper is to extend research on contemporary forms of oversight surrounding professional work in an era characterized by increased skepticism regarding professional claims and the rise of independent regulatory authorities. The authors investigate the interplay between key actors as well as the shifting role boundaries in a distinct regulatory space, following the introduction of a new public oversight framework.

The analysis draws on the notions of regulatory space and boundary work to better understand the development of independent audit oversight in France. The authors adopted an interpretive approach to conduct a longitudinal case study based on 33 interviews and documentary data produced from 2003 to 2012.

The study provides a narrative of the boundary work carried out by the French audit profession as it tried to reinvent its role in the new regulatory order. In the case, boundary work engendered a hybrid regulatory pattern, named “co-regulation,” reflecting both the logic of independent regulation and the logic of self-regulation. The main consequence of this is that zones of mutual involvement were constructed – thereby suggesting that to become a reality, independent oversight of professional work needs to accept some operational dependence from professionals.

The study illustrates the elusiveness of boundaries surrounding actors’ role within contemporary forms of professional regulation. More generally, hybrid development suggests that professions are proactive and, to some extent, successful when it comes to developing alliances and manipulating changes within their regulatory space.

This paper aims to investigate the forces that influence the shifting of professional boundaries on the entry of a new medical occupation in Dutch hospitals – non‐specialist emergency physicians.

Five case studies of Dutch hospitals were conducted and the emergency physicians' implementation process was analyzed by means of force field analysis.

Emergency physicians were conceptualized as being the answer to unequivocal contextual changes. However, their contribution to better performance varies due to problems in the implementation process. Strong socio‐political forces between traditional specialties and these new doctors mediate the intended improvement. The emergency physicians aim to establish their own organizational‐, patient‐ and knowledge‐domain by redrawing professional boundaries but they are not on a par with the specialists who set these boundaries. Consequently, emergency physicians only gradually redraw the existing boundaries, resulting in limited added value. Their reaction is to obtain power by striving to develop into a recognized specialty; ironically, by becoming an additional layer in the traditional medical hierarchy they might lose their envisaged added value.

This paper is based on the first Dutch hospitals that implemented emergency physicians. The number of cases is therefore limited. Moreover, the study took place at an early stage of emergency physician implementation.

The extent of successful redrawing depends on the implementation's transition logic, the existing degree of differentiation and boundary permeability and on the ideological power developed by the leaders.

The introduction of emergency physicians is currently being discussed in many countries worldwide, and some countries consider following the Dutch example of non‐specialist doctors. This paper supports health professionals and hospital managers in not falling prey to the same pitfalls as some Dutch hospitals.

The purpose of this paper is to examine the regulation of advertising by considering market‐driven firms (those seeking to keep within the boundaries set by social and industry norms) and market drivers (those seeking to stretch boundaries to gain a competitive advantage). Thought is also given to the costs of regulation and tolerance to the social purse, and the benefits gained by compliance and violation.

The authors develop a conceptual argument for boundary stretching where market drivers are present in a marketplace dominated by market‐driven firms. The authors then apply a game theory model to examine the conditions, the firm responses, and Government responses. In doing so the authors investigate incentives for non‐compliant behavior in a self‐regulated market and show that a firm can achieve a market advantage by stretching advertising boundaries.

Results suggest that when government takes a “wait‐and‐see” approach of partial tolerance, then the market driver can become the focal point for the market‐driven, and a shift will take place in the regulatory boundary. If the government is the boundary shifter then social engineers are taking advantage of artificial boundaries they know will not be enforced, with implications for campaigns such as drink‐driving, smoking, and domestic violence. Also, the market driver will gain a competitive advantage by entering a market‐driven marketplace through boundary shifts, even after incurring an initial penalty.

The research demonstrates a need for research into marketing regulation to consider firm types, violation types, and tolerance levels. The study contributes to our understanding of marketer activity with two implications; first the firm is shifting the boundaries and redefining the market focal point as themselves, rather than violating the boundaries and setting themselves outside the rules. Second, depending on the level of tolerance that government has with the regulation of advertising, there is a cost to both the social purse and to market‐driven firms associated with boundary shifters.

A market driver, looking for growth opportunities, should try to enter markets dominated by market‐driven firms, and which have self‐regulation, while market driven firms should either look for regulatory protection or act collectively to wield power over third parties – for example forcing media outlets not to carry market driver advertising.

By introducing the concept of boundary stretching and allowing for market drivers and market driven firms, the authors show the effects of regulation (or tolerance) in a realistic setting and allow for the real‐world dynamics of a marketplace where new ideas create new focal points for social acceptance. This study also provides a clear illustration of the usefulness of game theory in marketing studies.

This article positions actor–-network theory (ANT) as a practice perspective and deploys it to explore the performative practices of internal consultancy teams as they implemented major programmatic change projects within a global telecommunication company. The change process required the creation of a “change network” that emerged as a boundary spanning and organising network as the consultants sought to implement and translate a highly structured change methodology and introduce new meta-routines within the organisation.

By combining the methodological datum of ANT to “follow the actors” (whatever form they take) with the guiding principle of practice theory to focus on practices rather than practitioners, the research explored the in-between temporal spaces of performative practices as they unfolded in relation to standardised routines, material artefacts and the tools and techniques of a systematic change methodology. By a method of “zooming out” and “zooming in” the research examined both the larger context of action and practice in which the change network emerged and the consultants' performative practices; but without falling into static macro–micro dualism, or a purely ethnographic “thick description” of practice. The research is based on interviews (25), participant observation and a review of the extensive documentation of the change methodology.

The findings indicate both how consultants' performative practices are embedded in the social and material arrangements of a change network, and why the intentional, expert or routine enactment of a highly standardised change methodology into practice is intrinsically problematic. Ultimately, the consultants could not rely on knowledge as a fixed, routine or pre-given empirical entity that predefined their actions. Instead, the consultants' performative practices unfolded in temporal spaces of in-betweenness as their actions and practices navigated shifting and multiple boundaries while confronting disparate and often irreconcilable ideas, choices and competing interests.

As an ANT practice perspective, the research blends mixed methods in an illustrative case study, so its findings are contextual, although the methodological rationale may be applicable to other contexts of practice.

The theoretical framing of the research contributes to repositioning ANT as practice theory perspective on change with a central focus on performative practice. The illustrative case demonstrates how a boundary spanning “change network” emerged and how it partly defined the temporal spaces of in-betweenness in which the consultants operated.

This chapter engages with both religion and paradox in leadership and organization research by focusing on three sources of paradoxical tensions and how they are shaped by religion: worldly limits, diverse interpretations, and emerging relationships. First, regarding worldly limits, religion is predicated on an additional “very macro” level of reality, transcendence. This belief offers a distinct way of engaging with paradoxes as it extends the worldly realm’s boundaries. Second, contradictory interpretations of religions may rise, even among members of the same faith, leading to new cognitive paradoxes. Dynamizing boundaries between contradictory elements may allow organizations to maintain unity in a diversity of interpretations. Third, concerning emerging relationships, religions are global phenomena that are experienced side by side in multiple societal terrains. They cut across diverse social systems and give rise to novel relationships. This creates new tensions and paradoxical encounters, as religions traverse borders and boundaries and encounter existing social beliefs, structures, and practices. The expansion, dynamization, and shifting of boundaries then shapes persistent contradictions among interdependent elements. Our field should appreciate and embrace conflicting mysteries and paradoxes across boundaries. We may only need some faith.

Asia's traditional experiences with care provision differ considerably from those of the West given the prevalent family‐based social norms about care and policies in this region. In recent decades, Asia has experienced profound social and demographic transformations and is thus faced with significant challenges around care. However, care in Asian countries is a relatively less studied topic. There is an urgent need for a comparative study on recent policy and practice changes in care for the elderly and young children in different regions of Asia. The purpose of this special issue is to examine complicated boundary shift in care provision and financing between the state, market, community and family in East, Southeast and South Asia and to explore the implications of these changes in care policies and practices for social stratification by class and gender in Asia.

The introduction to this special issue gives an overview of the social and demographic transformations and new strains on care in Asia as a background and introduces the framework of welfare mix employed in this special issue, especially the concepts of social care and the welfare/care diamond.

The introduction summarizes the variations in regard to the governance and provision of care between different Asian countries and compares the differences in the state involvement between Asia and Europe.

The authors also discuss some of their contributions to methodological approaches and analytical frameworks in studying care and the implications of the current research for future studies.

This chapter draws together the main themes and conclusions from the book to provide an interdisciplinary analysis of the impacts of the gig economy. The effectiveness of the dynamic structural model of the gig economy for structuring and understanding of this heterogenous and somewhat hidden economy is also addressed. This chapter identifies the primary locations in which boundaries are shifting and suggests the onward impact of this, as well as ways in which organisations may be able to ameliorate the effects. It focusses in particular on the implications for the human resource management community and key stakeholders in the wider economy, in relation to future of work debates. Reflections on the utility, benefits and opportunities for interdisciplinary research within the current constrain of journal rankings and higher education performance regimes are also explored. Finally, a number of potential avenues for further research to advance our understanding of, and engagement with this form of commerce, are identified.

Tribeca is a predominantly wealthy, white neighborhood in New York City and is a microcosm of the service-and-information-based economy that characterizes many communities in global cities today. Tribeca residents are mostly affluent and work in high-end, service-oriented professions, consuming low-end personal services produced locally. Many of the people who provide these personal services in Tribeca are foreign-born. This chapter explores the nature of intergroup contact between native residents and immigrant service workers to understand how they navigate social boundaries of race/ethnicity, nation-of-origin, occupation, and social class.

This chapter is based on six years of ethnographic data collection and participant observation, in addition to interviews with 66 informants, including both immigrant service workers and Tribeca residents.

This research highlights the importance of local contextual factors in shaping how people perceive one another and interact. Although in Tribeca this intergroup contact fails to alter boundaries of race, class, and nation-of-origin, residents and immigrants still have meaningful interpersonal contact, which is the result of bridging, or overlooking, existing social boundaries.

The results of this research challenge the assumption that relations between natives and immigrants in stratified settings are characterized by resentment or hostility. Instead, contextual factors in Tribeca shape intergroup perceptions and contact in a way that allows for positive interpersonal, albeit largely superficial, relationships to take root.

This chapter deals with a long and intense conflict between nurses and nursing assistants within the context of the Norwegian health care system. Caring work is culturally coded as female. A major issue embedded in the conflict concerns the definition of knowledge. The issue, it is argued, is not so much what constitutes knowledge, but what counts as professional expertise and theoretical knowledge when it comes to women’s work, which is devalued. As a middle‐class women’s occupation, nurses have strong aspirations that their work be acknowledged as a full profession. Their knowledge base is a combination of practical and theoretical knowledge, profoundly different from medicine they themselves argue. Such a “professionalisation” of care work is, however, threatened by the mere presence of nursing assistants and the overlapping work they do. For various reasons – not least strategic – the concept of basic care was introduced more than ten years ago. The term was rather vaguely defined, but seems to comprise all personal care for the patient and the patient’s body, including intimate tasks such as washing, dealing with bodily waste products, feeding, etc. Making basic care the exclusive preserve of nurses and delegating the more “housewifely” tasks to nursing assistants effectively excludes the latter from caring work and, not surprisingly, they strongly oppose existing working boundaries and the redistribution of tasks. We investigate the power relationship between the two occupational groups and examine dual closure strategies. Interestingly, nurses have invested in a precarious strategy by reclaiming the hands‐on bodywork that is often labelled “dirty work”. In Western societies these tasks are commonly left to working‐class women. The conflict is thus about both gender and class in an androgynous professional world. The aim is to explore the occupational conflict and to trace some of its implications for theorising professions. Professional tasks, knowledge claims, and the concept of dirty work are addressed, and professional projects and strategies discussed from a gender perspective.