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The interplay of roles and routines: situating, performances and patterning in the emergency department
Department of Management, HEC Montreal, Montreal, Canada; Department of Business Administration, Umeå School of Business, Economics and Statistics, Umeå University, Umeå, Sweden.ORCID iD: 0000-0002-3469-4800
2020 (English)In: Journal of Health Organization & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 34, no 4, p. 409-425Article in journal (Refereed) Published
Abstract [en]

Purpose: While previous research acknowledges the influence of roles on routine dynamics, roles are largely taken for granted. The purpose of this paper aims at examining how roles and routines interplay in accomplishing work in organizations.

Design/methodology/approach: A four-year ethnography of an emergency department (ED) at a university hospital was conducted through observations, interviews and documents.

Findings: Roles and routines are formed by scripted and unscripted patterns, which are brought into performances following a situational assessment. Performances trigger patterning processes prompting the co-construction of role and routine patterns.

Practical implications: This study highlights the importance of designing flexible structures. Managers can benefit from identifying unscripted patterns critical to work performance and making them part of scripted patterns. Managers should contemplate the influence that individuals, their relations and context have on how work is done.

Social implications: This study suggests that the existence of different patterns impacts the length of wait times in EDs, a societal issue worldwide because of the effects that waiting can have on the patient's health condition and the unnecessary costs it carries. This study can help design solutions to decrease wait times.

Originality/value: This paper contributes to research on routine dynamics by providing a more nuanced explanation of the sources of endogenous change and how these enable organizational stability and flexibility.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2020. Vol. 34, no 4, p. 409-425
Keywords [en]
Routines, Roles, Patterning, Situating, Performances, Scripted, Unscripted, Emergency department, Ethnography, Qualitative studies
National Category
Business Administration
Identifiers
URN: urn:nbn:se:oru:diva-104305DOI: 10.1108/jhom-12-2019-0342ISI: 000526047200001Scopus ID: 2-s2.0-85083059768OAI: oai:DiVA.org:oru-104305DiVA, id: diva2:1737652
Available from: 2023-02-17 Created: 2023-02-17 Last updated: 2024-06-20Bibliographically approved

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