- Title
- Institutional logics and micro-processes in organizations: a multi-actor perspective on sickness absence management in three Dutch hospitals
- Creator
- van Gestel, Nicolette; Nyberg, Daniel; Vossen, Emmie
- Relation
- Managing Change: From Health Policy to Practice p. 55-70
- Relation
- http://www.palgrave.com/us/book/9781137518156
- Publisher
- Palgrave Macmillan
- Resource Type
- book chapter
- Date
- 2015
- Description
- Since healthcare organizations often have significant problems with the recruitment and retention of staff (McKee et al., 2008), preventing sickness absence and improving return-to-work processes are highly relevant for hospitals in order to deliver adequate services and ensure the quality and quantity of healthcare (Boselie et al., 2003). A high turnover of employees increases costs (e.g. recruitment and training) and potentially decreases patient care. Turnover can seriously affect both patients and other employees through higher error rates and increased workloads. In this chapter, we examine the implementation of new legislation aimed at preventing sickness absence and solving obstacles towards the return to work for sick-listed employees. We selected three hospitals in the Netherlands to study how national legislation for sickness absence management is understood and enacted locally by the involved actors. The chapter is structured as follows. We first review the literature on institutional logics in order to structure our analysis. Second, we describe the shift to the 'activation paradigm' in the context of Dutch sickness absence policies, which is followed by an outline of our research design and data analysis. Third, our findings explain how the new activation logic is supported by multiple actors, but not substantially enacted in the organizations. The findings thus explain organizational maintenance despite institutional pressures to change. Finally, we discuss how our findings contribute to the literature on institutional logics and suggest implications for future research.
- Subject
- management; operations management; organisation; business strategies; leadership; development economics; human resource management; sickness absence management
- Identifier
- http://hdl.handle.net/1959.13/1326902
- Identifier
- uon:25532
- Identifier
- ISBN:9781137518156
- Language
- eng
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