Who is in charge? Jurisdictional contests and organizational outcomes

Who is in charge? Jurisdictional contests and organizational outcomes
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DOI:
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发表时间:
2019
影响因子:
2.2
通讯作者:
E. Goodrick
E. Goodrick
中科院分区:
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文献类型:
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作者:
Scott Feyereisen;E. Goodrick

文献摘要

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我们通过考察美国注册护士麻醉师(CRNA)学校如何受到一项追求教育技能提升的政策的影响,探索了职业管辖权竞赛如何影响组织的结果。虽然其他人关注的是领域和工作层面的边界工作,但我们认为,专业之间的竞争也会影响重要的组织结果。我们详细描述了该职业的认证决定要求学校在17年 窗口内提供硕士学位是如何在医生历史上与CRNA作斗争的背景下发生的。我们提供了一个分析性的叙述来说明这场司法争议的历史,并实证地检查了CRNA学校如何应对教育技能提升的要求,这些学校的文化不同地支持医生在领域层面的主导地位。我们的分析表明,学校采用研究生课程的时机受到以组织所有权为代表的组织文化是否支持医生主导地位的影响。我们还强调利用资源作为边界工作影响组织成果的另一个渠道的重要性。
We explored how professional jurisdiction contests influence organizational outcomes by examining how Certified Registered Nurse Anesthetist (CRNA) schools in the USA were impacted by a policy pursuing educational upskilling. While others have focused on boundary work at the field and work levels, we argue that contests between professions also influence important organizational outcomes. We detail how the profession’s accreditation decision requiring schools to provide Master’s degrees within a 17 year window took place in the context of physicians historically battling CRNAs. We provide an analytic narrative illustrating the history of this jurisdictional dispute, and empirically examine how CRNA schools with cultures differentially supportive of physicians’ field-level dominance responded to the requirement of educational upskilling. Our analysis indicates that the timing of a school adopting a graduate program was influenced by whether the organizational culture, represented by organizational ownership, supported physician dominance. We also highlight the importance of access to resources as another conduit for boundary work impacting organizational outcomes.