In institutional theory, there is a long-standing puzzle regarding embeddedness and the
microprocesses of institutional change. One main argument is that actors are constrained by …

Change efforts in healthcare sometimes have an ambitious, whole-system remit and seek to
achieve fundamental changes in norms and organisational culture rather than (or as well as) …

Despite the plethora of research on organizational change, we still have little understanding
of how actors' workplace relations influence change within their organizational environment …

Background Healthcare organisations are complex social entities, comprising of multiple
stakeholders with differing priorities, roles, and expectations about how care should be …

Objectives: To investigate how general medical practices in the UK react to bureaucratic
initiatives, such as National Health Service (NHS) National Service Frameworks (NSFs), and …

Objectives The social ties people have with one another are known to influence behaviour,
and how information is accessed and interpreted. It is unclear, however, how the social …

This article investigates network governance in the context of health and wellbeing services
in England, focussing on relationships between managers in a range of services. There are …

Many health systems now use networks as governance structures. Network 'macroculture'is
the complex of artefacts, espoused values and unarticulated assumptions through which …

We use the lens of 'institutional work'to explore the implementation of innovative projects
within the NHS in England, designed to improve access to primary care services. We report …

Professional networks are being used increasingly in healthcare settings to overcome the
problems of working within a system fragmented by professional “tribes,” and organisational …