Lost in Translation: A Multi‐Level Case Study of the Metamorphosis of Meanings and Action in Public Sector Organizational Innovation

This paper explores the early implementation of an organizational innovation in the UK National Health Service (NHS) – Treatment Centres (TCs) – designed to dramatically reduce waiting lists for elective care. The paper draws on case studies of 8 TCs (each at varying stages of their development) and aims to explore how meanings about TCs are created and evolve, and how these meanings impact upon the development of the organizational innovation. Research on organizational meanings needs to take greater account of the fact that modern organizations like the NHS are complex multi‐level phenomena, comprising layers of interlacing networks. To understand the pace, direction and impact of organizational innovation and change we need to study the interconnections between meanings across different organizational levels. The data presented in this paper show how the apparently simple, relatively unformed, concept of a TC framed by central government is translated and transmuted by subsequent layers in the health service administration, and by players in local health economies, and, ultimately, in the TCs themselves, picking up new rationales, meanings and significance as it goes along. The developmental histories of TCs reveal a range of significant re‐workings of macro policy with the result that there is considerable diversity and variation between local TC schemes. The picture is of important disconnections between meanings, that in many ways mirror Weick's (1976) ’loosely coupled systems’. The emergent meanings and the direction of micro‐level development of TCs appear more strongly determined by interactions within the local TC environment, notably between what we identify as groups of ’idealists’, ’pragmatists’, ’opportunists’ and ’sceptics’ than by the framing (Goffman 1974) provided by macro and meso organizational levels. While this illustrates the limitations of top down and policy‐driven attempts at change, and highlights the crucial importance of the front‐line local ’micro‐systems’ (Donaldson and Mohr 2000) in the overall scheme of implementing organizational innovations, the space or headroom provided by frames at the macro and meso levels can enable local change, albeit at variable speed and with uncertain outcomes.     

Lone motherhood past and present: The life stories of Finnish lone mothers

The aim of this study is to examine how Finnish lone mothers of two age cohorts construct their lone motherhood and also to show how the meanings ascribed to social phenomena are socially and historically embedded. Finland presents an interesting case for studying the links between the social and the individual because the country has experienced rapid social shifts since World War II. It is shown how specific social contexts to some degree set the parameters for how social phenomena are understood and interpreted, as shown by the differences in how two cohorts of life-story writers construct lone motherhood.     

Social Support Related to Women Who Have Remained with Their Partners After the Physical Violence has Ceased

Using a U.S. nationally representative sample (N?=?5,692; U.S. National Comorbidity Survey- Replication Part II [NCS-R]; Alegria et al. 2007), this research explored social support as a possible protective factor for abused women. Women who were physically abused by their partners, but not during the past year reported more positive social support from friends than women who continued to experience physical violence or women who had not experienced partner violence. Women who had experienced recent physical violence reported more negative social support than women who had not experienced partner violence. These findings suggest that positive social support might be a protective mechanism for women in abusive relationships.     

(Un)veiling equity: a critical analysis of the insider and outsider roles of a Muslim female Shi’i educator in academy

This is a critical personal narrative of a Canadian Middle-Eastern Muslim female Shi’i educator’s experiences in a Western academy. The different cultural and religious backgrounds that shape a Muslim woman’s academic work and her understanding of social justice are described. Specifically, the author describes religio-historical figures and the counter-narratives of women of color in the author’s life responsible for shaping her appreciation of the importance of engaging in social justice and equity. The subjectivity in this work is manifested as an alignment with her religious beliefs and doctrine that draws from a counter-narrative (i.e. the Shi’i narrative of Karbala and, more broadly, the marginalized and dissenting ideological position of Shi’ is in relation to global Islam). Her upbringing with and introduction to Shi’i rituals, empower her understanding towards issues related to justice, equal rights, and loyalty. Throughout her narrative, the author utilizes the role of a researcher as an insider and outsider based on religious and feminist approaches. Three significant themes are noted: (a) the critical role of spirituality as a powerful catalyst and feminist for transformative change; (b) the role of reflexive skills and self-criticism as a means to balance religious and academic identities; and (c) the import role of ‘border-crossers’ in negotiating and connecting between religious and academic worlds. Insights about the experiences associated with minority Shi’i Muslim female graduate educators and the importance of being critically reflective when working towards social justice and equity are provided.     

Pattwena of harm: An analysis of gender and defamation

This article explores whether the law of defamation is gender‐specific. Through a quantitative and historical analysis of libel and slander cases, the study indicates that when women brought actions against those who assaulted their reputations their likelihood of being awarded judicial remedy was unalterably linked to their sexual identity. The study examined 278 appellate cases brought by both male and female plaintiffs during two decades in United States history when emergent women's rights movements were pronounced, the late 19th century and the mid‐20th century.     

A new look at creative finance

Abstract

In his seminal work, Stegman contended that creative finance is an inefficient means of financing low‐income housing production. As evidence, he cited the high transaction costs associated with the complex financing structures that make a low‐income housing development feasible. In this article, we extend Stegman's work by examining the impacts of creative finance over time. We rely on data gathered as part of an evaluation of 36 housing developments sponsored by nonprofits.

The data indicate that most of the developments in our study remained financially viable in part because of their reliance on creative finance. We find evidence supporting three positive impacts of creative finance: the establishment of long‐term partnerships, the increased community acceptance of low‐income housing developments, and the improved technical skills of organization staff. We also find that none of the long‐term negative impacts are inherent in creative finance and offer four suggestions on minimizing them.     

The human rights and 'Asian values' debate in Southeast Asia: Trying to clarify the key issues

This article investigates the validity of the concept of 'Asian values' in Southeast Asia, and attempts to explain and reconcile where possible some of the key differences between the position on human rights of ASEAN, which has remained semi-united despite internal tensions, and 'the West', particularly the US, and the non-governmental organizations' (NGOs) in the ongoing 'Asian values' debate. The article explores differences over the issues of the changeability of values and hence rights as these affect the 'universality' argument, the relevance of timing and sequence, the omission of crime by agencies other than the state as a source of human rights violations, and the controversial issue of the use of conditionality by the West. It is argued that, in fact, the debate principally concerns the question of what constitutes 'good government' and the 'good society', and takes the position that the question of how to achieve these is significantly influenced by the values of a government and a society.