Institutional logics and relational shifts: permeating hierarchies and silos in the healthcare sector

Vivier, E. ORCID: 0000-0003-3401-0365, Robinson, B., Jenkins, L. and Smit, A., 2024. Institutional logics and relational shifts: permeating hierarchies and silos in the healthcare sector. Public Management Review. ISSN 1471-9037

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Healthcare organizations often confront multiple institutional logics that reinforce professional and departmental hierarchies and silos. Research in the field focuses on how professionals navigate such tensions through everyday practices that maintain, reinterpret or shift specific logics. In this paper, we take a practice perspective to explore the mediating capacity of values-driven practices as a bridge between different logics. Drawing on insights from a leadership programme delivered to 70 public healthcare staff across seven hospitals in South Africa, we argue that articulating values conflicts and shared values shape relational practices, which mitigate the pressures of hierarchy and conflicting logics.

Item Type: Journal article
Publication Title: Public Management Review
Creators: Vivier, E., Robinson, B., Jenkins, L. and Smit, A.
Publisher: Informa UK Limited
Date: 9 January 2024
ISSN: 1471-9037
Rights: © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
Divisions: Schools > Nottingham Business School
Record created by: Laura Ward
Date Added: 25 Jan 2024 09:39
Last Modified: 25 Jan 2024 09:39

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