Julia DiBenigno

Beyond Occupational Differences: The Importance of Cross-cutting Demographics and Dyadic Toolkits for Collaboration in a U.S. Hospital

We use data from a 12-month ethnographic study of two medical-surgical units in a U.S. hospital to examine how members from different occupations can collaborate with one another in their daily work despite differences in status, shared meanings, and expertise across occupational groups, which previous work has shown to create difficulties. In our study, nurses and patient care technicians (PCTs) on both hospital units faced these same occupational differences, served the same patient population, worked under the same management and organizational structure, and had the same pressures, goals, and organizational collaboration tools available to them. But nurses and PCTs on one unit successfully collaborated while those on the other did not. We demonstrate that a social structure characterized by cross-cutting demographics between occupational groups—in which occupational membership is uncorrelated with demographic group membership—can loosen attachment to the occupational identity and status order. This allows members of cross-occupational dyads, in our case nurses and PCTs, to draw on other shared social identities, such as shared race, age, or immigration status, in their interactions. Drawing on a shared social identity at the dyad level provided members with a “dyadic toolkit” of alternative, non-occupational expertise, shared meanings, status rules, and emotional scripts that facilitated collaboration across occupational differences and improved patient care.

Three Lenses on Occupations and Professions in Organizations: Becoming, Doing, and Relating

Abstract Management and organizational scholarship is overdue for a reappraisal of occupations and professions as well as a critical review of past and current work on the topic. Indeed, the field has largely failed to keep pace with the rising salience of occupational and professional (as opposed to organizational) dynamics in work life. Moreover, not only is there a dearth of studies that explicitly take occupational or professional categories into account, but there is also an absence of a shared analytical framework for understanding what occupations and professions entail. Our goal is therefore two-fold: first, to offer guidance to scholars less familiar with this terrain who encounter occupational or professional dynamics in their own inquiries and, second, to introduce a three-part framework for conceptualizing occupations and professions to help guide future inquiries. We suggest that occupations and professions can be understood through lenses of “becoming”, “doing”, and “relating”. We develop th...