Maintaining Places of Social Inclusion: Ebola and the Emergency Department

Administrative Science Quarterly (Forthcoming).

69 Pages Posted: 14 Aug 2020

See all articles by April Wright

April Wright

University of Queensland

Alan D. Meyer

University of Oregon - Department of Management

Trish Reay

University of Alberta - Department of Strategic Management and Organization

Jonathan Staggs

University of Queensland

Date Written: March 12, 2020

Abstract

We introduce the concept of places of social inclusion—institutions endowed by a society or a community with material resources, meaning, and values at geographic sites where citizens can access services for specific needs—as taken-for-granted, essential, and inherently precarious. Based on our study of an emergency department that was disrupted by the threat of the Ebola virus in 2014, we develop a process model to explain how a place of social inclusion can be maintained by custodians. We show how these custodians—in our fieldsite, doctors and nurses—experience and engage in institutional work to manage different levels of tension between the value of inclusion and the reality of finite resources, as well as tension between inclusion and the desire for safety. We also demonstrate how the interplay of custodians’ emotions is integral to maintaining the place of social inclusion. The primary contribution of our study is to shine light on places of social inclusion as important institutions in democratic society. We also reveal the theoretical and practical importance of places as institutions, deepen understanding of custodians and custodianship as a form of institutional work, and offer new insight into the dynamic processes that connect emotions and institutional work.

Keywords: place, institutional work, institutional maintenance, institutional disruption, qualitative research, process research, social inclusion, health care, professions, custodianship, pandemic, coronavirus

Suggested Citation

Wright, April and Meyer, Alan and Reay, Trish and Staggs, Jonathan, Maintaining Places of Social Inclusion: Ebola and the Emergency Department (March 12, 2020). Administrative Science Quarterly (Forthcoming)., Available at SSRN: https://ssrn.com/abstract=3672551 or http://dx.doi.org/10.2139/ssrn.3672551

April Wright

University of Queensland ( email )

St Lucia
Brisbane, Queensland 4072
Australia

Alan Meyer (Contact Author)

University of Oregon - Department of Management ( email )

Eugene, OR 97403-1208
United States

Trish Reay

University of Alberta - Department of Strategic Management and Organization ( email )

Edmonton, Alberta T6G 2R6
Canada
780-492-4246 (Phone)
780-492-3325 (Fax)

Jonathan Staggs

University of Queensland ( email )

St Lucia
Brisbane, Queensland 4072
Australia

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