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Bounded accountability in professional resistance
You You1, Ran Zhang2, Jennifer Cleland3
1Institute of Medical Education, Peking University, Beijing, China.
Professional resistance should align with professional standards. However, resistance is context-dependent, influenced by organizational and cultural factors, making accountability a shared institutional responsibility, not solely individual.
Area of Science:
- Professionalism and Ethics
- Organizational Behavior
Background:
- Professional resistance is often viewed as an individual act.
- Existing frameworks may overlook the contextual influences on professional conduct.
Purpose of the Study:
- To re-evaluate the nature of professionalism and professional resistance.
- To explore the role of organizational, cultural, and situational factors in shaping professional resistance.
- To redefine accountability for professional actions.
Main Methods:
- Conceptual analysis of professionalism and resistance.
- Exploration of organizational and cultural theories.
- Discussion of accountability frameworks.
Main Results:
- Professional resistance is not solely an individual attribute but is context-dependent and fluid.
- Organizational, cultural, and situational factors significantly bound professional resistance.
- Accountability for professional resistance extends beyond the individual to institutions and organizations.
Conclusions:
- Professional resistance must be understood within its broader context.
- Shared accountability models are necessary for addressing professional resistance.
- Future research should investigate the interplay between individual professionals and their environments.
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