Organizational positioning and planning of sustainability initiatives. Logic and differentiators

Pages755-774
Published date08 October 2018
DOIhttps://doi.org/10.1108/IJPSM-05-2017-0142
Date08 October 2018
AuthorRocio Rodriguez,Göran Svensson,David Eriksson
Subject MatterPublic policy & environmental management,Politics,Public adminstration & management
Organizational positioning and
planning of sustainability
initiatives
Logic and differentiators
Rocio Rodriguez and Göran Svensson
Kristiania University College, Oslo, Norway, and
David Eriksson
Jönköping University, Jönköping, Sweden
Abstract
Purpose The purpose of this paper is to examine the logic and differentiators of organizational positioning
and planning of sustainability initiatives between private and public organizations in the healthcare industry.
Sustainability initiatives refer to organizationseconomic, social and environmental actions.
Design/methodology/approach This study is based on an inductive approach judgmental sampling and
in-depth interviews of executives at private and public hospitals in Spain have been used. Data were collected
from the directors of communication at private hospitals, and from the executive in charge of corporate social
responsibility in public hospitals. An empirical discourse analysis is used.
Findings The positioning and planning of sustainability initiatives differs between private and public
hospitals. The former consider sustainability as an option that is required mainly for social reasons, a
bottom-up positioning and planning. It emerges merely spontaneously within the organization, while the
sustainability initiatives in public hospitals are compulsory. They are imposed by the healthcare system
within which the public hospital, operates and constitutes a top-down positioning and planning that is
structured to accomplish set sustainability goals.
Research limitations/implications A limitation of this study is that it is undertaken exclusively in
Spanish organizations from one industry. This study differs from previous ones in terms of exploring the
positioning and planning of the sustainability initiatives, which focus on the organizational logic of such
sustainability initiatives. There are both common denominators and differentiators between private and
public hospitals.
Practical implications The logic of determining the positioning and planning of the sustainability
initiatives is mainly about satisfying organizational needs and societal demands. Nowadays, organizations
tend to engage in sustainability initiatives, so it is essential to understand the logic of how organizations
position and plan such efforts.
Originality/value This study investigates the path that follows sustainability initiatives in public and
private organizations. It reports mainly differentiators between private and public organizations. It also
contributes to explaining the organizational reasoning as to why companies make decisions about
sustainability initiatives, an issue which has not been addressed sufficiently in existing theory studies.
Keywords Hospitals, Planning, Triple bottom line, Corporate social responsibility, Sustainability, Positioning
Paper type Case study
1. Introduction
A strategy is the ability not only to decide what to do, but also what not to do (Porter, 1996).
By choosing some activities and not others, an organization can position and differentiate
itself from its competition (Leonard and Rayport, 1997). Historically, these ideas have
helped both academics and practitioners in areas such as marketing and supply
chain, to understand value creation and competitiveness (e.g. Hilletofth et al., 2012).
In this study, a similar approach is applied to enhance our understanding of organizational
sustainability initiatives.
Sustainability refers to the ability to maintain something at a certain level. As such, the
Brundtlandreport defined sustainabledevelopment as that: [] which meets the needs of the
present withoutcompromising the ability of future generations to meet theirown needs []
International Journal of Public
Sector Management
Vol. 31 No. 7, 2018
pp. 755-774
© Emerald PublishingLimited
0951-3558
DOI 10.1108/IJPSM-05-2017-0142
Received 21 July 2017
Revised 8 December 2017
19 January 2018
Accepted 23 January 2018
The current issue and full text archive of this journal is available on Emerald Insight at:
www.emeraldinsight.com/0951-3558.htm
755
Organizational
positioning
(WCED, 1987, p. 3). Sustainability is commonly considered in relation to three aspects,
namely economic, environmental and social (Carter and Rogers, 2008). It has been noted that
it is difficult to improve aspects that have not been considered from an early stage (Eriksson
and Svensson, 2016a). For example, it is difficult to make a fair trade supply chain cost
efficient, as fair trade is a social aspect that was probably not considered when the supply
chain was originally designed (Karjalainen and Moxham, 2013).
There is some research available on how sustainability should be implemented in an
organization. Notably, Figge et al. (2002) draw from research on balanced scorecards
(Kaplan and Norton, 1997). They argue that it needstobeclearwhether environmental or
social aspects have an impact on the success of specific business units, and whether the
environmental or social aspects are important for strategy. Klettner et al. (2014) instead
take a governance position on sustainability in corporations, proposing a cyclical process,
including (and starting with) commitment, leadership, implementation and communication.
Notable in both of these examples is that sustainability is (and should be) implemented
in a strategic manner with management support. While valuable in themselves, both
examples lack a narrative on how organizations position themselves with regard to
sustainability initiatives.
Sustainability initiatives, in this study, refer to those which address the different aspects
of sustainability, but foremost, the environmental and social ones. The aspects of
sustainability are also included in the triple bottom line (TBL; Elkington, 1997) and
corporate social responsibility (CSR; Aguinis and Glavas, 2012). It is expected that the
positioning and planning will differ between organizations, depending on their specific
operations in the marketplace and society. Positioning refers to a means of achieving a
competitive advantage (Flint and Golicic, 2009), while planning refers to a means of
improving efficiency and success in an organizations initiatives ( Johnson et al., 2004).
The importance of sustainability positioning has been studied in previous literature and
is becoming particularly relevant for governments and societies (Roper, 2012), and by
extension, for organizations striving to achieve competitive advantages in various different
industries, such as residential property marketing (Kriese and Scholz, 2011). Furthermore, in
some industries, sustainability has been studied in greater depth, taking into account
company of supply chain processes (Flint and Golicic, 2009). Years ago, most research on
sustainability planning was related to the importance of public policies for the environment
(Partidário, 1996; Van den Berg et al., 2007). Nevertheless, more recent work, such as
Johnson et al. (2004), has considered sustainability planning as essential for efficiency and
organizational success, providing a sustainability planning model focused on sustainable
innovation. This study concentrates on the differences between private and public
organizations in the same sector, the healthcare industry.
The research objective is to examine the logic and differentiators of organizational
positioning and sustainability planning initiatives between private and public organizations
in the healthcare industry. This objective is achieved by means of an industry case study
approach. This study differs from previous ones in its focus on the organizational
positioning and planning of sustainability initiatives, and by virtue of extending across
public and private sectors.
Previous studies on the logic and differentiators of sustainability initiatives through time
and across contexts is rare. Høgevold and Svensson (2016a) frame the development and
directions of sustainability efforts through time, while this study frames the logic
and differentiators across contexts between organizational sectors in the marketplace
and society.
There is no consensus as to the distinction between public and private organizations,
which leaves room for several hybrid models (Christensen et al., 2004; Rainley et al., 1976)
though the difference is crucial (Allison, 1980). Murray (1975) emphasized the similarities
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