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Change isn’t always harmonious – in fact, it rarely is. Chapter 4 explores a tension perspective on change, where conflict, contradiction, and power struggles aren’t problems to be solved but engines that drive transformation. This view reframes conflict not as dysfunction but as a sign of deeper dynamics at play. Drawing on dialectics and dialogic theory, the chapter shows how competing interests and political tensions shape the course of change through friction, negotiation, and narrative. Rather than seeking neat resolutions, it invites readers to embrace tension, plurality, and the messy – but often generative – nature of organisational life. At its core, this perspective reminds us that change is as much about who holds power as it is about where an organisation is going.
The introduction explains why the boundary between business decisions and social decisions has eroded. Corporate operations now shape speech, safety, health, and democratic life as a direct result of scale, efficiency, and automation.
The introduction explains why familiar responses fail. Shareholder primacy breaks down when investors disagree about corporate purpose. Stakeholder approaches identify affected groups but offer no way to resolve conflict. Calls for neutrality ignore the reality that operational choices already function as social policy.
The introduction presents the book's core claim. Corporations have built governance systems to manage social conflict because no other institution can respond quickly enough. These systems are not symbolic commitments. They are operational structures that allow firms to set standards, justify decisions, and revise practices over time.
It introduces corporate ordering and previews the tripartite framework that organizes the book. It explains the role of the case studies and situates the project within debates about corporate power, regulation, and democratic legitimacy.
Corporate executives increasingly find that ordinary operational choices, from algorithm design to supply chain management to pricing, generate intense social and political controversy. This chapter argues that such episodes are not anomalies caused by polarized politics or activist overreach, but inevitable consequences of how modern corporations operate. Three interconnected forces drive this transformation. First, the drive for efficiency at scale leads corporations to impose uniform standards and comprehensive monitoring across vast operations, turning routine business decisions into de facto social policy. Second, forced transparency in the digital age means companies now possess detailed data about their social consequences, while stakeholders wield powerful tools to monitor corporate behavior and mobilize responses. Third, profit maximization no longer yields uniform investor preferences, as shareholders bring heterogeneous values and irreconcilable visions of how profitability should be achieved. These forces interact to make corporate social impact unavoidable, yet corporate law, shaped by Delaware precedent and federal securities regulation, neither accounts for the full extent of that impact nor builds decision-making processes capable of accommodating it. The chapter establishes a diagnostic framework for understanding why conventional governance approaches fail and what new approaches companies actually need.
These conclusions do not intend to summarize and even less to close the debate but instead to revert to the main issues addressed during the conference and maybe identify further issues for research. All contributors agree that not only a discussion on democracy and representation in and by international organisations is not purely speculative or theoretical, but that it seems necessary today. Despite this, contributors are not all in agreement on the need to use the concept of representation when discussing democratization of international organizations. Some question the link between democracy and representation, or whether using representative systems is even feasible in international organizations. This, in turn, leads to the various definitions of the concept of representation in political science and in law. A multiple international representation system (MIRS) as proposed by Besson and Marti is based on a strict concept of democratic representation and contrasts with other more flexible concepts such as ‘descriptive’ or ‘mimetic’ representation. In the end, the chapters address the merits of various systems, including in existing processes of global governance, for further democratizing international organisations.
To explore how key stakeholders contribute to dietary self-care support for adults with type 2 diabetes receiving outpatient care in diabetes clinics in the Ashanti Region of Ghana.
Design:
Descriptive phenomenological study. Purposive sampling technique was used to recruit the participants. A total of thirty-one interviews were conducted using a semi-structured interview guide. Reflexive thematic analytical framework was followed to analyse the data.
Setting:
Diabetes clinics in the Ashanti region of Ghana: Komfo Anokye Teaching Hospital, Manhyia District Hospital, Ejisu Government Hospita and Juaben Government Hospital.
Participants:
Healthcare providers, family caregivers and officials of health directorates.
Results:
Healthcare professionals contributed to dietary self-care by framing and interpreting dietary knowledge, offering psychological care and support and preparing family caregivers for their caregiving responsibilities. Family caregivers supported adherence by providing emotional reinforcement and behavioural motivation, assuming responsibility for managing the daily realities of dietary self-care and mobilising material and financial resources. Directors and officers at the health directorate contributed through supervision and quality control and through capacity building.
Conclusion:
The study underscores a need for continuous professional development programmes for healthcare providers, equipping them with updated knowledge on dietary counselling, psychological support and caregiver training. Additionally, the role of health directorates in supervising healthcare facilities and facilitating training programmes underscores the importance of strengthening institutional frameworks that ensure adherence to evidence-based dietary guidelines. Furthermore, the study highlights a need for healthcare facilities to strengthen the recognition and formalisation of the role of family caregivers in diabetes self-care practices.
At the heart of effective inclusive education lies a shared understanding among all stakeholders. When early childhood communities develop collective commitment to inclusive philosophies, they establish the essential groundwork for sustainable change. This shared vision recognises that inclusion extends beyond physical placement to encompass full participation, valued contribution and authentic belonging. The It takes a village approach acknowledges that inclusion cannot be the responsibility of individual educators working in isolation; rather, it requires coordinated effort across the entire early childhood community. When staff, families and community co-design inclusive principles together, they develop ownership and commitment that withstands the inevitable challenges of implementation.
Corporate governance involves the rules and practices that direct and control the decision-making of a corporation. The allocation of discretionary decision rights to individuals in organisations directly connects corporate governance with the principles of contributive justice. In this chapter, we start from Amartya Sen’s The Idea of Justice to provide a perspective on organisational justice and explore the process towards achieving contributive justice as far as determined by the patterns of corporate governance of the organisation. Specifically, we argue that just corporate decision-making needs to build on the contribution of stakeholders to the corporation. This argument is captured by a conceptualisation of justice in terms of contributive justice (see Chapter 3). The emphasis on contributive justice within corporate governance is further developed in a generalised stewardship theory as a model of governance that orients stakeholders towards advancing the collective benefit. The generalised stewardship approach to corporate governance particularly emphasises the contributive aspect of organisational participation, emphasising not only transparency and ex post accountability on the distribution of resources and outcomes but also ‘process accountability’, equity, and integrity.
Despite the rapid development of the digital economy, its impact on corporate environmental responsibility remains unclear. Drawing on stakeholder theory, we suggest that city digitalization enhances regulatory and social stakeholder governance and, in turn, facilitates local firms’ corporate environmental investment (CEI). Utilizing data from 2,358 Chinese listed firms operating in environmentally sensitive industries from 2014 through 2019, our findings indicate that city digitalization positively affects CEI. Moreover, such positive impact is more pronounced in regions where environmental regulatory or social salience is high, and for firms with high levels of state share or top management team ownership. Our study sheds light on the governance function of digital development and provides valuable insights into how city digitalization helps address environmental challenges in emerging markets.
Xiaolan Fu, University of Oxford,George Yip, Imperial College Business School,Xuechen Ding, Beijing Technology and Business University,Wei Wei, University of Sussex
This chapter explores the motivations behind Tencent’s creation of social value, examines the various forms and models it has developed, and analyses the key factors that enable its successful implementation. The creation of social value is deeply influenced by Tencent’s values of ‘tech for good’. This core value is emphasised at a strategic level within Tencent’s various departments. Tencent has established a model for creating social value that involves the interactions between technological, product, and business model innovation. Based on these interactions, various business departments are involved in social value creation, which has been integrated into their daily business operations. Tencent has leveraged its platform capabilities to cultivate ecosystems for social value co-creation, which facilitates connections between and collaborations among diverse external stakeholders. In doing so, Tencent has created multifaceted social value across diverse scenarios, such as rural revitalisation, disaster response and relief, and carbon neutrality.
The Regulation (EU) 2021/2282 on Health Technology Assessment (HTAR), which applies as of January 2025, introduces the Joint Clinical Assessment (JCA) for selected health technologies and establishes a stakeholder network. This study aims to evaluate the expected impact of the implementation of the HTAR from a multi-stakeholder perspective, using Italy as a case study.
Methods
A scoping literature review was performed according to the PRISMA guidelines to inform the development of an interview guide. Target participants included Italian stakeholder representatives with an interest in the HTAR. One-on-one semi-structured interviews were conducted virtually at the end of 2024. The questions were categorized into three main topics: expected benefits and opportunities; foreseen risks or challenges; recommended actions. The interviews were transcribed verbatim and analyzed using thematic content analysis techniques.
Results
Thirteen participants included representatives from national and regional HTA bodies, health technology developers’ associations, health professional associations, patient organizations, and HTA experts. The JCA is expected to enhance the quality of clinical assessment and to result in faster and more equitable access to health innovations. However, the timing will depend on the extent to which Member States require complementary analyses. Health technology developers benefit from submitting a single JCA dossier, but often cope with limited evidence and short-term deadlines. The interviewees recommended harmonizing evidence standards, investing in HTA education and training, and fostering strategic stakeholder collaborations.
Discussion
The process of harmonization induced by the HTAR is beneficial to standardize clinical assessment at the EU level, but needs to reconcile different stakeholder perspectives.
Advocacy for Post-Intensive Care Syndrome (PICS) is a critical component of supporting the recovery of survivors of critical illness. Despite its importance, a shared understanding of PICS advocacy remains underrepresented in medical literature. This chapter defines PICS advocacy as an ethical commitment to patient- and caregiver-centered care, encompassing three key dimensions: supporting individuals living with PICS, promoting awareness and prevention within medical and lay communities, and advancing the science surrounding this condition. Current advocacy efforts occur across various levels, including local communities, national organizations, and global collaborations. Central to these efforts is awareness, facilitated by a growing array of educational resources such as books, podcasts, and websites. However, PICS advocacy can further benefit from large-scale public awareness campaigns modeled after successful initiatives by organizations like the American Heart Association and the American Cancer Society. These efforts could amplify public understanding and drive systemic change. Individuals are encouraged to take an active role in PICS advocacy, and this chapter offers practical strategies for engagement. By empowering individuals to champion PICS awareness and support, the healthcare community can foster a more inclusive approach to addressing this condition. Advocacy for PICS is not just a responsibility–it is an opportunity to transform care and improve outcomes for survivors and their families.
This chapter discusses corpus applications to language teaching and learning, focusing specifically on the use of corpora and corpus linguistics research for informing coursebook and assessment development. A number of studies undertaken by the authors are discussed with a view to highlighting both the affordances of corpus linguistics for supporting such indirect applications to language education, as well as the barriers of using corpus linguistics research to inform stakeholder practices. Focusing on the use of corpora by materials writers, the use of learner corpus research and spoken corpus research for assessment refinement and design, and the use of corpus research for materials design, this chapter reflects on engagement with stakeholders in this domain over the last fifteen years. Drawing together the lessons learned from these studies, this chapter offers a critical reflection on the relative impact achieved in each study, while also proposing guidelines for those interested in working with stakeholders to co-design research and produce relevant and appliable research.
Chapter 2 defines the concept of race-conscious image construction, which occurs through disclosures, presents empirical evidence of it in action, and charts how corporations used race-conscious images to bolster their reputation between 2020 and 2024. It also demonstrates how the language and prevalence of disclosures about race changed during that time. The chapter discusses Chevron Corporation (Chevron) as representative case studies that illustrate the image construction process undertaken by thousands of companies. It also explores the role of risk management in corporations’ use of race-conscious disclosures, demonstrating that image construction is often employed as a shield from legal and reputational scrutiny.
Chapter 6 argues that a functioning federal government should assume an information enforcing role to regulate race-conscious disclosures and retraction and facilitate regulation by shareholders and stakeholders including, employees, and consumers, who can use the information provided by the federal government to establish accountability structures. The chapter makes normative suggestions for what it calls a “multi-institutional approach” to regulating business.
UK food system transformation is urgently needed, but to date, minimal research has investigated ‘blue foods’ probably because they are ethically nuanced. There exists a paradox whereby materially deprived communities should be eating more fish to meet nutritional requirements, yet there is a global ‘red flag’ around global overfishing. New collaborative and creative solutions are, therefore, needed to tackle such food system inequities. By working together, all voices can be equally heard when decisions are being made to improve the system. Similarly, innovation and disruption of established supply chains will enable better access to healthy, affordable and tasty food that will support better nutrition, health and wellbeing. This review paper will present a critique of the ‘The Plymouth Fish Finger’ as a collaborative social innovation case study. Part of the FoodSEqual research project, this exploratory pilot project championed ‘co-production’ approaches to achieve multiple (potential) impacts. This review will critically explore how this social innovation case study has exemplified the complex interplay between factors driving distortions in access to and availability of fish within the local food system. Through collaborative multi-stakeholder (transdisciplinary) processes, using participatory creative methods, new strategies and recommendations for research, practice, action and policy are informed, all of which offer great potential for progressive and transformative systemic (blue) food system change.
The European Union relies on decentralised agencies to implement important transnational regulations, such as certifying the safety of medicines. However, the authority of these agencies does not have ‘hard’ legal status and crucially depends on disseminating ideas and information effectively: what can be termed ‘political entrepreneurship’. This article provides the first comprehensive analysis of the political entrepreneurship of EU agencies by constructing a conceptual typology of entrepreneurial strategies. Drawing conceptually on transnational public administration, a new database is constructed of the ‘entrepreneurship’ of 33 EU agencies in 2014 based on their media communication activities, face‐to‐face networking in workshops and collaborations, and knowledge dissemination and ‘learning’ exercises. This is mapped against the political salience of agencies in the European Parliament and media. The mapping exercise shows four types of entrepreneurial strategies covering the population of EU agencies: technical functional, insulating, network‐seeking and politicised. The typology is validated through semi‐structured interviews in 11 EU agencies, showing the core characteristics of each type of strategy. The article concludes by arguing that this typology provides an important addition to existing categories of EU agencies based on autonomy and accountability, and advocates a future research strategy examining the interaction between agencies’ entrepreneurial strategies and the expectations and reactions of stakeholder audiences.
International nongovernmental organizations (INGOs) are frequently criticized for failing to adequately represent or engage with grassroots stakeholders. Yet most explanations of this shortcoming have focused on factors external to the organizations, e.g., economic pressures that privilege donor interests. What has been largely lacking is an examination of the role of internal INGO characteristics. We address this by examining INGOs’ legitimacy standards: how INGOs understand themselves to be doing the right thing and seek to convey that righteousness to others. Drawing on the literature from business ethics and organizational behavior, we show that organizations’ self-selected standards of legitimacy are key drivers of behavior. Using an analysis of 57 American INGO websites, we identify 11 legitimacy types and examine their usage. We find that while most INGOs make a series of technical legitimacy claims that seem designed to attract donors, they simultaneously employ additional legitimacy standards that do not seem to be externally dictated. These additional standards generally prioritize adherence to a cause rather than stakeholder input. The findings suggest that challenges to INGO representivity or responsiveness result not only from external pressures, but also from INGOs’ own choice of values.
Non-governmental organizations (NGOs) play a critical role in the response to human displacement yet face competing pressures. One ongoing site of displacement is among the 1.1 million Rohingya persons living in refugee camps in Bangladesh. NGOs are party to the ongoing humanitarian response yet operate under competing demands by multiple stakeholders. To what extent do NGOs meet the various expectations among different groups of Rohingya refugee beneficiary stakeholders? We used UNHCR survey data from 31 refugee sites in Cox’s Bazar to empirically examine the relationship between demographic and socioeconomic indicators with satisfaction levels of service provision. We find that female refugees and head of household disability (difficulty seeing, hearing, walking, remembering, or communicating) are indicators that present the most significant differences; NGO responses more often overlook the priority needs of females and persons with disabilities when compared to other refugees, a response gap that reduces their satisfaction and potentially heightens these groups’ vulnerabilities. Although UNHCR and NGOs face pressures from competing demands within beneficiary populations, they also have opportunities to develop refugee-centered policies and practices that are more responsive to vulnerable groups. Overall, this paper adds dimension to understanding of various refugee stakeholder perspectives within a camp setting.
The governance of civil society organizations (CSOs) is a crucial determinant of organizational legitimacy, accountability, and performance. International nongovernmental organizations (INGOs) are a subtype of CSOs and have received a lot of attention as actors in global governance. Research suggests that INGOs can follow a membership model, where the board is elected by the membership, or a board-managed model, where the board is appointed to represent major stakeholders. Following resource dependency theory, we argue that the choice between these two models depends on the INGOs different sources of funding and the degree of volunteer involvement: As donors and volunteers provide important resources, they are in turn granted the right to nominate board members or to sit on the board. In our quantitative study we show that individual members, regional member organizations, and governmental donors hold a stronger position in the governance of INGOs than philanthropists, foundations and volunteers. Our results inform research on CSO governance by highlighting the relevance of board nomination modes and by showing how CSOs can incorporate stakeholders into their governance mechanisms.