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      Changing the NHS a Day at a Time: The Role of Enactment in the Mobilisation and Prefiguration of Change


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          This paper aims to contribute to our understanding of the unique role of enactment in the dynamics of motivation and participation in prefigurative social movements, with the intention of providing a deeper understanding of the mechanisms, inherent to prefiguration, driving change through collective action. We achieve this through examining what motivates people to participate as activists in a social movement trying to enact changes within the National Health Service (NHS) in the United Kingdom. To do so, we explore the narratives of 23 activists working to develop the NHS Change Day movement. The narratives describe how NHS frontline staff engage in daily grassroots change activities while having to navigate top-down, planned, organisational change interventions. We analyse our findings in light of recent developments in the understanding of group identity processes in the mobilisation of collective action, and highlight the role of enactment in these dynamics. The findings indicate that it is not the overall top-down managerial strategies, but rather the daily participation and enactment of self-initiated small-scale change actions that gives meaning and direction to the activists’ participation in the social movement – a meaning which is constructed through the encapsulation of a sense of personal agency and collective efficacy, contributing to a sense of the affirmation of vocational and organisational identity. We contend that the relationship between the experience of the daily enactment of self-initiated activities within a supportive group setting and the motivation to participate in collective action is mutually constructed, and as such, inextricable.

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          Most cited references45

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          Organizational Images and Member Identification

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            Toward an integrative social identity model of collective action: a quantitative research synthesis of three socio-psychological perspectives.

            An integrative social identity model of collective action (SIMCA) is developed that incorporates 3 socio-psychological perspectives on collective action. Three meta-analyses synthesized a total of 182 effects of perceived injustice, efficacy, and identity on collective action (corresponding to these socio-psychological perspectives). Results showed that, in isolation, all 3 predictors had medium-sized (and causal) effects. Moreover, results showed the importance of social identity in predicting collective action by supporting SIMCA's key predictions that (a) affective injustice and politicized identity produced stronger effects than those of non-affective injustice and non-politicized identity; (b) identity predicted collective action against both incidental and structural disadvantages, whereas injustice and efficacy predicted collective action against incidental disadvantages better than against structural disadvantages; (c) all 3 predictors had unique medium-sized effects on collective action when controlling for between-predictor covariance; and (d) identity bridged the injustice and efficacy explanations of collective action. Results also showed more support for SIMCA than for alternative models reflecting previous attempts at theoretical integration. The authors discuss key implications for theory, practice, future research, and further integration of social and psychological perspectives on collective action. PsycINFO Database Record (c) 2008 APA
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              Framing Processes and Social Movements: An Overview and Assessment


                Author and article information

                J Soc Polit Psych
                Journal of Social and Political Psychology
                J. Soc. Polit. Psych.
                24 May 2016
                : 4
                : 1
                : 196-219
                [a ]Department of Social Psychology, The London School of Economics and Political Science, London, United Kingdom
                [2]Portland State University, Portland, OR, USA
                Author notes
                [* ]Department of Social Psychology, The London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, United Kingdom. L.moskovitz@ 123456lse.ac.uk
                Copyright @ 2016

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                : 01 June 2015
                : 23 November 2015
                Special Thematic Section on "Rethinking Prefigurative Politics"

                motivation,participation,prefiguration,social movements,identity,NHS Change Day,enactment,mobilisation


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