The practical norms and professional cultures [ 56] that govern the actual behaviour of employees are far removed from official norms.
If sustainability is defined as the "organizational routinization" of the behaviour learnt or modified during the pilot experiment [ 38, 49], this dreamt-of or imagined routinization comes up against the all-too-real current routines and red tape that characterize the health system, especially the practical norms that govern the behaviour of the actors.
Creating a society where it is a practical norm rather than a theoretical ideal will take more than legislation, but legislation is a good place to start.
Indeed, with all their inconsistencies, the constraints that bind them, their practical norms, limitations, shortcomings and contradictions, it is the current human resources in the health system that will have to scale up a new policy.
Innovative social science and management theorizing, and iterative, locally driven interventions that focus on establishing transparent professional norms or more efficient practical norms and building the credibility of public administration, including health services, are likely the way forward.
Instead, the talk is of triangulation, saturation, case studies, shared representations, organizational cultures, practical norms and relevant statements.
Robert Brandom's recent criticism and rejection of the "theoretical, explanatory and strategic commitments" motivating Anglo-American philosophy in the 20th century lists these as: empiricism, naturalism, representationalism, semantic atomism, formalism about logic, instrumentalism about practical norms (Brandom 2000).
It refers to the sacred and also to the forbidden places, activities, and things, and it is therefore used as a protective measure that establishes ethical and practical norms, also imposing a social control.
Prevailing official and practical norms of public administration and management, labour market dynamics [ 7], human resource management systems and accountability mechanisms within health systems all impinge on how P&T policies are framed, interpreted and implemented.
but What is the dao (way), and how do we follow it?[6] The fundamental aim is not an intellectual grasp of a definition or principle, but the practical ability to follow a norm or perform a task successfully.
