COVID-19: Interrogating the capitalist organization of the economy and society through the pandemic.

This editorial introduces eight papers included in this special issue on COVID-19. Together, these papers draw key theoretical and political insights for critical organization studies from the pandemic along three main lines. First, they examine how COVID-19 has denaturalized global capitalism, leading to a broad interrogation of the organization of the economy and our societies. Second, they point to how COVID-19 has unveiled the close relation between capital and the state in producing inequalities old and new, a relation that neoliberalism tends to hide from view. Third, they leverage COVID-19 to give voice to the largely female disposable workforce in the Global South on whose work global commodity flows, consumption and capital accumulation rest. We conclude by pointing to the need to address constitutive interdependencies, such as those between wage work and reproductive work, the global North and the global South, the market and the state, to name only a few. We further call for expanding traditional understandings of struggle to include a broader range of social antagonisms (e.g. for sufficient time to care, education, healthcare, housing, safe public spaces, accessible to all) as part of a theoretically and politically renewed organizational research agenda fostering solidarity.

A study of the determinants of work-to-family conflict among hospital nurses in Belgium.

AIMS: This study examines the relative impact of three sources of work-to-family conflict among hospital nurses: work-family policy use (childcare assistance, schedule flexibility, part-time work), job dimensions (work overload, job autonomy, overtime hours, night shifts, regularity in type of shift, weekend work, hierarchical position, variation in tasks) and organisational support (physician/co-worker support). BACKGROUND: Many studies claim that organisational support and job dimensions are more important sources of work-to-family conflict than work-family policy use, a relation that has not been fully investigated. This study attempts to fill this gap by empirically assessing the relative impact of these sources on nurses' work-to-family conflict. METHODS: Four hundred and fifty three Belgian nurses completed a web survey. The sources of work-to-family conflict were analysed using a hierarchical linear regression. RESULTS: Organisational support influences work-to-family conflict, above and beyond work-family policy use and job dimensions, while policy use has no influence. Physician and co-worker support have a unique decreasing effect, while work overload and overtime hours increase work-to-family conflict. CONCLUSIONS: Organisational support, lack of work overload and absence of overtime hours reduce work-to-family conflict, whereas work-family policy use does not. IMPLICATIONS FOR NURSING MANAGEMENT: To retain and attract nurses by reducing work-to-family conflict, hospitals should not (only) rely on work-family policies but should also invest in organisational support and adapted job dimensions.

Time to treatment and ST-segment resolution in high-risk patients with acute myocardial infarction transferred from community hospitals for coronary angioplasty after pharmacological treatment.

OBJECTIVE: To evaluate the impact of symptom-onset-to-balloon delay on ST-segment resolution (STR) in patients with acute myocardial infarction transferred from community hospitals for angioplasty after pharmacological treatment. The study design was prospective, single centre registry. METHODS: Between October 2000 and December 2003, 330 consecutive patients aged < or =75 years with high-risk myocardial infarction were considered; 193 patients underwent primary percutaneous coronary intervention (PCI) (group P), whereas 137 patients were given pharmacological therapy and were immediately transferred to the hospital with PCI facilities (group F). RESULTS: Compared with group P, group F showed a longer time to treatment (253 +/- 136 vs. 195 +/- 141 min; P < 0.0001) and a higher percentage of Thrombolysis In Myocardial Infarction flow grade 2-3 at pre-PCI angiography (107 [78.1%] vs. 48 [24.8%]; P < 0.0001). The rate of STR > or =70% was similar in groups P and F (121 [62.7%] vs. 94 [68.6%]; P = 0.41). Even after accounting for baseline variables, STR <70% was not significantly related to the transfer strategy (adjusted hazard ratio 0.94, 95% confidence interval 0.94-1.77; P = 0.8). Patients with incomplete STR showed a higher six-month mortality compared with patients with complete STR (10 [8.85%] vs. 6 [2.76%]; P = 0.027). CONCLUSIONS: The STR index predicts survival in patients with ST-elevation myocardial infarction treated with angioplasty either directly or after pharmacological treatment and hospital transfer. Pharmacological facilitation seems to be able to counterbalance the negative consequences of the transfer-related time delay on myocardial reperfusion as evaluated by the STR index.