Work intensification and Ambidexterity - the Notions of Extreme and ‘Everyday’ Experiences in Emergency Contexts: Surfacing Dynamics in the Ambulance Service

PARESH WANKHADE, Peter Stokes, Peter Rodgers, Shlomo Tarba

Research output: Contribution to journalArticle


Many organizational contexts have experienced radical changes resulting in work intensification. Whilst emergency services face evident ‘macro-extreme’ challenges (emergencies, major traumas) employees also experience parallel, everyday ‘routine’ in microsettings. How such micro-episodes interact with macro-extreme dynamics remains underexplored providing an opportunity to extend literature on micro-foundational organizational ambidexterity. This paper empirically examines these dynamics in the UK Ambulance Service by developing a conceptual model to explore the exploitative and explorative shifts and manifestations of work intensification. The findings demonstrate a recognition of macro-type intense-extremes impacts but less appreciation of their interaction with micro-situational mundane-extremes.
Original languageEnglish
JournalPublic Management Review
Early online date23 Aug 2019
Publication statusE-pub ahead of print - 23 Aug 2019



  • work intensification
  • ambidexterity
  • extreme-normal
  • ambulance service
  • everyday

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