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Juggling ambiguity in sustained ignoring work: The persistent dismissal of warnings at a university hospital
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Juggling ambiguity in sustained ignoring work: The persistent dismissal of warnings at a university hospital

Anna Essén and Mats Alvesson
Organization Studies
2026-03-10

Abstract

sustained ignoring work uncomfortable information misconduct silence whistleblowing strategic ignorance wilful ignorance ambiguity management longitudinal qualitative
How do actors overlook uncomfortable information? We add to the understanding of how potential problems can be ignored over long periods, in spite of recurrent warnings. Ignoring then becomes a dynamic process of responding to evolving ignoring ‘threats’ or triggers by combining knowledge-seeking and knowledge avoidance in ways that must be continuously legitimated, both in one’s own eyes and in those of relevant parts of the environment. Drawing on a longitudinal case study, we find that ambiguity-juggling – mutually supporting acts foregrounding and backgrounding ambiguity – constitute a key element of such ignoring work. Our study adds to the literatures on strategic or wilful ignorance and ambiguity management by providing a novel explanation for how actors dynamically mobilize motives for ignoring and thereby navigate uncomfortable information that evolves over time. As we show, sustained forms of ignoring involves interactions between shifting ignoring triggers, adaptive ignoring work, and evolving states of organized ignorance. This conceptualization contributes to the ignoring literature by extending current accounts of the ‘why’, ‘how’, ‘how much’, and ‘who’ of ignoring, as well as its outcomes.

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