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Open Access
Article
Publication date: 27 September 2022

Beth Fouracre, Joseph Fisher, Richard Bolden, Beth Coombs, Beth Isaac and Chris Pawson

The purpose of this paper is to present insights into the way in which system change can be activated around the provision of services and support for people experiencing multiple…

Abstract

Purpose

The purpose of this paper is to present insights into the way in which system change can be activated around the provision of services and support for people experiencing multiple disadvantages in an urban setting.

Design/methodology/approach

This paper is informed by a thematic analysis of reflections, reports, learning logs, interviews and experiences of those “activatingsystem change in the Golden Key partnership in Bristol between 2014 and 2021.

Findings

Four themes are identified, including “creating the conditions for change”, “framing your involvement”, “investing in relationships” and “reflective practice and learning”. For each of these, an illustrative vignette is provided.

Practical implications

Practical recommendations and reflective questions are provided with suggestions of further considerations for applying this approach in different contexts.

Originality/value

This paper describes an original approach of activating and supporting people to do system change to improve the lives of people facing multiple disadvantages.

Article
Publication date: 11 August 2022

Mark Loughhead, Ellie Hodges, Heather McIntyre, Nicholas Gerard Procter, Anne Barbara, Brooke Bickley, Geoff Harris, Lisa Huber and Lee Martinez

This discursive paper presents a lived experience leadership model as developed as part of the Activating Lived Experience Leadership (ALEL) project to increase the recognition…

Abstract

Purpose

This discursive paper presents a lived experience leadership model as developed as part of the Activating Lived Experience Leadership (ALEL) project to increase the recognition and understanding of lived experience leadership in mental health and social sectors. The model of lived experience leadership was formulated through a collaboration between the South Australian Lived Experience Leadership & Advocacy Network and the Mental Health and Suicide Prevention Research and Education Group.

Design/methodology/approach

As one of the outcomes of the ALEL research project, this model incorporates findings from a two-year research project in South Australia using participatory action research methodology and cocreation methodology. Focus groups with lived experience leaders, interviews with sector leaders and a national survey of lived experience leaders provided the basis of qualitative data, which was interpreted via an iterative and shared analysis. This work identified intersecting lived experience values, actions, qualities and skills as characteristics of effective lived experience leadership and was visioned and led by lived experience leaders.

Findings

The resulting model frames lived experience leadership as a social movement for recognition, inclusion and justice and is composed of six leadership actions: centres lived experience; stands up and speaks out; champions justice; nurtures connected and collective spaces; mobilises strategically; and leads change. Leadership is also guided by the values of integrity, authenticity, mutuality and intersectionality, and the key positionings of staying peer and sharing power.

Originality/value

This model is based on innovative primary research, which has been developed to encourage understanding across mental health and social sectors on the work of lived experience leaders in seeking change and the value that they offer for systems transformation. It also offers unique insights to guide reflective learning for the lived experience and consumer movement, workers, clinicians, policymakers and communities.

Article
Publication date: 25 July 2018

Rebecca Jing Yang, Sajani Jayasuriya, Chathuri Gunarathna, Mehrdad Arashpour, Xiaolong Xue and Guomin Zhang

The complicated nature of megaprojects requires appropriate analysis of multiple stakeholders to achieve project objectives and to accommodate stakeholder interests. During the…

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Abstract

Purpose

The complicated nature of megaprojects requires appropriate analysis of multiple stakeholders to achieve project objectives and to accommodate stakeholder interests. During the last two decades, many stakeholder theories and empirical studies have sprouted. Although previous studies have contributed to the development of stakeholder theory, it seems that these theoretical advances have not been fully adopted and acknowledged in practices, especially in megaprojects. The purpose of this paper is to explore the evolution of stakeholder analysis and engagement practices adopted in the Australian megaprojects over the last two decades.

Design/methodology/approach

Four mega construction projects are described and analysed in this study. Secondary data were first assembled in order to get general knowledge of each case. Interviews were conducted with the project directors. Project documents were collected from the project teams and reviewed. Wherever the project information was unclear, e-mails were sent to the directors and the team members to confirm the details.

Findings

Project teams have started to apply snowball rolling and stakeholder attribute assessment methods to analyse stakeholders. However, there is still a way to adopt the “network” analysis perspective because the project teams are reluctant to use complicated tools which need specialists’ assistance. The stakeholder engagement practices have evolved to an extent where the project teams monitor the dynamics of stakeholders’ requirements. Projects teams have identified the importance of continuity to manage stakeholders in these massive projects. However, a structured method selection mechanism for stakeholder engagement has not been developed.

Originality/value

This study will help academics to understand the adoption progress and status of stakeholder management methods.

Details

Engineering, Construction and Architectural Management, vol. 25 no. 6
Type: Research Article
ISSN: 0969-9988

Keywords

Article
Publication date: 25 April 2023

Amal Abdullah Hasan, Syed Zamberi Ahmad and Abdullah Osman

This study aims to investigate the mediating effect of transformational leadership (TL) and work engagement (WE) on health-care clinic nurses’ performance and the crucial role of…

Abstract

Purpose

This study aims to investigate the mediating effect of transformational leadership (TL) and work engagement (WE) on health-care clinic nurses’ performance and the crucial role of these variables in the work environment (WEV).

Design/methodology/approach

Data were collected from 353 nurses working across various health-care clinics in the United Arab Emirates. This study used descriptive correlational statistics from the Statistical Package for the Social Sciences, the Pearson correlation coefficient, confirmatory factor analysis for model validity, Cronbach’s alpha for reliability and path analysis to determine the results.

Findings

The relationship between TL and job performance among nurses in health-care clinics was strongly influenced by WE. In addition, a moderate WEV increased the positive influence of TL on job accomplishment. Furthermore, there were no statistically significant differences between the participants’ demographics characteristics and the main variables of the study.

Practical implications

Health-care management can support and enhance nurses’ job performance through TL, create a more structured WEV and support WE.

Originality/value

This study involves a specific investigation into WE as a mediator, WEV as a moderator and the effect of TL on nurses’ job performance.

Details

Leadership in Health Services, vol. 36 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

Book part
Publication date: 26 August 2010

Pavani Rangachari

Numerous studies have identified various unintended adverse consequences (UACs) of implementing health information technology (HIT). For example, UACs identified in the context of…

Abstract

Numerous studies have identified various unintended adverse consequences (UACs) of implementing health information technology (HIT). For example, UACs identified in the context of Computerized Physician Order Entry (CPOE) implementation include unfavorable workflow issues, generation of new types of errors, untoward changes in communication patterns, and problems of paper persistence.

However, gaps remain in understanding why UACs from HIT implementation occur, and how they may be overcome. The technology-in-practice (TIP) framework emphasizes the role of human agency (or individual action) in enacting structures of technology use (or technologies-in-practice) and other social structures within the organization. As such, given a set of UACs from HIT implementation, the TIP framework can help trace them back to specific actions (types of HIT-in-practice) and institutional conditions (social structures).

However, insofar as the TIP framework can help understand causes of UACs, it does not shed light on how they may be overcome through strategic action. By contrast, the knowledge-in-practice (KIP) framework, which emanates from both human resource and knowledge management literatures, helps understand how information and communication technologies (ICTs) such as “Intranets” and the “Virtual Office” can be used alongside existing HIT systems (e.g., CPOE) to create new social structures, generate new KIP, and transform HIT-in-practice.

This chapter integrates the TIP and KIP literatures to develop an integrated framework for understanding and overcoming the UACs from HIT implementation. The framework is applied to existing evidence on UACs from CPOE implementation, to explain why they occur, and how they may be overcome. The application and ensuing discussion provide insight into strategies for successful HIT implementation in healthcare organizations, as well as recommendations for future research.

Details

Strategic Human Resource Management in Health Care
Type: Book
ISBN: 978-1-84950-948-0

Book part
Publication date: 7 June 2010

Leigh Plunkett Tost and E. Allan Lind

Purpose – In this chapter, we seek to resolve the conflicting implications that emerge from status quo theories of justice, on the one hand, and theories of distributive…

Abstract

Purpose – In this chapter, we seek to resolve the conflicting implications that emerge from status quo theories of justice, on the one hand, and theories of distributive, procedural, and interactional justice on the other. Specifically, status quo theories depict individuals as resistant to perceptions of injustice in their social environments, whereas theories of distributive, procedural, and interactional justice depict individuals as quite sensitive to the justice that characterizes outcomes and treatment.

Methodology/approach – We build on previous research on the justice judgment process to consider ways in which the findings from these two research streams can be integrated.

Findings – We suggest that the two overarching streams of research have identified and empirically explored two distinct modes of justice evaluation: a system justification mode and a system critique mode.

Originality/value of chapter – We develop a model of the justice judgment process that specifies the circumstances under which each of the two modes is likely to operate.

Details

Fairness and Groups
Type: Book
ISBN: 978-0-85724-162-7

Article
Publication date: 1 March 1995

NADIA CATENAZZI and LORENZO SOMMARUGA

This paper presents hyper‐lib, a model for an electronic library. The hyper‐lib philosophy is based on reproducing the spatial environment of a physical library, in order to…

Abstract

This paper presents hyper‐lib, a model for an electronic library. The hyper‐lib philosophy is based on reproducing the spatial environment of a physical library, in order to exploit users' knowledge of the physical domain in using the electronic system. In the library environment, rooms, shelves, books and services are reproduced by simulating a three‐dimensional environment, where the user can interact with a collection of documents as if he or she were in a physical library. In addition to the physical library features, the hyper‐lib introduces a number of new properties, which result from its non‐physical nature and allow some of the limitations of traditional libraries, such as availability of books and delivery time, to be overcome. The hyper‐lib books are available in electronic form, following the hyper‐book model, which is based on the book metaphor. A formal definition of the hyper‐lib model as a dynamic system is given. The hyper‐lib model is defined in terms of structural and functional components. Moreover, the functional behaviour, i.e. how the system evolves under the effects of the functional components, is presented. The library structural components include the book collection, the librarian, the access mechanisms etc. The functional aspect is indispensable for describing the use of a dynamic and interactive system. In particular, a number of operators, which represent user services, allow the user to change the system state. We distinguish among general services, which are offered in any room of the library, and specific services, which are specific to a particular object or room in the library, such as the librarian, the catalogues, the hyper‐books, the book shelves etc.

Details

Journal of Documentation, vol. 51 no. 3
Type: Research Article
ISSN: 0022-0418

Article
Publication date: 26 October 2021

Mariam Krikorian Atkinson, James C. Benneyan, Russell S. Phillips, Gordon D. Schiff, Lindsay S. Hunt and Sara J. Singer

Studies demonstrate how patient roles in system redesign teams reflect a continuum of involvement and influence. This research shows the process by which patients move through…

Abstract

Purpose

Studies demonstrate how patient roles in system redesign teams reflect a continuum of involvement and influence. This research shows the process by which patients move through this continuum and effectively engage within redesign projects.

Design/methodology/approach

The authors studied members of redesign teams, consisting of 5–10 members: clinicians, systems engineers, health system staff and patient(s), from three health systems working on separate projects in a patient safety learning lab. Weekly team meetings were observed, January 2016–April 2018, 17 semi-structured interviews were conducted and findings through a patient focus group were refined. Grounded theory was used to analyze field notes and transcripts.

Findings

Results show how the social identity process enables patients to move through stages in a patient engagement continuum (informant, partner and active change agent). Initially, patient and team member perceptions of the patient's role influence their respective behaviors (activating, directing, framing and sharing). Subsequently, patient and team member behaviors influence patient contributions on the team, which can redefine patient and team member perceptions of the patient's role.

Originality/value

As health systems grow increasingly complex and become more interested in responding to patient expectations, understanding how to effectively engage patients on redesign teams gains importance. This research investigates how and why patient engagement on redesign teams changes over time and what makes different types of patient roles valuable for team objectives. Findings have implications for how redesign teams can better prepare, anticipate and support the changing role of engaged patients.

Details

Journal of Health Organization and Management, vol. 36 no. 3
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 29 May 2018

Sepehr Ghazinoory, Ammar Ali Ali, AliReza Hassanzadeh and Mehdi Majidpour

Because of importance of technological learning for less developed countries, the notion has received increasing attention of scholars. The purpose of this paper is to investigate…

Abstract

Purpose

Because of importance of technological learning for less developed countries, the notion has received increasing attention of scholars. The purpose of this paper is to investigate technological learning systematically by assessing the effect of technology transfer actors on technological learning in less developed countries context.

Design/methodology/approach

The paper presents assessment model by adopting technological learning concept based on technology absorption and incremental innovation at firm level and identifying key roles of technology transfer actors (State – Scientific and technological infrastructure – Industry) that affect technological learning. The paper follows survey as research methodology. Thus, a questionnaire was addressed to 33 Syrian textile factories to examine the assessment model. Simple linear, multiple linear and ordinal regression analyses are preformed to examine relationships of model components.

Findings

The regression models show notable ability of technology transfer actors to explain technological behavior of firms to accumulate operative capability and consequently to generate passive incremental innovation. The findings indicate passive technical change system of Syrian textile industry. Therefore, goal-oriented evaluation of actual technology policy is preliminary step for achieving improvements, as well as activating scientific and technological infrastructure role by enabling strong relationships with industry and supporting interactions of domestic firms of textile industry and with foreign players.

Originality/value

The paper enriches technological learning literature by proposing systematic approach that sets the nature of technical change process of less developed countries in core of analysis. Moreover, it provides a guide for technological learning practices at firm level and for policymakers based on assessing actual status of Syrian textile industry.

Details

Journal of Science and Technology Policy Management, vol. 10 no. 1
Type: Research Article
ISSN: 2053-4620

Keywords

Book part
Publication date: 24 August 2011

Morten H. Abrahamsen

The study here examines how business actors adapt to changes in networks by analyzing their perceptions or their network pictures. The study is exploratory or iterative in the…

Abstract

The study here examines how business actors adapt to changes in networks by analyzing their perceptions or their network pictures. The study is exploratory or iterative in the sense that revisions occur to the research question, method, theory, and context as an integral part of the research process.

Changes within networks receive less research attention, although considerable research exists on explaining business network structures in different research traditions. This study analyzes changes in networks in terms of the industrial network approach. This approach sees networks as connected relationships between actors, where interdependent companies interact based on their sensemaking of their relevant network environment. The study develops a concept of network change as well as an operationalization for comparing perceptions of change, where the study introduces a template model of dottograms to systematically analyze differences in perceptions. The study then applies the model to analyze findings from a case study of Norwegian/Japanese seafood distribution, and the chapter provides a rich description of a complex system facing considerable pressure to change. In-depth personal interviews and cognitive mapping techniques are the main research tools applied, in addition to tracer studies and personal observation.

The dottogram method represents a valuable contribution to case study research as it enables systematic within-case and across-case analyses. A further theoretical contribution of the study is the suggestion that network change is about actors seeking to change their network position to gain access to resources. Thereby, the study also implies a close relationship between the concepts network position and the network change that has not been discussed within the network approach in great detail.

Another major contribution of the study is the analysis of the role that network pictures play in actors' efforts to change their network position. The study develops seven propositions in an attempt to describe the role of network pictures in network change. So far, the relevant literature discusses network pictures mainly as a theoretical concept. Finally, the chapter concludes with important implications for management practice.

Details

Interfirm Networks: Theory, Strategy, and Behavior
Type: Book
ISBN: 978-1-78052-024-7

Keywords

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