Search results

Conducting effective program evaluations such that all stakeholders benefit can be challenging. Appreciative inquiry provides a framework for seeking out the “goodness” of a program. By identifying what is being done “right,” programs can be strengthened by keeping what is currently valued, discarding what is not valued, and creating what does not currently exist but is envisioned and desired by all stakeholders. This chapter explores the benefits of using an appreciative approach to program evaluation. It describes the process used to appraise the Technology for Education and Training graduate programs.

Nurse navigators (NNs) coordinate patient care, improve care quality and potentially reduce healthcare resource use. The purpose of this paper is to undertake an evaluation of hospitalisation outcomes in a new NN programme in Queensland, Australia.

A matched case-control study was performed. Patients under the care of the NNs were randomly selected (n=100) and were matched to historical (n=300) and concurrent (n=300) comparison groups. The key outcomes of interest were the number and types of hospitalisations, length of hospital stay and number of intensive care unit days. Generalised linear and two-part models were used to determine significant differences in resources across groups.

The control and NN groups were well matched on socio-economic characteristics, however, groups differed by major disease type and number/type of comorbidities. NN patients had high healthcare needs with 53 per cent having two comorbidities. In adjusted analyses, compared with the control groups, NN patients showed higher proportions of preventable hospitalisations over 12 months, similar days in intensive care and a smaller proportion had overnight stays in hospital. However, the NN patients had significantly more hospitalisations (mean: 6.0 for NN cases, 3.4 for historical group and 3.2 for concurrent group); and emergency visits.

As many factors will affect hospitalisation rates beyond whether patients receive NN care, further research and longer follow-up is required.

A matched case-control study provides a reasonable but insufficient design to compare the NN and non-NN exposed patient outcomes.

This chapter assesses the response by trade unions in New Zealand, Australia and Ireland to labour market deregulation since the 1980s. While these three countries have been on the front line of neoliberalism, and the traditional web of rules in each country has been weakened, change has occured unevenly, in part due to different union strategies. The chapter examines the ways in which unions employed institutional experimentations to defend the collectivist web of rules and strengthen labour standards. It argues that an augmented model of pluralism has emerged in all three countries in the form of stronger individual rights but that this is no substitute for collective bargaining mechanisms.

To examine the experience of agency employment for workers and employers' use of agency workers in Britain to evaluate competing claims made about this form of work.

This paper draws on results from three recent representative surveys of employment in Britain to examine the current nature and experience of agency work: the Labour Force Survey; the Workplace Employment Relations Survey and the Working in Britain, 2000 Survey.

The findings indicate that there is little evidence of the purported association between agency work and the emergence of the “knowledge economy”, as suggested by some. Turning to employers' use of agency labour, it is found that this has been driven by pressures relating to labour costs, possibly reflecting short‐term considerations. As for workers' experience of agency employment, this paper reports their dissatisfaction with many aspects of agency work, resulting in low levels of commitment and high anxiety about their work situation.

Whilst the use of agency workers may provide short‐term benefits for organisations there is considerable evidence that, in the absence of remedial action, a number of challenges are likely to emerge for human resource practitioners. In particular, organisations may incur longer‐term costs through extensive utilisation of employment agency labour.

Agency work has grown rapidly but little is known about short‐term experiences or longer term implications. The paper fills a gap in knowledge about the current nature of agency work, and provides an empirical assessment of competing claims about this form of work

Considers management views on the operation of quality management (QM) strategies in two service sector organizations, financial services and hotel and catering – based on open‐ended interviews with managerial staff. Considers some of the soft/HRM aspects of quality management. Finds that there have been moves towards the more quantifiable measurement of outcomes and tighter management control. Employee empowerment is conceived of as the major defining feature of QM in the two organizations. Both companies have also sought greater flexibility through delayering and through efforts to break down demar‐ cations. QM does not necessarily involve these latter trends. However, a thoroughgoing management commitment to empowering employees to take greater responsibility for problem solving and decision making will tend to go together with at least some reduction in organizational hierarchy.

The purpose of this paper is to explore the extent to which organizational learning is recognized through performance management systems as contributing to organizational effectiveness and competitive advantage.

It reviews several pieces of research, employing a wide range of methods, including: content analysis of managers’ reflections; questionnaires completed by managers and mentors; a large-scale survey involving ethnography, interviews and questionnaires; and analysis of documents from professional bodies and management delivery centres.

Genuine integration of individual and organizational goals or transfer of learning from the individual to the organization is not evident. Few qualitative measures of organizational performance are employed. The impact of metrics such as IIP or EFQM on organizational effectiveness is nor discernible. Management learning and development is rarely measured even when it is encouraged by the organization. There is a clear divide between research, teaching and learning and workplace practice. Performance management systems create perceptions of unreliability and inequity.

Espousing the value of learning and learning to learn, measuring them accurately and rewarding them with meaningful changes to working life can only improve organizational effectiveness. Research into the few organizations that have successfully embraced triple loop learning in their development of managers may offer a template for transformational learning to sustain competitive advantage.

Management development processes have been successful in developing individuals but less successful in achieving organizational development. This paper offers new insights into that gap and the omissions in the metrics by which performance is measured.