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The purpose of this paper is to suggest how decision-makers may work towards a broader perspective on value than that expressed in financial economics-based accounting terms to enhance value in healthcare.

The authors review published academic research and reports on practice across a range of disciplines.

The authors find that while value is a multidimensional concept, which is open to perceptions that differ across stakeholders in healthcare, financial economics-based accounting is essentially mono-disciplinary and dominates decisions. Enhancing value in health is a wicked problem, and a trans-disciplinary approach has the potential to enable decision-makers to enhance value.

The suggest that a trans-disciplinary approach, which dissolves disciplinary boundaries, is capable of enabling decision-makers to work towards understanding and enhancing value by fostering awareness of stakeholders' perceptions of value. A critical caveat is that a trans-disciplinary approach does not guarantee ready-made or immediate solutions; it does, however, offer the means to struggle towards a destination which may be continually shifting.

This study highlights the importance of a broader understanding of the concept of value than that implied by financial economics-based accounting and recognises the perceptions of stakeholders. It explores the inter-relationship among “the view from nowhere”, wicked problems and trans-disciplinarity and recommends a trans-disciplinary approach with a view to enhancing value in that broader sense. In this way, it contributes to the accounting literature, which has previously paid little attention to some of these aspects.

Internationally, healthcare systems are moving towards delivering care in an integrated manner which advocates a multi-disciplinary approach to decision making. Such an approach is formally encouraged in the management of Atrial Fibrillation patients through the European Society of Cardiology guidelines. Since the emergence of new oral anticoagulants switching between oral anticoagulants (OACs) has become prevalent. This case study considers the role of multi-disciplinary decision making, given the complex nature of the agents. The purpose of this paper is to explore Irish General Practitioners’ (GPs) experience of switching between all OACs for Arial Fibrillation (AF) patients; prevalence of multi-disciplinary decision making in OAC switching decisions and seeks to determine the GP characteristics that appear to influence the likelihood of multi-disciplinary decision making.

A probit model is used to determine the factors influencing multi-disciplinary decision making and a multinomial logit is used to examine the factors influencing who is involved in the multi-disciplinary decisions.

Results reveal that while some multi-disciplinary decision-making is occurring (64 per cent), it is not standard practice despite international guidelines on integrated care. Moreover, there is a lack of patient participation in the decision-making process. Female GPs and GPs who have initiated prescriptions for OACs are more likely to engage in multi-disciplinary decision-making surrounding switching OACs amongst AF patients. GPs with training practices were less likely to engage with cardiac consultants and those in urban areas were more likely to engage with other (non-cardiac) consultants.

For optimal decision making under uncertainty multi-disciplinary decision-making is needed to make a more informed judgement and to improve treatment decisions and reduce the opportunity cost of making the wrong decision.

This study aims to contribute to the exploration of inter-disciplinary approaches in higher education for sustainability. It is a reflection on a case study linking students in the arts and sustainability science, through which the inter-disciplinary and problem-solving processes for solving a concrete sustainability challenge were explored.

The case study featured a workshop with students from two educational programmes at Aalborg University, namely, Art and Technology and Environmental Management and Sustainability Science, the latter being an engineering programme and the former part of the humanities. Experience evaluation was based on participant observation, written feedback and the workshop facilitators’ post-event reflections. Data analysis was based on multi-grounded theory, dialectically combining empirical data (through open coding) with relevant emergence theories. Notions of emergence were chosen because the supposed benefit of inter-disciplinarity is the emergence of novel solutions to complex problems. The study investigates the concrete conditions of emergence in educational inter-disciplinary settings.

The workshop led to a successful experience, bringing an art-based approach together with sustainability science for arriving at solutions that neither of the two would have arrived at separately. Based on participant experiences and realisations, five “emergence concepts” are suggested as supportive learning criteria and conditions, namely, “knowledge expansion”, “complementarity”, “disciplinary self-reflection”, “change of practice” and “play”.

The findings and emergence concepts can be an inspiration for creating an effective learning environment supporting the emergence of different forms of knowledge and solution concepts for solving sustainability challenges.

This paper is an empirical response to two of Quattrone’s claims: first, that research in accounting is fragmented; and then that this follows from the blocking of communication by intra‐ and inter‐disciplinary boundaries. Although we agree with much of Quattrone’s argument, and in particular with his problematising of “economic man”, we draw an opposite conclusion. Rather than looking to a trans‐disciplinary removal of boundaries, we use a survey of 30 years of research in corporate annual reports to defend narrowly disciplinary work. We make our case through discussing problems of intra‐ and inter‐disciplinary unity in research, the puzzle of the role of “economic man” in the study of annual reports, and the alternative to him in science and technology studies (STS). Our approach yields a better fit than Quattrone’s own solution with his aims of an evolutionary perspective that allows for historical shifts, and for a reflexivity that includes the inevitable entanglement of researchers in what they study. We conclude by noting that our approach is applicable to the study of corporate communication more generally.

Although English Language Arts (ELA) teachers have historically been expected to take the lead in literacy training, the domain of ELA has yet come to terms with what holds it together as a discipline. Within this conundrum, the author studied one group of ELA teacher leaders who led a professional development (PD) aimed at training teachers in disciplinary writing instruction. This study aims to explore the differences in perspectives between what constitutes disciplinarity for ELA teachers and teachers in other content areas.

Over the course of two years, the author observed the PD, taking extensive field notes, collecting artifacts and conducting interviews. The author engaged in constant comparative analysis of the data throughout this time, open coding within each data source and then triangulating the data to support the author’s finding.

Whereas the ELA teacher leaders seemed to focus on general aspects of writing, teachers from the other content areas shared discipline-specific understandings about writing. The teachers and teacher leaders, however, did not explicitly discuss these differences in how they conceptualized writing instruction; rather, this tension was revealed through the author’s analysis of the data.

The findings of this study illustrate how a vague definition of writing in English and of disciplinary literacy has come to bear on one PD of writing. This study recommends future research to continue to develop clear epistemologies, purposes and literate practices of the disciplines related to ELA.

The purpose of this paper is to explore the experiences of academic staff who are committed to embedding sustainability within tertiary curricula and pedagogy.

The focus of this paper is on a New Zealand university. A survey of staff was undertaken and in-depth interviews conducted with 11 sustainability “champions”. A narrative variant of thematic analysis was used to examine the ways these sustainability “champions” made sense of the work they do. Through an analysis of their metaphors and metaphorical language, a sense of the identities that they held as educators of sustainability was gained.

Three types of identities emerged – the sustainability “saviour”, “nurturer” and “struggler”. These identities reflected the champion’s experiences, disciplinary affiliations and pedagogical approaches. Interdisciplinarity emerged as a key tenet and challenge for such sustainability champions.

This paper provides rare insights into the experiences, identities and teaching approaches of sustainability champions within higher education. It highlights the need for university-wide conversations and cross-discipline support for such academics.

This paper addresses the concept of concurrent engineering (CE) and its application to construction. The construction process is faced with an ephemeral shifting coalition of participants who have divergent goals and objectives. Consequently, adversarial relationships between project participants have developed. This has made it difficult for organizations to cooperate, communicate and integrate with each other effectively. The CE concept advocates the implementation of a multi‐disciplinary team approach to construction by encouraging collaborative decision making based upon team coordination and information sharing. This paper suggests that a multi‐disciplinary approach can be achieved by introducing the contractor, major subcontractors and suppliers during the design phase.

The prospect of state funding for foundation programmes has heralded a new interest in such programmes in the Higher Education sector. Already the proposed funding frameworks appear to be influencing the nature of foundation curricula. Against this background Peninsula Technikon is currently implementing pilot foundation programmes in Mechanical and Civil Engineering. This pilot draws on an integrated, extended curriculum model emerging in the Engineering faculty, which uses a focus subject from the mainstream programme around which to build the foundation curriculum. This paper presents a multi‐level analysis of policy articulation regarding foundation programmes, from a mode 2 (Gibbons 1994) perspective which emphasises the need for learning to be applied in real‐life, problem‐solving contexts which transcend disciplinary boundaries and reflect issues of importance to society. It examines this policy and responses to it, at the macro level of state and the Higher Education (HE) sector, as well as the micro level of an individual HE institution and two academic departments. Finally suggestions are made as to why and how articulation from the micro to the macro level could enhance policy implementation.

This paper aims to explore graduate student experiences of ecohealth communities of practice in Canada, West and Central Africa and Central America, to better understand the role of student knowledge in advancing innovative practices in transdisciplinary, participatory and equitable research approaches.

This ethnographic analysis builds on observations of graduate student participants in ecohealth communities of practice activities, along with 26 in-depth interviews conducted in 2011 with graduate students and professionals trained in ecosystem approaches to health. Interviews are transcribed by the author, and coded and analyzed using a grounded theory approach.

Although ecohealth communities of practice open new space for students to experiment with innovative practices in transdisciplinary, participatory and equitable research approaches, the surrounding disciplinary, top-down structure of academic and professional careers continue to pose significant obstacles to how students can take up the principles of ecohealth in practice. Through their collective experiences of these obstacles, students have considerable knowledge about the opportunities and constraints that the ecohealth communities of practice afford; however, this student knowledge has not yet been systematized or adequately mobilized.

Student knowledge gained through shared experiences of ecohealth communities of practice appears to be a critical, necessary and underused component in working on systemic change in the structure of sustainability leadership in higher education. However, more research is needed to understand how greater emphasis could be placed on putting students in charge of confronting the conditions of their own training, to collectively produce alternatives that challenge dominant structural norms.

The ethnographic approach re-centers student voices within debates about the relevance of ecohealth communities of practice for realizing the aims of transdisciplinary, participatory and equitable research approaches within the context of international sustainability challenges and graduate training.

Pupil autonomy, empowerment and clarity of school rules are factors underpied that the schools subscribed to different philosophies regarding pupil management. One school was largely authoritarian in its approach and the other was overly lenient. This paper emphasises the importance of furthering democratic principles of pupil participation within the context of clear rules and boundaries.