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Article
Publication date: 3 July 2017

Michele Foster, Desley Harvey, Rachel Quigley and Edward Strivens

Quality care transitions of older people across acute, sub-acute and primary care are critical to safety and cost, which is the reason interventions to improve practice are a…

Abstract

Purpose

Quality care transitions of older people across acute, sub-acute and primary care are critical to safety and cost, which is the reason interventions to improve practice are a priority. Yet, given the complexity of providers and services involved it is often difficult to know the types of tensions that arise in day-to-day transition work or how front-line workers will respond. To that end, this innovative study differs from the largely descriptive studies by conceptualising care transitions as street-level work in order to capture how transition practice takes shape within the complexities and dynamics of the local setting. The paper aims to discuss these issues.

Design/methodology/approach

Data were collected from 23 hospital health professionals and community service providers across primary, sub-acute and acute care through focus groups. A thematic analysis and interrogation of themes using street-level concepts derived three key themes.

Findings

The themes of risk logics and dilemmas of fragmentation make explicit both the local constraints and opportunities of care transitions and how these intersect to engender a particular logic of practice. By revealing the various discretionary tactics adopted by front-line providers, the third theme simultaneously highlights how discretionary spaces might represent both possibilities and problematics for balancing organisational and patient needs.

Originality/value

The study contributes to the knowledge of street-level work in health settings and specifically, the nature of transition work. Importantly, it benefits policy and practice by uncovering mechanisms that could facilitate and impede quality transitions in discrete settings.

Details

Journal of Integrated Care, vol. 25 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 14 May 2018

Desley Harvey, Michele Foster, Rachel Quigley and Edward Strivens

The purpose of the paper is to examine the care transitions of older people who transfer between home, acute and sub-acute care to determine if there were common transition types…

Abstract

Purpose

The purpose of the paper is to examine the care transitions of older people who transfer between home, acute and sub-acute care to determine if there were common transition types and areas for improvements.

Design/methodology/approach

A longitudinal case study design was used to examine care transitions of 19 older people and their carers as a series of transitions and a whole-of-system experience. Case study accounts synthesising semi-structured interviews with function and service use data from medical records were compared.

Findings

Three types of care transitions were derived from the analysis: manageable, unstable and disrupted. Each type had distinguishing characteristics and older people could experience elements of all types across the system. Transition types varied according to personal and systemic factors.

Originality/value

This study identifies types of care transition experiences across acute, sub-acute and primary care from the perspective of older people and their carers. Understanding transition types and their features can assist health professionals to better target strategies within and across the system and improve patient experiences as a whole.

Details

Journal of Integrated Care, vol. 26 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Book part
Publication date: 14 May 2018

Jerry M. Calton

Both the theory and practice of corporate social responsibility (CSR) are foundational to the field of Business & Society (B&S). However, efforts to define and operationalize this…

Abstract

Both the theory and practice of corporate social responsibility (CSR) are foundational to the field of Business & Society (B&S). However, efforts to define and operationalize this construct have been undermined by definitional discord arising from the disparate sense-making assumptions and methods of competing North American and European research traditions. Scholars wedded to the North American research tradition have striven mightily to uncover “objective” evidence in support of the instrumental proposition that IF corporate executives were to invest more resources to enhance social and environmental performance, THEN the firm’s burnished brand image, reputation, and perceived legitimacy would elevate the firm’s long-term financial performance as well. However, the inconclusive statistical record has failed to move many corporate decision makers beyond the minimal social and environmental investments needed to create the impression of compliance with societal expectations. The proliferation of corporate scandals and the pattern of settling legal disputes without admitting guilt are also troubling. The muted impact of B&S research based on proving the instrumental proposition has prompted a new generation of European B&S scholars to explore the sense-making potential of the European research tradition, which seeks meaning and normative validity within a pluralist crucible of community discourse. This contested communicative space is filled with paradoxical tensions and contending stakeholder voices and narratives. With respect to CSR, this discursive sense-making process is animated by an aspiration toward constructing shared meanings that can guide a search for more collaborative approaches to addressing systemic challenges via stakeholder engagement and experiments in multisector collaborative problem-solving. Rather than try to scientifically “prove” a fact-based pre-existing condition, this approach embraces “an emergent and mediated form of strategic ambiguity” to keep open the possibility of “fulfilling often conflicting instrumental and social/ethical imperatives at the same time” (Guthey & Morsing, 2014, p. 556). This discourse-based search for shared meanings in support of a convergence of economic, social, and environmental values frames CSR as an aspirational cocreative process rather than as a pyramid of normative assertions loosely grounded on a search for validation in efforts to find correlations (or causation) within an assortment of “objective” facts. The discursive approach to constructing CSR also highlights the relevance of the emergence of institutional innovations that enable network interactions to address shared systemic problems. Ultimately, CSR may be expressed as a form of network governance seeking to assure the sustainable outcome of system health and vitality across micro-, meso-, and meta-levels of thought and action.

Article
Publication date: 1 July 1903

IT is evident from the numerous press cuttings which are reaching us, that we are once more afflicted with one of those periodical visitations of antagonism to Public Libraries…

Abstract

IT is evident from the numerous press cuttings which are reaching us, that we are once more afflicted with one of those periodical visitations of antagonism to Public Libraries, which occasionally assume epidemic form as the result of a succession of library opening ceremonies, or a rush of Carnegie gifts. Let a new library building be opened, or an old one celebrate its jubilee, or let Lord Avebury regale us with his statistics of crime‐diminution and Public Libraries, and immediately we have the same old, never‐ending flood of articles, papers and speeches to prove that Public Libraries are not what their original promoters intended, and that they simply exist for the purpose of circulating American “Penny Bloods.” We have had this same chorus, with variations, at regular intervals during the past twenty years, and it is amazing to find old‐established newspapers, and gentlemen of wide reading and knowledge, treating the theme as a novelty. One of the latest gladiators to enter the arena against Public Libraries, is Mr. J. Churton Collins, who contributes a forcible and able article, on “Free Libraries, their Functions and Opportunities,” to the Nineteenth Century for June, 1903. Were we not assured by its benevolent tone that Mr. Collins seeks only the betterment of Public Libraries, we should be very much disposed to resent some of the conclusions at which he has arrived, by accepting erroneous and misleading information. As a matter of fact, we heartily endorse most of Mr. Collins' ideas, though on very different grounds, and feel delighted to find in him an able exponent of what we have striven for five years to establish, namely, that Public Libraries will never be improved till they are better financed and better staffed.

Details

New Library World, vol. 6 no. 1
Type: Research Article
ISSN: 0307-4803

Article
Publication date: 1 September 1939

THESE are grave days, and perhaps especially grave for those who are workers in books, in art and in the things of the mind and spirit. They are days which may make, or may mar…

Abstract

THESE are grave days, and perhaps especially grave for those who are workers in books, in art and in the things of the mind and spirit. They are days which may make, or may mar, much that such people as the readers of THE LIBRARY WORLD have striven for through a century or more. In war the material things, money, food, clothes, cease to be ordinary problems; they become urgent; and all the graces of life, even education itself, are endangered. We have yet to experience the full impact, let alone the reactions, of the drastic war taxation recently imposed. Necessary it is, no doubt, but that will not lessen its effects.

Details

New Library World, vol. 42 no. 3
Type: Research Article
ISSN: 0307-4803

Article
Publication date: 1 July 1947

WE begin a new volume of THE LIBRARY WORLD with this number. For forty‐nine years we have striven to maintain the policy and programme of its founder and first Editor, James Duff…

Abstract

WE begin a new volume of THE LIBRARY WORLD with this number. For forty‐nine years we have striven to maintain the policy and programme of its founder and first Editor, James Duff Brown: to provide a journal for independent opinion to find utterance in; for young librarians to make their needs and aspirations known; for intelligent, and we hope generally constructive, criticism to be made; and for such personal chronicles to appear as would seem to create and perpetuate friendships. Much of permanent worth has adorned our pages and, of course, much that served the passing moment but always, even in the many controversial Letters on Our Affairs which for thirty‐three years have continued unbroken, the effort has been to serve and in no circumstances to allow personal anonymous attack. We shall continue in our established course but we hope, as conditions grow easier, to widen our activities in harmony with the necessary advances in library method and practice. We invite the new men, to whom the profession looks for the new heart which keeps its body going, to use our pages when they have anything to say.

Details

New Library World, vol. 50 no. 1
Type: Research Article
ISSN: 0307-4803

Article
Publication date: 1 February 1978

Mike Glossop and David Radmore

A NOTABLE FEATURE of the changes which have occurred in librarianship in recent years is a reassertion of the importance of the individual. Within the organisational context…

Abstract

A NOTABLE FEATURE of the changes which have occurred in librarianship in recent years is a reassertion of the importance of the individual. Within the organisational context, classical management theories, MbO and the like, which have been overly preoccupied with systems and processes, have given way to the Human Relations School, theories of social interaction and group dynamics, and participative styles of management. Similarly the trend towards subject specialisation, user education and information officers has made the individual user a growing focus of attention. These changes are reflected in the literature by an increasing number of articles advocating that training for librarianship should step beyond the subjects traditionally associated with professional education and embrace a wider range of interdisciplinary subjects more appropriate for the study of communications. Communication is, after all, the central concern of the library. The interaction between readers, information and librarians represents a social system where the behaviour, perceptions and values of the people involved are of crucial importance in many areas of library research. It would seem that librarians are beginning to realise that knowledge about libraries is fundamentally social.

Details

New Library World, vol. 79 no. 2
Type: Research Article
ISSN: 0307-4803

Article
Publication date: 17 February 2012

James Reardon and Chip Miller

Methodological advances in cross‐cultural scale development have addressed many concerns regarding the development of valid scales. However, several issues remain to be examined …

3839

Abstract

Purpose

Methodological advances in cross‐cultural scale development have addressed many concerns regarding the development of valid scales. However, several issues remain to be examined – including the potential problems of using language to measure communication phenomena using self‐reported studies and addressing the effect of response scale type on the validity of resultant measures. The purpose of this paper is to expand the cross‐cultural measurement paradigm by comprehensively examining these issues and suggesting a new response scale type that may potentially produce more valid cross‐cultural measures of communication‐based phenomena.

Design/methodology/approach

Measures of Hall's concept of context were developed using three types of response scales – Likert, semantic differential, and conceptual metaphoric. The last response scale type is developed within this research. Samples were gathered in 23 countries using existing scale development procedures. The response scales were compared for psychometric properties and validity based on reliability, metric invariance, response styles, and face validity.

Findings

Overall all three response scale types adequately measured the construct of context. The newly developed conceptual metaphoric scale performed marginally better on most comparative metrics.

Practical implications

International marketers measure a host of variables related to culture for many purposes. The new response scale type may provide slightly better measures to more accurately reflect communication based constructs – many of which are central to marketing.

Originality/value

The findings indicate that the new conceptual metaphoric response scale type may overcome some existing biases inherent in standard response scale types. In addition, this research provides the first viable and parsimonious measure of Hall's concept of context.

Details

International Marketing Review, vol. 29 no. 1
Type: Research Article
ISSN: 0265-1335

Keywords

Article
Publication date: 2 September 2014

Bernard Sionneau, Carlos Rabasso and Javier Rabasso

This paper aims at explaining why “Globally Responsible Humanism (GRH)” is presented here as the pivot for a re-foundation of European Business Schools’ culture. Explaining the…

2620

Abstract

Purpose

This paper aims at explaining why “Globally Responsible Humanism (GRH)” is presented here as the pivot for a re-foundation of European Business Schools’ culture. Explaining the concept and its difference with traditional European Humanism, the related argumentation is organized around two main parts: the first one explains why the European Union and its business schools do not make sense in a globalization process driven by the financialized economy; the second one shows how a sustainable exposition of European management students to a transcultural approach, a postcolonial perspective, and critical thinking, can lead to their training as future globally responsible leaders in New Business Schools for Societal Studies.

Design/methodology/approach

An international political sociology perspective, applied to the interpretation of globalization trends, and a critical thinking approach to education allow for a questioning of the values and contents of mainstream business learning.

Findings

The new proposed transversal, postcolonial and interdisciplinary pedagogical approach regarding business education is conducive to closely related operational tracks: on the one hand, how to improve the skills and systemic understanding of students’ global environment; on the other hand, how to lead, organize and manage the coherent “GRH”-driven business school.

Originality/value

The originality of this paper stems from the combination of critical works issued from the social and human sciences realms to revisit business education.

Article
Publication date: 1 May 1984

Things seem to be going desperately wrong with the concept of the “brave new world” predicted by the starry‐eyed optimists after the Second World War finally came to an end. To…

Abstract

Things seem to be going desperately wrong with the concept of the “brave new world” predicted by the starry‐eyed optimists after the Second World War finally came to an end. To those who listen only to what they want to hear, see everything, not as it is, but as they would like it to be, a new society could be initiated and the lusty infant would emerge as a paragon for all the world to follow. The new society in truth never really got off the ground the biggest mistake of all was to cushion millions of people against the results of their own folly; to shelter them from the blasts of the ensuing economic climate. The sheltered ones were not necessarily the ordinary mass of people; many in fact were the victims and suffered the consequences. And now that the state has reached a massive crescendo, many are suffering profoundly. The big nationalised industries and vast services, such as the national health service, education, where losses in the case of the first are met by Government millions, requests to trim the extravagant spending is akin to sacrilege in the latter, have removed such terms as thrift, careful spending, value for money from the vocabulary.

Details

British Food Journal, vol. 86 no. 5
Type: Research Article
ISSN: 0007-070X

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