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The purpose of this paper is to explore whether relatives of care home residents are best placed to act as “champions” or advocates for their family members, as is often the expectation.

Focus groups and interviews were conducted with 25 relatives of residents in four care homes for older people in the South East of England. Two rounds of focus groups were held in each participating care home: the first was to discuss any issues arising from the care received, or concerns about the home itself; the second was to enable a deeper exploration of the key themes that arose from the first round and explore why relatives, in this case, failed to complain.

Thematic analysis revealed a complex range of emotions experienced by relatives that contributed to a conflict between what they believed to be the correct response and how they behaved in reality, which led to a culture of acceptance. Analysis revealed some relatives were reluctant to “interfere” for fear of possible negative repercussions, thus they downplayed issues in an attempt not to “rock the boat”.

This paper discusses the flaws in the policy emphasis on personalisation and the reliance on family members as advocates, and concludes with suggestions on how care homes may foster an environment where relatives, and indeed residents, feel comfortable to raise issues and concerns.

Why and when people working in organisations hide their knowledge has received considerable academic attention. However, little attention has been paid to knowledge hiding in academia itself, even though universities are known as places where knowledge is shared. This study aims to consider the dilemma faced by academics when undertaking research work: should they share or hide what they are doing?

Using empirical evidence drawn from 20 academics in a number of UK Business Schools, the authors carried out in-depth interviews to investigate the effects of strategic knowledge hiding (SKH) on research knowledge work. The authors argue that SKH can drive competitive individuals to establish research superiority.

The findings revealed that most respondents have, for strategic reasons, hidden their tacit and/or explicit knowledge from others during ongoing research processes, but have, at the same time, purposefully sought for knowledge from targeted colleagues.

The findings extend the previous literature by revealing not only the distinctive individual antecedents of SKH but also its positive outcomes. The findings illustrate a pioneering contribution of a systematic model of SKH among university business school academics.

Integrated care continues to be a central aim within health and social care policy in England. Personal budgets and personal health budgets aim to place service users at the centre of decision-making and are part of a wider long-term initiative working towards personalised and integrated care. Personal budgets began in social care with the national pilot programme of individual budgets, which aimed to incorporate several funding streams into one budget, but in practice local authorities limited these to social care expenditure. Personal budgets then moved into the health care sector with the introduction of a three-year personal health budgets pilot programme that started in 2009. The purpose of the paper is to explore the post-pilot implementation of personal health budgets and explore their role in facilitating service integration. We examine this through the RE-AIM framework.

During 2015 and 2016, eight organisational representatives, 23 personal health budget holders and three service providers were interviewed, 42 personal health budget support plans were collected and 14 service providers completed an online survey.

Overall, personal health budgets continued to be viewed positively but progress in implementation was slower than expected. Effective leadership, clear communication and longer-term implementation were seen as vital ingredients in ensuring personal health budgets are fully embedded and contribute to wider service integration.

The paper highlights the importance of policy implementation over the longer-term, while illustrating how the venture of personal health budgets in England could be a mechanism for implementing service integration. The findings can serve to guide future policy initiatives on person-centred care and service integration.

During discussions at the ASC 2013 Conference, the authors were stimulated to consider acting, learning and understanding in the context of organizational change, and in particular the relationship between organizational actors and external analysts. The purpose of this paper is to review from a cybernetic perspective how a socio-technical toolbox can help to facilitate organizational change, and to examine issues involved in use of such a toolbox by organizational actors supported by expert analysts.

The paper is conceptual and adopts a critical stance, i.e. to provide support for emancipation of individuals through ownership and control of their own analyses.

Drawing on work by e.g. Bateson, the authors consider organizations as dynamic and complex human activity systems, and how actors can be helped to develop a productive learning “spiral” of acting and reflecting by means of a proposed socio-technical toolbox. Acting and reflecting upon action can be seen to form a “double helix” of learning, leading to richer understandings of contextual dependencies. Engaged actors need support to surface their contextually dependent understandings, individual and collectively and engage in a “dance of change”.

Change is endemic in organizational life. When engaging with change activity that attempts to address complexity (as opposed to complicatedness), contextual experts need to be the key decision takers. This means a redistribution not only of responsibility and action but also decision-taking power.

The paper suggests augmentation of traditional socio-technical methods to address dynamic complexity.

I ALL READERS TALK ABOUT BOOKS but how many stop to consider how books talk about them? The choice of a book is a very personal matter and inevitably tells something of the mind, the interests and the character of the reader. This applies not so much to books selected from a public library where readers are encouraged to be adventurous in their reading and to try a wide variety of books, but it does apply to those books which we buy and keep as our chosen friends and companions.

An empirical study of 71 hospitals in the United States revealed that strategic factors are highly correlated with a hospital′s financial risk position. Finds strong statistical evidence that ownership status, location, and level of service affect the hospital′s financial risk position, as measured by the Financial Viability Ratio Index.

Going back into previously exited markets is a significant management risk. But, how are re-entry risks managed? By adding strategic reference point (SRP) rationales to the risk management literature, this chapter examines re-entry after initial entry and divestment on a sample of 654 multinational enterprise (MNE) re-entrants. The authors move away from narrow risk management lenses according to which risks happen in isolation and theorize that MNEs simultaneously manage international risk by exploiting the trade-offs among external and internal sources of risk. The authors explain that, for re-entrants, exit may become the SRP for evaluating future strategic choices. The results suggest that re-entrants tend to manage re-entry risk by choosing partner-based modes that enable them to maintain strategic flexibility at re-entry. Surprisingly perhaps, market-specific experience acquired during the initial market foray does not provide strategic flexibility, in that highly experienced firms still experience risk trade-offs.

There has been a growing call regarding broad criteria for assessing qualitative methods' reliability and validity in international marketing (IM) research. In response, this study synthesizes the past literature to present an overarching, yet adaptable, trustworthiness verification framework for assessing the rigor of various qualitative methods used in IM.

The paper draws on qualitative research from various disciplines. It uses content analysis to examine how trustworthiness is conceptualized in qualitative studies in International Marketing Review (IMR) from 2005 to 2019.

The analysis reveals that strategies to ensure rigor and trustworthiness of qualitative research in IMR are partially applied. There remain gaps in implementing quality criteria across the trustworthiness dimensions of credibility, transferability, dependability, conformability and ethics.

This paper highlights the importance of incorporating strategies for assessing the quality of qualitative research in IM research. Since the analysis only focused on IMR, future research should explore and test the framework in other IM and business journals to reach a broader consensus in assessing qualitative studies' rigor.

IM researchers have yet to develop a consensus regarding broad criteria for assessing qualitative methods' reliability and validity. This paper is an attempt to fill this gap.