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Article
Publication date: 24 May 2022

Paul W. Long, Erwin Loh, Kevin Luong, Katherine Worsley and Antony Tobin

The study aims to assess medical engagement levels at two teaching hospitals and a 500 bed private hospital in two states operated by the same health care provider and to…

Abstract

Purpose

The study aims to assess medical engagement levels at two teaching hospitals and a 500 bed private hospital in two states operated by the same health care provider and to describe individual and organisational factors that influence and change medical engagement.

Design/methodology/approach

A survey was emailed to all junior and senior medical staff, seeking responses to 30 pre-determined items. The survey used a valid and reliable instrument which provided an overall index of medical engagement. Qualitative data were also collected by including an open ended question.

Findings

Doctors (n = 810) working at all sites are in the top 20-40 percentile when compared to Australia and the United Kingdom. Two sites in one state were in the highest relative engagement band with the other being in the high relative range when compared to the (UK) and the medium relative band when compared to sites in Australia. Senior doctors working at all three were less engaged on feeling valued and empowered, when compared to having purpose and direction or working in a collaborative culture. This appears to be related to work satisfaction and whether they feel encouraged to develop their skills and progress their careers. Junior doctors at 1 site are much less engaged than colleagues working at another. Since their formal training pathways are identical the informal training experience appears to be an engagement factor.

Originality/value

Despite medical engagement being recognised as crucial, little is known about individual and organisational factors that support doctors to be engaged, particularly for juniors and in the private sector.

Details

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

Keywords

Article
Publication date: 4 July 2016

Erwin Loh, Jennifer Morris, Laura Thomas, Marie Magdaleen Bismark, Grant Phelps and Helen Dickinson

The paper aims to explore the beliefs of doctors in leadership roles of the concept of “the dark side”, using data collected from interviews carried out with 45 doctors in…

Abstract

Purpose

The paper aims to explore the beliefs of doctors in leadership roles of the concept of “the dark side”, using data collected from interviews carried out with 45 doctors in medical leadership roles across Australia. The paper looks at the beliefs from the perspectives of doctors who are already in leadership roles themselves; to identify potential barriers they might have encountered and to arrive at better-informed strategies to engage more doctors in the leadership of the Australian health system. The research question is: “What are the beliefs of medical leaders that form the key themes or dimensions of the negative perception of the ‘dark side’?”.

Design/methodology/approach

The paper analysed data from two similar qualitative studies examining medical leadership and engagement in Australia by the same author, in collaboration with other researchers, which used in-depth semi-structured interviews with 45 purposively sampled senior medical leaders in leadership roles across Australia in health services, private and public hospitals, professional associations and health departments. The data were analysed using deductive and inductive approaches through a coding framework based on the interview data and literature review, with all sections of coded data grouped into themes.

Findings

Medical leaders had four key beliefs about the “dark side” as perceived through the eyes of their own past clinical experience and/or their clinical colleagues. These four beliefs or dimensions of the negative perception colloquially known as “the dark side” are the belief that they lack both managerial and clinical credibility, they have confused identities, they may be in conflict with clinicians, their clinical colleagues lack insight into the complexities of medical leadership and, as a result, doctors are actively discouraged from making the transition from clinical practice to medical leadership roles in the first place.

Research limitations/implications

This research was conducted within the Western developed-nation setting of Australia and only involved interviews with doctors in medical leadership roles. The findings are therefore limited to the doctors’ own perceptions of themselves based on their past experiences and beliefs. Future research involving doctors who have not chosen to transition to leadership roles, or other health practitioners in other settings, may provide a broader perspective. Also, this research was exploratory and descriptive in nature using qualitative methods, and quantitative research can be carried out in the future to extend this research for statistical generalisation.

Practical implications

The paper includes implications for health organisations, training providers, medical employers and health departments and describes a multi-prong strategy to address this important issue.

Originality/value

This paper fulfils an identified need to study the concept of “moving to the dark side” as a negative perception of medical leadership and contributes to the evidence in this under-researched area. This paper has used data from two similar studies, combined together for the first time, with new analysis and coding, looking at the concept of the “dark side” to discover new emergent findings.

Details

Leadership in Health Services, vol. 29 no. 3
Type: Research Article
ISSN: 1751-1879

Keywords

Open Access
Article
Publication date: 6 October 2015

Erwin Loh

The purpose of this paper is to review the current literature and summarises the benefits and limitations of having doctors in health management roles in today’s complex…

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Abstract

Purpose

The purpose of this paper is to review the current literature and summarises the benefits and limitations of having doctors in health management roles in today’s complex health environment.

Design/methodology/approach

This paper reviews the current literature on this topic.

Findings

Hospitals have evolved from being professional bureaucracies to being managed professional business with clinical directorates in place that are medically led.

Research limitations/implications

Limitations include the difficulty doctors have balancing clinical duties and management, restricted profession-specific view and the lack of management competencies and/or training.

Practical implications

The benefits of having doctors in health management include bottom-up leadership, specialised knowledge of the profession, expert knowledge of clinical care, greater political influence, effective change champions to have on-side, frontline leadership and management, improved communication between doctors and senior management, advocacy for patient safety and quality, greater credibility with public and peers and the perception that doctors have more power and influence compared to other health professionals can be leveraged.

Originality/value

Overall, there are more benefits than there are limitations to having doctors in health management but there is a need for more management training for doctors.

Details

Journal of Work-Applied Management, vol. 7 no. 1
Type: Research Article
ISSN: 2205-2062

Keywords

Article
Publication date: 15 June 2015

Erwin Loh

The purpose of this paper is to address the research question using qualitative research methods: how and why medically trained managers choose to undertake postgraduate…

Abstract

Purpose

The purpose of this paper is to address the research question using qualitative research methods: how and why medically trained managers choose to undertake postgraduate management training?

Design/methodology/approach

This research used two qualitative methods to gather data. Both methods used purposeful sampling to select interviewees with appropriate management expertise, qualifications and experience. The first stage utilised convergent interviews and was exploratory. The five interviewees were managers and academics. The second stage used case research methodology and was confirmatory. The fifteen interviewees were medically qualified chief executives and chief medical officers. In total, 20 in-depth interviews were carried. Rigorous content analysis of data collected showed emergent themes.

Findings

The first theme that emerged was that doctors move into management positions without first undertaking training. The second theme was that doctors undertake such training in the form of a masters-level degree and/or a specialist fellowship. The third theme was that effective postgraduate management training for doctors requires a combination of theory and practice. The fourth theme was that clinical experience alone does not lead to required management competencies. The fifth theme was that doctors choose to undertake training to gain credibility.

Research limitations/implications

This research was exploratory and descriptive in nature and limited to analytical rather than statistical generalisation.

Originality/value

This research has provided insights into the importance of understanding how and why doctors undertake postgraduate management training, and may assist policy makers and training providers in the development of such training for doctors.

Details

Journal of Health Organization and Management, vol. 29 no. 4
Type: Research Article
ISSN: 1477-7266

Keywords

Open Access
Article
Publication date: 6 October 2015

Selva Abraham and Jonathan Garnett

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Abstract

Details

Journal of Work-Applied Management, vol. 7 no. 1
Type: Research Article
ISSN: 2205-2062

Content available
Article
Publication date: 4 July 2016

Graham Dickson and Karen Owen

303

Abstract

Details

Leadership in Health Services, vol. 29 no. 3
Type: Research Article
ISSN: 1751-1879

Book part
Publication date: 8 November 2021

Erwin Saraswati

Research in the field of corporate social responsibility (CSR) has become a trending topic in recent years. Research that is often done is related to CSR disclosure…

Abstract

Research in the field of corporate social responsibility (CSR) has become a trending topic in recent years. Research that is often done is related to CSR disclosure, mostly for large companies. Likewise, the current standards and guidelines ignore micro, small, and medium enterprises (MSMEs). On the other hand, the MSME business sector in the world also impacts the economy, social, and environment, so CSR is needed. CSR activities and reporting cannot be separated from the concept of materiality due to a large amount of leeway in management’s discretion regarding topics and aspects. The purpose of this study is to analyze the issue of MSMEs materiality. The samples collected were 33 MSMEs. The research results show that the material issues for both sectors are similar, which are customer care and satisfaction (profit), employee rights, training and development (people), electricity consumption, and waste management (planet). The concept of materiality is expected to play an important role in MSMEs as a CSR strategy so that MSMEs can apply it to their business practices. Thus, MSMEs pay attention to profit, social, and environment, which is interpreted simply. The management of MSMEs can use this result to formulate CSR’s business strategies and apply them to their business practices. Thus, MSMEs can play a role in sustainability, which is expected to improve financial performance.

Details

Environmental, Social, and Governance Perspectives on Economic Development in Asia
Type: Book
ISBN: 978-1-80117-895-2

Keywords

Article
Publication date: 1 February 1978

W.J. HUTCHINS

The recent report for the Commission of the European Communities on current multilingual activities in the field of scientific and technical information and the 1977…

Abstract

The recent report for the Commission of the European Communities on current multilingual activities in the field of scientific and technical information and the 1977 conference on the same theme both included substantial sections on operational and experimental machine translation systems, and in its Plan of action the Commission announced its intention to introduce an operational machine translation system into its departments and to support research projects on machine translation. This revival of interest in machine translation may well have surprised many who have tended in recent years to dismiss it as one of the ‘great failures’ of scientific research. What has changed? What grounds are there now for optimism about machine translation? Or is it still a ‘utopian dream’ ? The aim of this review is to give a general picture of present activities which may help readers to reach their own conclusions. After a sketch of the historical background and general aims (section I), it describes operational and experimental machine translation systems of recent years (section II), it continues with descriptions of interactive (man‐machine) systems and machine‐assisted translation (section III), (and it concludes with a general survey of present problems and future possibilities section IV).

Details

Journal of Documentation, vol. 34 no. 2
Type: Research Article
ISSN: 0022-0418

Article
Publication date: 13 September 2021

Hwang Yi

This study aims to present an architectural application of 4D-printed climate-adaptive kinetic architecture and parametric façade design.

Abstract

Purpose

This study aims to present an architectural application of 4D-printed climate-adaptive kinetic architecture and parametric façade design.

Design/methodology/approach

This work investigates experimental prototyping of a reversibly self-shaping façade, by integrating the parametric design approach, smart material and 4D-printing techniques. Thermo-responsive building skin modules of two-way shape memory composite (TWSMC) was designed and fabricated, combining the shape memory alloy fibers (SMFs) and 3D-printed shape memory polymer matrices (SMPMs). For geometry design, deformation of the TWSMC was simulated with a dimension-reduced mathematical model, and an optimal arrangement of three different types of TWSMC modules were designed and fabricated into a physical scale model.

Findings

Model-based experiments show robust workability and formal reversibility of the developed façade. Potential utility of this module for adaptive building design and construction is discussed based on the results. Findings help better understand the shape memory phenomena and presented design-inclusive technology will benefit architectural communities of smart climate-adaptive building.

Originality/value

Two-way reversibility of 4D-printed composites is a topic of active research in material science but has not been clearly addressed in the practical context of architectural design, due to technical barriers. This research is the first architectural presentation of the whole design procedure, simulation and fabrication of the 4D-printed and parametrically movable façade.

Details

Engineering, Construction and Architectural Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0969-9988

Keywords

Article
Publication date: 16 March 2010

Mohamed Gamal Aboelmaged

This paper aims to clarify emerging aspects and trends of Six Sigma literature over 17 years, from 1992 to 2008.

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Abstract

Purpose

This paper aims to clarify emerging aspects and trends of Six Sigma literature over 17 years, from 1992 to 2008.

Design/methodology/approach

The literature on Six Sigma from 417 referred journal articles in business and management disciplines, information systems and computer science, engineering, healthcare, etc. were systematically analyzed based on a scheme that consists of four distinct dimensions: publication year and journal, major themes, research type, and application sector (i.e. manufacturing vs service).

Findings

A number of key findings emerged: Six Sigma research is growing rapidly, covering various disciplines and domains with a great focus on Six Sigma tools and techniques; empirical research is dominant with more emphasis on case study approach; and the growing gap between manufacturing‐ and service‐focused articles implies the return of Six Sigma to manufacturing as its initial base. Although a large volume of literature is available on Six Sigma, the topic is still under development and offers potential opportunities for further research and applications.

Originality/value

The paper provides both academics and practitioners with a useful framework for pursuing rigorous Six Sigma research through explaining the chronological growth of Six Sigma, challenging themes of Six Sigma research, dominating research types and application areas in Six Sigma, and the major sources of Six Sigma information.

Details

International Journal of Quality & Reliability Management, vol. 27 no. 3
Type: Research Article
ISSN: 0265-671X

Keywords

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