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Open Access
Article
Publication date: 13 July 2020

Felix Gradinger, Julian Elston, Sheena Asthana, Chloe Myers, Sue Wroe and Richard Byng

This integrated care study seeks to highlight how voluntary sector “wellbeing co-ordinators” co-located in a horizontally and vertically integrated, multidisciplinary community…

2388

Abstract

Purpose

This integrated care study seeks to highlight how voluntary sector “wellbeing co-ordinators” co-located in a horizontally and vertically integrated, multidisciplinary community hub within one locality of an Integrated Care Organisation contribute to complex, person-centred, co-ordinated care.

Design/methodology/approach

This is a naturalistic, mixed method and mixed data study. It is complementing a before-and-after study with a sub-group analysis of people receiving input from the wider hub (including Wellbeing Co-ordination and Enhanced Intermediate Care), qualitative case studies, interviews, and observations co-produced with embedded researchers-in-residence.

Findings

The cross-case analysis uses trajectories and outcome patterns across six client groups to illustrate the bio-psycho-social complexity of each group across the life course, corresponding with the range of inputs offered by the hub.

Research limitations/implications

To consider the effectiveness and mechanisms of complex system-wide interventions operating at horizontal and vertical interfaces and researching this applying co-produced, embedded, naturalistic and mixed methods approaches.

Practical implications

How a bio-psycho-social approach by a wellbeing co-ordinator can contribute to improved person reported outcomes from a range of preventive, rehabilitation, palliative care and bereavement services in the community.

Social implications

To combine knowledge about individuals held in the community to align the respective inputs, and expectations about outcomes while considering networked pathways based on functional status, above diagnostic pathways, and along a life-continuum.

Originality/value

The hub as a whole seems to (1) Enhance engagement through relationship, trust and activation, (2) Exchanging knowledge to co-create a shared bio-psycho-social understanding of each individual’s situation and goals, (3) Personalising care planning by utilising the range of available resources to ensure needs are met, and (4) Enhancing co-ordination and ongoing care through multi-disciplinary working between practitioners, across teams and sectors.

Details

Journal of Integrated Care, vol. 28 no. 4
Type: Research Article
ISSN: 1476-9018

Keywords

Open Access
Article
Publication date: 12 January 2021

Lynn McAlpine, Isabelle Skakni, Anna Sala-Bubaré, Crista Weise and Kelsey Inouye

Teamwork has long featured in social science research. Further, with research increasingly “cross-national,” communication becomes more complex, for instance, involving different…

2120

Abstract

Purpose

Teamwork has long featured in social science research. Further, with research increasingly “cross-national,” communication becomes more complex, for instance, involving different cultures, languages and modes of communication. Yet, studies examining team communicative processes that can facilitate or constrain collaboration are rare. As a cross-national European team representing varied disciplines, experiences, languages and ethnicities, we undertook to examine our communication processes with the aim to promote better qualitative research practices.

Design/methodology/approach

Viewing reflection as a tool for enhancing workplace practices, we undertook a structured reflection. We developed an empirically derived framework about team communication, then used it to analyse our interaction practices and their relative effectiveness.

Findings

The results highlighted two under-examined influences, the use of different modes of communication for different purposes and the need for face-to-face communication to address a particularly challenging aspect of research, negotiating a shared coding scheme to analyse diverse cultural and linguistic qualitative data.

Practical implications

The study offers a procedure and concepts that others could use to examine their team communication.

Originality/value

The communicative processes that can constrain and facilitate effective cross-national research team collaboration are rarely examined. The results emphasise the need for careful negotiations around language, epistemologies, cultures and goals from the moment collaboration begins in formulating a project, through applying for grant funds, to when the last paper is published – timely in a context in which such work is increasingly expected.

Details

Qualitative Research Journal, vol. 21 no. 4
Type: Research Article
ISSN: 1443-9883

Keywords

Open Access
Article
Publication date: 16 March 2022

Therese Dwyer Løken, Marit Kristine Helgesen, Halvard Vike and Catharina Bjørkquist

New Public Management (NPM) has increased fragmentation in municipal health and social care organizations. In response, post-NPM reforms aim to enhance integration through service…

1096

Abstract

Purpose

New Public Management (NPM) has increased fragmentation in municipal health and social care organizations. In response, post-NPM reforms aim to enhance integration through service integration. Integration of municipal services is important for people with complex health and social challenges, such as concurrent substance abuse and mental health problems. This article explores the conditions for service integration in municipal health and social services by studying how public management values influence organizational and financial structures and professional practices.

Design/methodology/approach

This is a case study with three Norwegian municipalities as case organizations. The study draws on observations of interprofessional and interagency meetings and in-depth interviews with professionals and managers. The empirical field is municipal services for people with concurrent substance abuse and mental health challenges. The data were analyzed both inductively and deductively.

Findings

The study reveals that opportunities to assess, allocate and deliver integrated services were limited due to organizational and financial structures as the most important aim was to meet the financial goals. The authors also find that economic and frugal values in NPM doctrines impede service integration. Municipalities with integrative values in organizational and financial structures and in professional approaches have greater opportunities to succeed in integrating services.

Originality/value

Applying a public management value perspective, this study finds that the values on which organizational and financial structures and professional practices are based are decisive in enabling and constraining service integration.

Details

Journal of Health Organization and Management, vol. 36 no. 9
Type: Research Article
ISSN: 1477-7266

Keywords

Open Access
Article
Publication date: 31 December 2010

Richard W. Shannon

Busan (Pusan), Korea’s second largest city (population 3.6 million) and fifth busiest port in the world, is experiencing rapidly increasing trade, global connections, events, and…

Abstract

Busan (Pusan), Korea’s second largest city (population 3.6 million) and fifth busiest port in the world, is experiencing rapidly increasing trade, global connections, events, and resulting infrastructural projects. What should Busan do to better handle the social, political, and economic complexities brought by these changes?

To answer this question, this paper explores the relationship of globalization and culture, as treated by cultural anthropology. It also considers how the tools of applied social science and anthropology can be mobilized to help Busan and the southeast region of Korea deal with these challenges.

After introducing anthropological treatments of culture, globalization and global problems, I discuss how applied social science/anthropology is used in international business/trade, tourism, and transport/logistics, especially the third area. To show how applied social science can help transportation and logistics projects in Busan and Korea, I present lessons from case studies and examples in Denver, Colorado Springs, Chuuk (Truk, South Pacific), and Korea.

Applied social science and applied anthropology present a wealth of helpful methods and insights to help Busan and Korea improve planning, public participation, political, social and environmental issues in transport and logistics projects, and to help prevent ethical and budgetary lapses. Finally, I offer suggestions for initial training programs and future studies to help expedite these goals.

Details

Journal of International Logistics and Trade, vol. 8 no. 2
Type: Research Article
ISSN: 1738-2122

Keywords

Open Access
Article
Publication date: 31 December 2018

Jungsuk Kim, Insoo Pyo and Jacob Wood

This study analyzes the policy initiatives that have been adopted by the US government since the 1930s. We document the institutional bodies responsible for the implementation of…

Abstract

This study analyzes the policy initiatives that have been adopted by the US government since the 1930s. We document the institutional bodies responsible for the implementation of trade policy, as well as the objectives and decision making practices that are associated with policy formation. We also examine the new institutional movement of the Trump Administration’s neo-protectionist “America First” trade policy and its potential impact on the Asian region. Finally, our study examines the recent renegotiation of Korea-US FTA from a perspective of each country’s internal decision making process and discusses a number of issues that have relevant applications for Korea. The results from our analysis show that U.S trade policy show that despite a long period of an open and liberalized trade policy focus, recent neo-protectionist measures by President Trump could lead to potential trade wars and a return to the beggar-thy-neighbor policies of the 1930s. Such an anti-globalization agenda could have dire consequences for export dependent countries in the Asian region.

Details

Journal of International Logistics and Trade, vol. 16 no. 3
Type: Research Article
ISSN: 1738-2122

Keywords

Open Access
Book part
Publication date: 9 December 2021

Daniel Paul and Alex Stedmon

In recent years, there has been a growing dialogue around community-based and systems-based approaches to security risk management through the introduction of top-down and…

Abstract

In recent years, there has been a growing dialogue around community-based and systems-based approaches to security risk management through the introduction of top-down and bottom-up knowledge acquisition. In essence, this relates to knowledge elicited from academic experts, or security subject-matter experts, practitioner experts, or field workers themselves and how much these disparate sources of knowledge may converge or diverge. In many ways, this represents a classic tension between organisational and procedural perspectives of knowledge management (i.e. top-down) versus more pragmatic and experience focussed perspectives (i.e. bottom-up).

This chapter considers these approaches and argues that a more consistent approach needs to address the conflict between procedures and experience, help convert field experience into knowledge, and ultimately provide effective training that is relevant to those heading out into demanding work situations. Ultimately, ethics and method are intricately bound together in whichever approach is taken and the security of both staff and at-risk populations depends upon correctly managing the balance between systems and communities.

Details

Ethical Issues in Covert, Security and Surveillance Research
Type: Book
ISBN: 978-1-80262-414-4

Keywords

Open Access
Article
Publication date: 21 November 2022

Ulrica Nylén

The purpose of this paper is to understand the dynamic and power-laden nature of university–society collaboration from the individual academic's point of view.

Abstract

Purpose

The purpose of this paper is to understand the dynamic and power-laden nature of university–society collaboration from the individual academic's point of view.

Design/methodology/approach

This paper applies an autoethnographic approach in following a specific collaboration process through detailed fieldnotes and continuous reflections.

Findings

This research presents university–society collaboration as an emergent, volatile and fairly unpredictable process, involving a multitude of actors on both sides. The interactions among actors shape the emerging process and power relationships. The academic's situation could be understood in terms of multiple and shifting subject positions that could be embraced, accepted, resisted or surrendered to by the academic.

Practical implications

These findings may help academics with own experiences of collaboration to shed light on their observations. Novice academics, interested in collaborating with society, should be aware of the possibility of tensions and exercise of power in interactions with societal actors. When setting up collaboration agreements, academic and societal actors are advised to openly discuss potential problems and how to handle those.

Originality/value

This unique, in-depth testimony of a single collaboration process from the individual academic's point of view uncovers previously unobserved dynamic and political attributes of the process.

Details

Qualitative Research in Organizations and Management: An International Journal, vol. 17 no. 5
Type: Research Article
ISSN: 1746-5648

Keywords

Open Access
Article
Publication date: 1 December 2012

Hanan Ibrahim

Abstract

Details

Learning and Teaching in Higher Education: Gulf Perspectives, vol. 9 no. 2
Type: Research Article
ISSN: 2077-5504

Open Access
Article
Publication date: 26 July 2023

Dimitar Karadzhov, Graham Wilson, Sophie Shields, Erin Lux and Jennifer C. Davidson

The purpose of this study was to explore 232 service providers’ and policymakers’ experiences of supporting children’s well-being during the pandemic, across sectors, in 22…

Abstract

Purpose

The purpose of this study was to explore 232 service providers’ and policymakers’ experiences of supporting children’s well-being during the pandemic, across sectors, in 22 countries – including Kenya, the Philippines, South Africa, India, Scotland, Sweden, Canada and the USA, in the last quarter of 2020.

Design/methodology/approach

A smartphone survey delivered via a custom-built app containing mostly open-ended questions was used. Respondents were recruited via professional networks, newsletters and social media. Qualitative content analysis was used.

Findings

The findings reveal numerous system-level challenges to supporting children’s well-being, particularly virus containment measures, resource deficiencies and inadequate governance and stakeholder coordination. Those challenges compounded preexisting inequalities and poorly affected the quality, effectiveness and reach of services. As a result, children’s rights to an adequate standard of living; protection from violence; education; play; and right to be heard were impinged upon. Concurrently, the findings illustrate a range of adaptive and innovative practices in humanitarian and subsistence support; child protection; capacity-building; advocacy; digitalisation; and psychosocial and educational support. Respondents identified several priority areas – increasing service capacity and equity; expanding technology use; mobilising cross-sectoral partnerships; involving children in decision-making; and ensuring more effective child protection mechanisms.

Practical implications

This study seeks to inform resilience-enabling policies and practices that foster equity, child and community empowerment and organisational resilience and innovation, particularly in anticipation of future crises.

Originality/value

Using a novel approach to gather in-the-moment insights remotely, this study offers a unique international and multi-sectoral perspective, particularly from low- and middle-income countries.

Details

Journal of Children's Services, vol. 18 no. 3/4
Type: Research Article
ISSN: 1746-6660

Keywords

Open Access
Article
Publication date: 17 March 2023

Thomas Pinto Ribeiro, Irineu de Brito Jr, Hugo T.Y. Yoshizaki and Raquel Froese Buzogany

This paper aims to present the internalization process by which Venezuelan migrants and refugees are resettled. Using system dynamics, the authors model a Brazilian humanitarian…

Abstract

Purpose

This paper aims to present the internalization process by which Venezuelan migrants and refugees are resettled. Using system dynamics, the authors model a Brazilian humanitarian operation (“Acolhida” – Welcome), simulate the internalization process, propose policies and provide lessons learned for future migratory operations.

Design/methodology/approach

Using system dynamics simulation, the authors use Acolhida Operation’s historical data to recreate the reception and resettlement process of Venezuelan migrants and refugees. The authors identify the main bottlenecks in the system and propose policies to respond to scenarios according to the number of internalization vacancies, that is, available places in Brazil where migrants and refugees can be resettled. Finally, based on interviews with former decision-makers, the model represents a first attempt to convert the pressure of public opinion on authorities into temporary shelters as a way of reducing the number of unassisted people.

Findings

The results confirm that internalization vacancies are the main constraint when resettling Venezuelan migrants and refugees. Had the internalization program been promoted since the operation’s beginning, there would have been fewer unassisted people in Roraima and fewer shelters. The pressure-converting mechanism presented in this study, although incipient, constitutes a first attempt to support decision-makers in determining when to build temporary shelters.

Practical implications

This study can be useful to public authorities and humanitarian organizations when developing policies to enhance resettlement in migratory crises. In Acolhida’s case, the internalization program should continue to be the operation’s priority and can be enhanced by investing more resources to create internalization vacancies while maintaining logistical capacities.

Social implications

The authors suggest policies to improve the Acolhida internalization program: give more people the choice to relocate in other cities, increase turnover in shelters and provide a more efficient and effective response to Venezuelan migration in Roraima.

Originality/value

Although a number of studies have applied system dynamics to humanitarian operations, few models have focused on migratory emergencies, such as those occurring in northern Brazil. The model is applied to the largest humanitarian operation carried out in the Brazilian territory and provides decision-makers with valuable insights and alternatives for better implementation in the future. Furthermore, this study narrows the gap between the social sciences and modeling and simulation techniques by proposing ways of predicting migratory implications in the construction of shelters and resettlement policies.

Details

Journal of Humanitarian Logistics and Supply Chain Management, vol. 13 no. 3
Type: Research Article
ISSN: 2042-6747

Keywords

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