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The aims of this paper are to explore the experiences of budget holders within the English National Health Service (NHS), in their attempts to implement programmes of disinvestment, and to consider factors which influence the success (or otherwise) of this activity.

Between 24 January and 15 March 2011 semi-structured, telephone interviews were conducted with representatives of 12 Primary Care Trusts in England. Interviews focussed on: understanding of the term “disinvestment”; current activities, and perceived determinants of successful disinvestment decision making and implementation. Data were organised into themes according to standard qualitative data coding practices.

Findings indicate that experiences of disinvestment are varied and that organisations are currently adopting a range of approaches. There are a number of apparently influential determinants of disinvestment which relate to both health system features and organisational characteristics. According to the experiences of the interviewees, many of the easier disinvestment options have now been taken and more ambitious plans, which require wider engagement and more thorough project management, will be required in the future.

Findings from the research suggest that issues around understanding and usage of disinvestment terminology should be addressed and that a more in-depth and ethnographic research agenda will be of most value in moving forward both the theory and practice of disinvestment.

This research suggests that, in the English NHS at least, there is a disjuncture between common usage of the term “disinvestment” and the way that it has previously been understood by the wider research community. In addition to this, the research also highlights a broader range of potential determinants of disinvestment than are considered in the extant literature.

Despite the unparalleled importance of value within healthcare, value-based models remain underutilised in the procurement of medical devices. Research is needed to understand what factors incentivise standard, low-priced device purchasing as opposed to value-adding devices with potentially higher overall health outcomes. Framed in agency theory, we examine the conditions under which different actors involved in purchasing decisions select premium-priced, value-adding medical devices over low-priced, standard medical devices.

We conducted 2 × 2 × 2 between-subjects scenario-based vignette experiments on three UK-based online samples of managers (n = 599), medical professionals (n = 279) and purchasing managers (n = 449) with subjects randomly assigned to three treatments: (1) cost-saving incentives, (2) risk-sharing contracts and (3) stronger (versus weaker) clinical evidence.

Our analysis demonstrates the harmful effects of intra-organisational cost-saving incentives on value-based purchasing (VBP) adoption; the positive impact of inter-organisational risk-sharing contracts, especially when medical professionals are involved in decision-making; and the challenge of leveraging clinical evidence to support value claims.

Our results demonstrate the need to align incentives in a context with multiple intra- and inter-organisational agency relationships at play, as well as the difficulty of reducing information asymmetry when information is not easily interpretable to all decision-makers. Overall, the intra-organisational agency factors strongly influenced the choices for the inter-organisational agency relationship.

We contribute to VBP in healthcare by examining the role of intra- and inter-organisational agency relationships and incentives concerning VBP (non-) adoption. We also examine how the impact of such mechanisms differs between medical and purchasing (management) professionals.

Some virtual, immersive stories are filled with documents that users must locate and interact with to experience a narrative. Exploring a new area of inquiry in the information science field, this study focuses on individuals' experiences with documents in a particular 3D storytelling world.

Using a qualitative approach, this study examined user interactions with virtual documents to better understand the relationship between information behavior and narrative spaces. This study employed observations of users in a story-rich world, followed by semistructured interviews using virtual artifacts and stimulated recall.

Using an interpretative phenomenological analysis, this study found that (1) environmental and personal influences, (2) the search and the narrative experience and (3) expectation and confirmation events surround a user's experiences with documents in storytelling worlds. These influences and experiences determine the user's relationship with these documents, which may be considered narrative ephemera – objects that a user accumulates to create and structure a story. This model of narrative ephemera depicts the user's search for narrative cadence, fulfillment of competence needs and visions of story events or the user's own lived experiences. Individuals may experience these phenomena from a single document, shifting back and forth between the designers' intentions and the users' own realities.

This study represents a first attempt to investigate information behavior in a distributed narrative space: a virtual world filled with documents. This study reveals that commonly employed information behavior theories, as well as literary and motivation theories, may be well suited for investigating story worlds. Continued research in this area of inquiry may benefit educators as well as designers of digital stories.

This study aims to examine the relationship between employees’ psychological contract breach and two types of voice behavior based on the social exchange theory. Additionally, the study explores the role of globally responsible business leadership in buffering the negative impacts of psychological contract breach on voice.

Survey data was collected from Chinese full-time employees and the final sample size is 337. Partial least squares structural equation modeling was used to test the hypotheses.

Findings indicate that psychological contract breach (PCB) has a positive and significant impact on employee aggressive voice behavior (AVB), while its relationship with constructive voice behavior (CVB) is not significant. Furthermore, globally responsible business leadership (GRBL) weakens the negative relationship between PCB and CVB, while strengthens the positive relationship between PCB and AVB.

The findings assist organizations in better recognizing the detrimental consequences of psychological contract breach. Second, the findings serve as a reminder to managers of the benefits of displaying globally responsible business leadership. Third, managers should recognize the complexities of globally responsible business leadership.

First, this study sheds new light on the impact of PCB on employees’ desirable and undesirable proactive behaviors by investigating how and when psychological contract breach affects two types of voice behavior. Second, the moderating role of GRBL further enriches our understanding of how to buffer negative effects of PCB and the desirable function of GRBL. Third, this study enriches the social exchange theory by investigating whether the leader−employee relationship will compensate for the failure of organization−employee relationship.

The study of family mobilities necessitates an examination of how practices are orchestrated in time as well as space. Conventional approaches to the study of family time use either quantitative analysis of time-use data or qualitative studies of time pressure and work/life balance. The limitation with these approaches is that they assume a rather static family structure that is dominated by parents with young children. Moreover, these studies do not capture the dualistic quality of time; that time constitutes and is a constituent of family life. In this chapter, I use one-day diaries on organising and experiencing time, collated as part of the UK Mass Observation Project in Autumn 2017, to interrogate the relationality of family time. The analysis examines how family practices maybe sequential, synchronous, planned or serendipitous and how these different temporalities permeate the busyness of time pressure. These one-day accounts confirm how time is experienced through and by family and intimate relationships.

The purpose of this study was to investigate whether and in what ways library workers in the United States encountered patrons espousing beliefs in conspiracy theories and, if so, to explore the effectiveness of the strategies they used to address information disorder during the interactions.

The study was designed with an exploratory qualitative approach. Data were collected via an online survey posted to national and state library association listservs, utilizing a self-selected sampling method. Researchers inductively and deductively analyzed results, developing predetermined themes based on the research questions, then iteratively integrating unexpected data during coding.

A total of 334 responses were received over two weeks. Data represent library workers from 43 states and Washington, D.C., including various types of libraries. Library workers interacted with patrons with conspiratorial thinking, and both library workers and patrons evidenced a range of emotions and motivations.

This is the first national study to survey library workers and whether they encountered patrons espousing conspiracy theories. While the sample size is small, themes elucidate various strategies that library workers use for interacting with patrons who express some level of conspiracy ideation.

This paper aims to examine the perceptions of the visual packaging of snacks and nutrition knowledge among preschool children. Packages serve as persuasive media at the point of purchase.

In this paper 13 interviews with four-year-olds were conducted. Children sorted seven snacks that implied fruit into categories based on perceptions of fun, taste, parent’s choice and “nutrition”. Children also drew trees with food that would make them healthy or not healthy.

Children attended to the package elements more than the product. All children selected the character fruit snack as their preferred choice; however, perceptions for fun and taste varied among snacks. Perceptions of healthiness showed evidence of heuristics (e.g. sugar = bad; fruit = good). Some children were able to understand that their parents’ choices may be different from their own.

Because of the small sample size, it is not possible to generalize results to all children. Children seemed to understand that the character may not convey “healthy” or “taste”, but they still chose the snack with a character.

Children as young as four can understand nutrition heuristics and may/may not use those heuristics in product preferences.

Children may be able to reason about their own preferences and others’ preferences at a preoperational stage of development.

Previous research indicates that older children are attracted by characters. The findings show that younger children also prefer characters but may be capable of disentangling the various associations of “characters”.

The purpose of this paper is to provide a comprehensive overview of the literature concerning servant leadership. The paper identifies the existing themes present within the servant leadership literature. This allows it to determine where the research concerning servant leadership lies at present and make recommendations as to further potential areas for research. It further identifies the skills necessary for servant leadership.

The paper follows a rigorous three-step systematic literature review (SLR) process to identify the relevant evidence to answer the research questions. The paper disseminates the results and presents them by way of a descriptive analysis. It also conducts a thematic analysis to further determine answers to the research questions.

The paper found that the most prominent themes in the servant leadership literature are values, literature reviews, behaviour, assessments, performance, characteristics and antecedents. Additionally, the paper finds that the skills necessary for servant leadership are empathy, listening, communication and trust. The review also identified gaps in the research both methodologically and empirically. It showed that more qualitative research is needed with regard to servant leadership. Furthermore, the development of empirically tested frameworks is necessary within the phenomenon.

Servant leadership is a phenomenon which is lacking in a reliable, validated SLR, which this paper presents. Additionally the originality of this paper lies in its recommendations for further research which are based upon the findings of a thematic analysis. As of yet, such recommendations have not yet been made within the field of servant leadership.

The use of mobile messaging (MM) or mobile instant messaging has grown in the past few years at astonishing rates.

This growth has prompted data gatherers and trend forecasters to look at the use of MM apps in different ways than in the past.

In a 2015 survey, The Pew Research Center asked about the use of MM apps separately from cell phone texting for the first time (Duggan, 2015).

Digital marketing site eMarketer.com published their first ever worldwide forecast for MM in 2015. This forecast report shows 1.4 billion current users of MM apps or 5 per cent of smartphone users accessing an MM app at least once a month. This is a 31.6 per cent increase from the previous year. The forecast predicts that by 2018, there will be two billion users, representing 80 per cent of smartphone users (eMarketer.com, 2015).

Research has not yet examined how paid labor performed at nontraditional hours may factor into women’s perceptions of the fairness of the division of household labor. Here we specifically examine how being employed during nonstandard hours alters the relationship between the division of household labor and wives’ perceptions of the fairness of this division of labor.

We analyze data from the National Survey of Families and Households using multinomial logistic regression.

We find that over-work in household labor has a weaker effect on perceptions of unfairness for wives who work nonstandard hours than for wives who work standard hours. This interaction effect, however, is partially mediated by husbands’ time in feminine-type chores.

The cross-sectional design does not allow us to draw causal conclusions. Future research would benefit by considering how movement in and out and nonstandard work affects perceptions of fairness of household labor.

Our findings suggest that one way that the gender revolution has stalled is through women’s participation in the service economy since this participation is positively associated with their husbands’ hours in routine chores, which women particularly value. Thus, women may continue to perceive fairness in the home, despite objective inequality, because their husbands are spending more time in feminine-type chores, as necessitated by women’s participation in work at nonstandard times.