Search results

The purpose of this paper is to address the barrier to care experienced by LGBTQIA+ populations by binary language for gender, sexual orientation and relationship status.

The authors review the research that shows linguistic barriers are a significant obstacle to healthcare for LGBTQIA+ communities. The authors describe both a process and revisions for addressing language bias in psychiatric intake/research research materials as well as quantify its impact in an adult psychotherapy clinic in a public hospital.

Patients self-identified their gender, sexual orientation and relationship status in a variety of ways when not presented with binaries and/or pre-established response choices. In addition, the non-response rate to questions decreased and the authors received positive qualitative feedback. The authors also present the revisions to the intake/research materials.

Other healthcare settings/clinicians can revise language in order to remove significant barriers to treatment and in doing so, be welcoming, non-pathologizing and empowering for LGBTQIA+ consumers of mental health services (as well as for non-LGBTQIA+ consumers who are in non-traditional relationships).

This work is one step in improving healthcare and the healthcare experience for LGBTQIA+ communities and for those in non-traditional relationships.

This work is set in a public safety-net hospital providing care for underserved and diverse populations. This paper describes the process of revising psychiatric materials to be more inclusive of the range of self-identity are: gender, sexual orientation and relationship status.

In the previous chapter, I introduced trauma-informed care as an approach to organisational change and a shift in culture to recognise that many employees and people attending services have past trauma experiences. In this chapter, I recast servant leadership (SL) as a trauma-informed leadership model that naturally operationalises some of the principles discussed in the TIA literature. The first section of this chapter addresses the societal need for a more ethical and moral leadership approach, before briefly outlining the prevalence of trauma experienced by service users and employees. The next section provides an overview and definition of SL in a general sense, before articulating a trauma-informed model of SL and its characteristics. Finally, some of the outcomes associated with SL are discussed with a key focus on how this approach operationalises the principle of psychological safety, trust and empowerment found in trauma-informed approaches, as they relate to employees.

This article examines how contact with the police led to the death of Michael Brown (an unarmed 18-year-old Black teenager from Ferguson, Missouri, who was shot and killed during an altercation with a police officer). And, how Darren Wilson (the White police officer from the Ferguson Police Department who shot and killed Michael Brown) was portrayed in mainstream newspaper articles covering the story of Brown’s death.

Using both frame analysis and Hall’s framework of discursive domains for organizing and making sense of events in social life, we analyzed news coverage of Brown in three of the top circulating daily newspapers in the US: The New York Times, Los Angeles Times, and The Washington Post. The Lexis Nexis database was used to retrieve a set of newspapers using the search term “Michael Brown.” Articles from the three leading newspapers were collected from the day the event occurred, August 9, 2014, through the end of the year, December 31, 2014.

The news articles used in this study were mostly written with an episodic frame. The articles presenting the socioeconomic background of Brown and Wilson were described as profiles on each individual and the neighborhood they came from, rather than a discussion about where they fell on the economic structure of this country and the larger, upstream forces that might influence those positions. The feelings and attitudes of the reader are also likely to be influenced by details included in the articles and how they were presented.

The findings contribute to the broader literature looking at the relationships between police and Black communities. Public health can play a role in advocating and facilitating programs that build better linkages between police and community. The public health field can take a leadership role in holding the news media accountable when they are engaging in frenetic inaction. Only by having difficult and challenging conversations that examines the upstream causes of violence and deaths like Brown’s, can we make progress in preventing them.

Within the past twenty years, the transition to adulthood has become a burgeoning area of research. The status attainment process, an early model for transition to adulthood research, has given way to research focusing on singular outcomes such as completing formal education, leaving home, obtaining employment, forming a union through marriage or cohabitation, and becoming a parent. As young adults continue to delay family formation, some argue that one’s first experience of heterosexual intercourse is also a symbol of adult status (Meier, 2001). Although most scholars agree that these outcomes along with chronological age symbolize being an adult, relatively few empirical studies examine them as inter-dependent transitions. A recent comparison of these indicators by gender, race, and social class is also needed.

The purpose of this study is to better understand social media (SM) factors that physician leaders need to consider, as they adapt their cross-boundary practices to engage with colleagues and patients. Firstly, this study explores why SM is being used by physicians to cross horizontal (physician to physician) and stakeholder (physician to patient) boundaries prior to COVID-19. Secondly, based on the studies reviewed, this study provides insights on the practical SM implications for physician leaders working in the COVID-19 environment to actively enhance their practices, reduce public confusion and improve patient care, thus informing health-care practices.

A systematic literature review was used to conduct a structured transparent overview of peer reviewed articles that describe physicians’ use of cross-boundary SM across several disciplines (e.g. health, information science). As a baseline assessment prior to COVID-19, the review synthesized 47 articles, identified and selected from six databases and Novanet. This study used NVivo 12 to thematical code the articles, leading to the emergence of four broad factors that influence SM use.

A key reason noted in the literature for physicians use of SM to cross horizontal boundaries is to share knowledge. Regarding stakeholder boundaries, the most cited reasons are to improve patient’s health and encourage behavioural changes. Insights garnered on the practical SM implications include the need for physicians to be stronger leaders in presenting trustworthy and consistent facts about health information to the public and fellow peers. As role models for the effective use of SM tools, physician leaders can mentor and coach their colleagues and counterparts.

As this was a literature review, the authors did not collect primary data to further explore this rapidly changing and dynamic SM world. Next steps could include a survey to determine firstly, how physicians currently use SM in this COVID-19 environment, and secondly, how they could leverage it for their work. Findings from this survey will help us better understand the role of physician leaders as health-care influencers and how they could better create trust and inform the Canadian public in the health information that is being conveyed.

Physician leaders can play a key role in positively influencing institutional support for ethical and safe SM use and engagement practices. Physicians need to participate in developing regulations and guidelines that are fundamentally to physician leader’s SM use. Central to this research would be the need to understand how physicians cross-boundary practices have changed during and potentially post COVID-19. Physician leaders also need to monitor information sources for credibility and ensure that these sources are protected. As role models for the effective use of SM tools, physician leaders can mentor and coach their colleagues and counterparts in this area.

Although there have been studies of how physicians use SM, fewer studies explore why physician leaders’ cross boundaries (horizontal and stakeholder) using SM. Important insights are gained in physician leaders practical use of SM. Key themes that emerged included: organizational and individual, information, professional and regulations and guideline factors. These factors strengthen physician leaders understanding of areas of foci to enhance their cross-boundary interactions. There is an urgency to study the complexity of SM and the effectiveness of regulations and guidelines for physicians, who are being required, at an accelerated rate, to strengthen and increase their cross-boundary practices.

This study aims to examine the effect of publics' legitimacy evaluations on Arthur W. Page's conceptualization of “reasonable freedom of action” by breaking it into two parts: (1) perceived organizational autonomy and (2) trust in the organization.

This study conducted an online experiment using a 2 (legitimacy: low, high) × 2 (legitimacy type: institutional, actional) between-subjects design. Measured variables included perceived organizational autonomy and trust.

Organizations acting in their own self-interest while ignoring community norms and expectations were perceived to be exercising higher levels of organizational autonomy and have lower levels of trust. The interaction between legitimacy type and level had an effect on perceived organizational autonomy and trust.

Public's view their relationships with organizations from a perspective that prioritizes responsibility and conformity to community norms and expectations. Also, organizations have more to lose by acting in their own self-interest to resolve institutional legitimacy concerns and more to gain by handling them in a way that includes the public interest than when they are managing an actional legitimacy situation.

Societal norms, values and beliefs, which may have accommodated, or even supported, an organization's approach to doing business in the past, can change over time, calling into question an organization's legitimacy and its ability to operate in the public interest. As a result, organizational leaders need the Chief Communication Officer to help them understand current societal norms, values and beliefs.

This study addresses a core assumption of the organization–public relationship paradigm that has not yet been studied empirically. It also expands the understanding of organizational autonomy from a public perspective and examines the effect of legitimacy on organizational autonomy and trust.

The purpose of this paper is to understand the extent to which dominant coalition members’ values and perceptions influence their perceptions of public relations participation in organization-level decision making. Research in this area has largely focussed on the relationship between practitioner roles and decision-making inclusion.

The population of interest was dominant coalition members of for-profit, government, and nonprofit organizations in the USA. Data were collected through a national survey to a nonrandom sample of 201 dominant coalition members.

Results indicate that dominant coalition members’ values of organizational openness to the environment and perceived substantive autonomy of the organization positively predicted perceptions of public relations participation in organizational decision making. Perceived manager role potential of the public relations department also had significant predictive power.

While research has focussed primarily on the characteristics that public relations practitioners can develop to earn a seat at the management table, little is known about the characteristics of dominant coalition members that influence whether or not a seat is made available or the degree to which public relations is perceived to participate in decision making.

The importance of the facility maintenance management in the manufacturing environment has increased rapidly as many organisations aim to become world class. For many organisations it is important to respond to the global competitive pressure by seeking to increase their productivity, maximising the overall equipment effectiveness and pursing an effective and efficient maintenance programme. By creating a set of key ingredients for effective maintenance management and success, this paper analyses the current status of these components in the UK manufacturing organisations through a pilot survey of 18 UK manufacturing respondents. A radar diagram was generated showing the current status of maintenance management in the UK. The chart shows that only one‐third of the organisations seriously consider good maintenance management practices and realise the full benefits. Any preparation of adequate reports on performance and cost is visibly lagging behind. The paper also explores the opportunities for improving maintenance management in UK manufacturing organisations. The crucial involvement of the management is fundamental to give the guidance and direction to the maintenance function.

Specifically, this chapter reviews practical issues concerning how ethical values are developed to generate a sense of common purpose across two SME organizations, one in South America and the other in Spain. We used a survey questionnaire covering 12 thematic areas for the pilot study based upon two private language schools. We also critically reviewed literature on other business sectors and on SME clusters to discuss some emerging trends in preparing to be both “Right 4 Market” as well as “Right 2 Market.” This chapter provides information about each SME and its context, indicating what can be found there and how the information can help diverse SME across for-profit and not-for-profit sectors such as NGOs in both regions. It’s a first stage pilot for a yet to be completed study and it is based upon a very small convenience sample. Challenging the traditional business paradigm requires key factors embedded and embodied in organizational learning, systems, and innovation. Ethical capital accumulation relies on effective communications, culture, and evolving workplace custom and practice, as well as demographic factors. This chapter fulfils an identified information/resources need and offers some initial practical advice for SME and some insights for future researchers.