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31 – 40 of 215Liz Ritchie, Bernard Burnes, Paul Whittle and Richard Hey
Describes a research project carried out within the Manchester Royal Infirmary (MRI) to evaluate and improve the recycling and disposal of pharmaceutical products. Discusses…
Abstract
Describes a research project carried out within the Manchester Royal Infirmary (MRI) to evaluate and improve the recycling and disposal of pharmaceutical products. Discusses supply chain management practices in the National Health Service and, in particular, focuses on the concept of reverse logistics (the recycling of pharmaceutical stock for later re‐use). The research involved the analysis of returned stock from 28 hospital units and, from this data, the development and implementation of a revised recycling process within MRI Pharmacy. Concludes by arguing that there are significant financial and operational advantages to the NHS, and other organisations, in developing effective reverse logistics processes.
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Liz Matykiewicz and Robert McMurray
The purpose of this paper is to consider the ways in which certain occupational, organizational and political positions become active sites of leadership construction. Taking as…
Abstract
Purpose
The purpose of this paper is to consider the ways in which certain occupational, organizational and political positions become active sites of leadership construction. Taking as their example the introduction of the Modern Matron in the English National Health Service (NHS) this paper considers how new forms of gender transcending leadership are constituted relationally through a dynamic interplay of historical, nostalgic, social, political and organizational forces.
Design/methodology/approach
The research was conducted within an interpretive paradigm of social constructivism and draws on data from semi‐structured interviews with a purposive sample of 16 Modern Matrons working in a single English NHS Trust. In keeping with inductive, qualitative research practice, data has been analysed thematically and ordered using descriptive, hierarchical and relational coding.
Findings
Their contention is that the Modern Matron presents as a site for relational leadership in respect of both self and other. This paper argues that the construction of Modern Matron usefully points to the ways in which multiple discourses, practices and relations may be intertwined in defining what it is to lead in contemporary organizations. This paper highlights the extent to which leadership is an on‐going relational co‐construction based – in this instance – in the interplay of four factors: nostalgic authority, visibility, praxis and order negotiation. Together, these produce a mode of leading that is neither heroic nor popularist.
Research limitations/implications
Further research might consider how competing temporal, political and organizational imperatives encourage the development of particular sites for leadership, and how such leadership is then re‐performed in practice, as well as the affects/effect on individual and organisational performance.
Originality/value
The data provides opportunity to consider the “lived experience” of leaders in sites that are traditionally gendered female in non‐standard/public sector settings. Moreover, this paper presents empirical evidence in support of leadership as socially constructed and relational, borne of tension between different temporal, spatial and experiential factors, the on‐going negotiation of which both utilises and transcends masculinized and feminized gender performances. The result is a form of “leading” which is often subtle, difficult to identify and self‐effacing.
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Lisa S. McNeill and Lucy Turner
This paper aims not only to provide an insight into the nature of the relationship between parental financial role modelling and consumption behaviour of young people, but also to…
Abstract
Purpose
This paper aims not only to provide an insight into the nature of the relationship between parental financial role modelling and consumption behaviour of young people, but also to explore the consumer socialization process that children undergo in the parent‐child dyad.
Design/methodology/approach
Qualitative research in the form of personal in‐depth interviews was conducted in order to extract new knowledge and reach a greater understanding regarding the impact that this relationship may have on future consumption behaviours within the youth market.
Findings
It is clear that parents are able to exert a huge amount of influence over the financial behaviour of their children (although this obviously differs between families) and are able to do so through the informal teaching of financial lessons, by allowing children to observe their own financial patterns and by guiding their children through significant financial decisions by offering advice and approval (or disapproval) when asked. Key financial attitudes and behaviours of young home‐leavers are almost directly related to the parental financial education they received whilst growing up and still living at home and in many cases parental influence is still present even once the child has moved away from home and is responsible for making their own financial decisions.
Research limitations/implications
Although there are limitations, the present study does have implications for the impact parents can have on the spending behaviour of their children; it may be that the most important thing parents can do is teach their children about financial responsibility and successful consumer decisions at a young age so that they grow up with these life skills.
Practical implications
In terms of practical implications, by identifying the specific areas where financial knowledge and awareness may be lacking, the research may help educational and financial institutions to design financial management courses in order to help young people achieve greater financial freedom.
Social implications
The paper reveals the characteristics of the consumption relationship children enjoy with their parents, describing the role of financial education within families and conceptualising the various forms of consumption relationships that exist between young consumers and their parents.
Originality/value
The relationship between parental influence and youth consumption behaviour has already been identified using quantitative research methods but very little is known about the actual extent of this relationship, which is addressed by this paper.
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Marina Papalexi, David Bamford and Liz Breen
This study aims to explore the downstream pharmaceutical supply chain (PSC) and provides insight to the delivery process of medicines and associated operational inefficiencies.
Abstract
Purpose
This study aims to explore the downstream pharmaceutical supply chain (PSC) and provides insight to the delivery process of medicines and associated operational inefficiencies.
Design/methodology/approach
An exploratory, qualitative approach was adopted to examine PSC inefficiency within two European contexts, namely, the UK and Greece. Data was gathered through interviews and a thematic analysis conducted to analyse the data and identify challenges faced by both supply chains(SCs).
Findings
The medicines delivery system needs to be enhanced in terms of quality, visibility, speed and cost to perform effectively. The findings demonstrated that although the healthcare SCs in the two European contexts have different operational structures, the results are in concordance with each other. Financial, communication, waste and complexity issues were the major concerns.
Research limitations/implications
To the knowledge this is the first study to examine aspects of the medicines SC via a cross-case analysis in the UK and Greece and extends the body of knowledge. A broader sample of responses is warranted to further validate these findings.
Practical implications
The study outputs can inform pharmacies’ strategic to instigate targeted improvement interventions. The implications of which may be extrapolated further to other European healthcare organisations.
Originality/value
This research contributes to the academic literature by adding further theoretical insights to SC strategy development, especially those that have been characterised as highly complex. The study identifies four key areas of intervention needed within this SC (in both countries) to promote higher level efficiencies and effectiveness.
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Liam Bruton, Hunter Johnson, Luke MacKey, Aaron Farok, Liz Thyer and Paul M. Simpson
Recent evidence indicates an increasing incidence of occupational violence (OV) towards paramedics. Body-worn cameras (BWC) have been posited as an intervention that may deter…
Abstract
Purpose
Recent evidence indicates an increasing incidence of occupational violence (OV) towards paramedics. Body-worn cameras (BWC) have been posited as an intervention that may deter perpetrators, leading to a growing number of ambulance services introducing BWCs at a considerable financial cost. This study aims to investigate the impact of BWC on the incidence of OV towards paramedics.
Design/methodology/approach
A systematic review was conducted according to the JBI methodology. EMBASE, Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Cochrane reviews, Cochrane Central Register of Controlled Trials, JBI systematic reviews, TROVE and Google Scholar were searched to identify primary research studies reporting on BWCs as an intervention against an outcome of OV incidence. Primary research papers, publicly-accessible government reports, peer-reviewed and grey literature, if published in English, were eligible.
Findings
The search identified 152 documents, of which 125 were assessed following the removal of duplicates. Following abstract screening then full-text review, there were no studies available to include in the review.
Research limitations/implications
The introduction of interventions should be supported by evidence and an analysis of associated health economics. There is a need for ambulance services that have implemented BWC initiatives to make evaluation data available publicly for transparent review to inform decision-making elsewhere in the profession.
Originality/value
To the best of the authors’ knowledge, these findings represent the first investigation of BWCs as a strategy to reduce the incidence of OV towards paramedics. They highlight the need to apply research frameworks rigorously and transparently to OV reduction initiatives to ensure paramedics are protected by evidence-based strategies.
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This paper reports a small pilot study exploring ways that staff providing mental health services experience change. Group discussions focused on the drive toward service user…
Abstract
This paper reports a small pilot study exploring ways that staff providing mental health services experience change. Group discussions focused on the drive toward service user involvement in mental health services. Discussions were held with two teams of professionals and indicate that mental health professionals experience a tension in balancing service user involvement with other dimensions of their roles and identities. Key issues include:• staff as potential, or past, service users themselves• service user involvement as a challenge to professional identities• change as being inherently difficult within ‘stuck’ systems• change as having an emotional, as well as instrumental, effect.Implications for practitioners in engaging with the involvement agenda are discussed, and highlight key issues for workforce training.
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Randall Smith, Robin Darton, Ailsa Cameron, Eleanor K. Johnson, Liz Lloyd, Simon Evans, Teresa June Atkinson and Jeremy Porteus
The purpose of this paper is to provide an overview of the process of commissioning adult social care services in England. It reflects the literature on commissioning at the…
Abstract
Purpose
The purpose of this paper is to provide an overview of the process of commissioning adult social care services in England. It reflects the literature on commissioning at the strategic level followed by a section on operational or micro-commissioning. The rest of the paper focusses on the emergence of ideas about outcomes-based commissioning (OBC) in the field of adult social care and ends with critical consideration of the effectiveness of OBC in adult social care as applied to support and care provided in extra care housing.
Design/methodology/approach
The review of strategic and operational commissioning in adult social care in England (and Scotland in brief) is based on both policy documents and a review of the literature, as are the sources addressing OBC in adult social care particularly in extra care housing settings.
Findings
The core of this paper focusses on the challenges to the implementation of OBC in adult social care in the context of provision for residents in extra care housing. Of central importance are the impact of the squeeze on funding, increasing costs as a result of demographic change and the introduction of a national living wage plus the focus on the needs of service users through the idea of person-centred care and resistance to change on the part of adult social care staff and workers in other relevant settings.
Originality/value
Addressing the implementation of OBC in adult social care in England in the context of extra care housing.
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Robert Hurst, Jerome Carson, Aishath Shahama, Hollie Kay, Courtney Nabb and Julie Prescott
The purpose of this paper is to review the 16 published non-student Recovery Heroes and Remarkable Lives accounts published in Mental Health and Social Inclusion, using the…
Abstract
Purpose
The purpose of this paper is to review the 16 published non-student Recovery Heroes and Remarkable Lives accounts published in Mental Health and Social Inclusion, using the connection, hope, identity, meaning and empowerment (CHIME) framework.
Design/methodology/approach
All 16 accounts were rated independently by four researchers and evaluated in terms of whether each account met the five criteria for the CHIME model.
Findings
All accounts met the criteria for the CHIME model, with the exception of one, which still met four of the five criteria. Evidence was presented which suggests that the model can be extended to creativity, connectedness, hope, identity, meaning and empowerment (C-CHIME), to incorporate creativity.
Research limitations/implications
While a certain level of subjectivity is required in deciding how each account meets the CHIME criteria, there were high levels of inter-rater reliability within the research team. Creativity had a central place in all the accounts.
Practical implications
The revised C-CHIME model can be used by practitioners to examine accounts of recovery in a more focussed manner and may also help in devising recovery action plans.
Social implications
The recovery model privileges both professional and lived experience perspectives on recovery. The current review highlights how much we can benefit from the wisdom contained in first person accounts.
Originality/value
This review adds to the existing literature and highlights the importance of creativity for mental health recovery.
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Gives an in depth view of the strategies pursued by the world’s leading chief executive officers in an attempt to provide guidance to new chief executives of today. Considers the…
Abstract
Gives an in depth view of the strategies pursued by the world’s leading chief executive officers in an attempt to provide guidance to new chief executives of today. Considers the marketing strategies employed, together with the organizational structures used and looks at the universal concepts that can be applied to any product. Uses anecdotal evidence to formulate a number of theories which can be used to compare your company with the best in the world. Presents initial survival strategies and then looks at ways companies can broaden their boundaries through manipulation and choice. Covers a huge variety of case studies and examples together with a substantial question and answer section.
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