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1 – 6 of 6Wan Nurulasiah Wan Mustapa, Farah Lina Azizan, Chern Ang Wei and Emeela Wae-esor
In modern healthcare environments, collective leadership within nursing teams serves as a fundamental pillar for providing high-quality patient care. The purpose of this study is…
Abstract
Purpose
In modern healthcare environments, collective leadership within nursing teams serves as a fundamental pillar for providing high-quality patient care. The purpose of this study is to identify the factors to improve the collective leadership among the healthcare practitioners.
Design/methodology/approach
Using data collected through an online survey of 417 registered nurses in 12 general hospital in Malaysia, the study uses partial least squares structural equation modeling to test the proposed hypotheses.
Findings
The result indicate that the collective leadership is directly driven by team shared vision, team commitment and team collaboration. Finding also shows that team shared vision, team commitment and team collaboration has a positive and significant impact on collective leadership. Finally, this study also revealed that, the team collaboration is the most significance factor that affecting the collective leadership among nurses.
Originality/value
This work contributes to a better understanding on collective leadership, ultimately improving team effectiveness and patient care outcomes.
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Emmanuel Kwasi Mawuena, Russell Mannion, Nii Armah Adu-Aryee, Francis A. Adzei, Elvis K. Amoakwa and Evelyn Twumasi
Previous research has demonstrated that social-relational factors are instrumental to employee voice. An essential aspect of this relates to notions of respect or disrespect…
Abstract
Purpose
Previous research has demonstrated that social-relational factors are instrumental to employee voice. An essential aspect of this relates to notions of respect or disrespect. Although nurses commonly report experiencing professional disrespect in their interaction with doctors, earlier studies have focused on how the professional status hierarchy and power imbalance between doctors and nurses hinder speaking up without considering the role of professional disrespect. Addressing this gap, we explore how professional disrespect in the doctor–nurse relationship in surgical teams influences the willingness of nurses to voice legitimate concerns about threats to patient safety.
Design/methodology/approach
Fifty-seven semi-structured interviews with nurses drawn from a range of specialities, ranks and surgical teams in three hospitals in a West African Country. In addition, two interviews with senior representatives from the National Registered Nurses and Midwifery Association (NRNMA) of the country were undertaken and analysed thematically with the aid of NVivo.
Findings
Disrespect is expressed in doctors’ condescending attitude towards nurses and under-valuing their contribution to care. This leads to safety concerns raised by nurses being ignored, downplayed or dismissed, with deleterious consequences for patient safety. Feeling disrespected further motivates nurses to consciously disguise silence amidst speech and engage in punitive silence aimed at making clinical practice difficult for doctors.
Originality/value
We draw attention to the detrimental effect of professional disrespect on patient safety in surgical environments. We contribute to employee voice and silence by showing how professional disrespect affects voice independently of hierarchy and conceptualise the notion of punitive silence.
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Benjamin Thomas Gray, Matthew Sisto and Renee Conley
The purpose of this service user narrative and viewpoint article is to describe interprofessional and interpersonal barriers to peer support on a men’s mental health ward over the…
Abstract
Purpose
The purpose of this service user narrative and viewpoint article is to describe interprofessional and interpersonal barriers to peer support on a men’s mental health ward over the course of a year from a lived experience perspective.
Design/methodology/approach
A reflective journal was kept and participant observation was conducted over the course of the year.
Findings
There is sometimes a fissure and binary of “Us” and “Them” on the ward. In other words, staff can sometimes perceive peer support workers to be “one of us” (a member of staff) or “one of them” (a service user). For service users, the opposite is sometimes true: “one of us” (a service user) or “one of them” (a member of staff). Peer support workers must bridge this gap and strive to be “one of us” with both these groups, which is no easy task. A good ward manager or peer team leader can smooth over interprofessional differences and support the peer worker in their efforts of care towards the recovery of people with mental health problems.
Originality/value
Little has been written on this topic in a mental health inpatient setting as most papers address community peer support work, which is very different from peer support in hospital. This paper addresses one of the first peer support pilot projects in hospital of its kind in NHS England so is quite innovative and perhaps even unique.
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This chapter emphasizes the interconnectedness of legal frameworks, socio-cultural norms, and policy interventions in forging a more inclusive and just society for girls and…
Abstract
This chapter emphasizes the interconnectedness of legal frameworks, socio-cultural norms, and policy interventions in forging a more inclusive and just society for girls and women. Despite substantial strides, gender disparities still persist across the Western world, highlighting the need for targeted actions. The chapter explores the “glass ceiling” phenomenon, the wage gap, gender-based violence, emphasizing their persistence, and the imperative of transformative policies. Shifting focus to the East, the narrative navigates through distinct trajectories of women’s rights advocacy. Religious beliefs have historically reinforced gender inequality in some Eastern societies, shaping cultural norms and limiting women’s public participation. In the context of Islam, varying interpretations have led to differing perspectives on gender roles. The chapter showcases instances of progress, such as Saudi Arabian women gaining voting rights, while acknowledging enduring challenges like female genital mutilation and forced marriages. In the conclusion part, the chapter highlights the need for sustained efforts to dismantle barriers and elevate women’s voices, fostering a global landscape marked by gender equality and women’s empowerment.
Daniel Sidney Fussy and Hassan Iddy
This study aims to explore motives behind teachers' and students' use of translanguaging and how they use it in Tanzanian public secondary school classrooms.
Abstract
Purpose
This study aims to explore motives behind teachers' and students' use of translanguaging and how they use it in Tanzanian public secondary school classrooms.
Design/methodology/approach
Data were collected using interviews and non-participant observations.
Findings
The findings indicate that translanguaging was used to facilitate content comprehension, promote classroom interaction and increase students' motivation to learn. Translanguaging was implemented using three strategies: paraphrasing an English text into Kiswahili, translating an English text into its Kiswahili equivalent and word-level translanguaging.
Practical implications
By highlighting the motivations for translanguaging and corresponding strategies associated with translanguaging pedagogy in the Tanzanian context, this study has significant practical implications for teachers and students to showcase their linguistic and multimodal knowledge, while fostering a safe learning space that relates to students' daily experiences.
Originality/value
The study offers new insights into previous research on the role of language-supportive pedagogy appropriate for teachers and students working within bi-/multilingual education settings.
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Noor Fadzlina Mohd Fadhil, Say Yen Teoh, Leslie W. Young and Nilmini Wickramasinghe
This study investigated two key aspects: (1) how a hospital bundles limited resources for preventive care performance and (2) how to develop IS capabilities to enhance preventive…
Abstract
Purpose
This study investigated two key aspects: (1) how a hospital bundles limited resources for preventive care performance and (2) how to develop IS capabilities to enhance preventive care performance.
Design/methodology/approach
A case study method was adopted to examine how a hospital integrates its limited resources which leads to the need for resource bundles and an understanding of IS capabilities development to understand how they contribute to the delivery of preventive care in a Malaysian hospital.
Findings
This research proposes a comprehensive framework outlining resource-bundling and IS capabilities development to improve preventive care.
Research limitations/implications
We acknowledge that the problem of transferring and generalizing results has been a common criticism of a single case study. However, our objective was to enhance the reader’s understanding by including compelling, detailed narratives demonstrating how our research results offer practical examples that can be generalized theoretically. The findings also apply to similar-sized public hospitals in Malaysia and other developing countries, facing challenges like resource constraints, HIS adoption levels, healthcare workforce shortages, cultural and linguistic diversity, bureaucratic hurdles, and specific patient demographics and health issues. Further, lessons from this context can be usefully applied to non-healthcare service sector domains.
Practical implications
This study provides a succinct strategy for enhancing preventive care in Malaysian public hospitals, focusing on system integration and alignment with hospital strategy, workforce diversity through recruitment and mentorship, and continuous training for health equity and inclusivity. This approach aims to improve resource efficiency, communication, cultural competence, and healthcare outcomes.
Social implications
Efficiently using limited resources through HIS investment is essential to improve preventive care and reduce chronic diseases, which cause approximately nine million deaths annually in Southeast Asia, according to WHO. This issue has significantly impacted the socioeconomic development of developing countries.
Originality/value
This research refines resource orchestration theory with new mechanisms for resource mobilization, extends IS literature by identifying how strategic bundling forms specialized healthcare IS capabilities, enriches preventive care literature through actionable resource-bundling activities, and adds to HIS literature by advocating for an integrated, preventive care focus from the alignment of HIS design, people and institutional policies to address concerns raised by other research regarding the utilization of HIS in improving the quality of preventive care.
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