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Attempts to show that, while ISO 9000 is part of total quality management, the organizational culture that is suited to ISO 9000 is not suited to the other aspects that…
Attempts to show that, while ISO 9000 is part of total quality management, the organizational culture that is suited to ISO 9000 is not suited to the other aspects that make up total quality. Total quality is a balance between these factors such that, if the pull in one direction is too strong, the balance will be lost. Finally, contends that it is the inherent strength or inflexibility of the registration that has contributed to the failure of so many total quality initiatives.
Proposes that the type of staff (flexible, creative, individualistic) responsible for IT successes of the 1980s may not be happy in the industry of the 1990s which will require tighter management. Discusses the delegation dilemma and the factors affecting managers′ willingness to relinquish control. Examines the difference between “responsibility” and “accountability” and where these should lie in a management structure.
Many different definitions exist of TQM. These either focus on supporting one or more of either product, process, people and customer management initiatives. Most tend to…
Many different definitions exist of TQM. These either focus on supporting one or more of either product, process, people and customer management initiatives. Most tend to describe TQM in absolute terms, suggesting following a particular route is appropriate for all companies. In reality different approaches are successful for different companies. Redefines TQM and then looks at the integration of the decision on what approach to take with changes in the marketplace and corporate culture.
Effective delegation often fails, due to a misunderstanding about the difference between responsibility and accountability. Added to this many of the key management processes actively discourage delegation, causing internal conflict and resulting in inefficient and ineffective organisations. However, companies such as the BOC Group show what can result when delegation is successful.
For organisations to attract and retain top qualitystaff in the 1990s they will need radically to changetheir thinking towards benefits offered to suchstaff. It is…
For organisations to attract and retain top quality staff in the 1990s they will need radically to change their thinking towards benefits offered to such staff. It is suggested that a targeted approach, reducing rather than increasing the traditional benefits offered, could pay dividends for organisations competing for scarce human resources.
Quality managers must be seen to support directly the primary aimsof the business. This means that they can no longer impose change planson the business, but rather they…
Quality managers must be seen to support directly the primary aims of the business. This means that they can no longer impose change plans on the business, but rather they have to persuade and facilitate change. This requires skills that are inherent in the consulting process. Identifies the key skills in this process which are based on the seven‐stage consulting process model. Briefly discusses this model and concludes by including a contact address for anyone who wishes to develop the skills highlighted in the process.
Outlines a new training programme for quality managers, to help them develop consultancy skills. The programme focuses on implementation of a quality plan within an organization.
Looks at the nature of the consultant‐client encounter with regard to the introduction of quality assurance systems. Notes that while the encounter itself is a dynamic one wherein prescription of quality‐assured behaviours is an impossibility, the static processes which surround the encounter can be effectively assured to auditable standards. Suggests that demand for a flexible approach will lead to an audit approach which focuses on process examination and less so on normative content.
Pre- and post-immigration trauma and stress make refugees a particularly vulnerable group in terms of mental health and well-being. The purpose of this paper is to…
Pre- and post-immigration trauma and stress make refugees a particularly vulnerable group in terms of mental health and well-being. The purpose of this paper is to describe a listening project undertaken in Plymouth, UK, which sought the views of 17 service users (n=12) and staff (n=5) from four local support organisations, for people with refugee and asylum seeker status and those with diverse cultural backgrounds. Aims of the project were to expand Western-centric understandings regarding beneficial support and the promotion of good mental health and well-being in this population.
Responses were subjected to thematic analysis, co-conducted with a service user. Participants were asked about their personal understandings of mental health and well-being and what supports or hinders well-being.
The findings enabled the development of a model incorporating 10 threads which support and 9 holes that can hinder well-being.
The relatively small numbers of participants compared with the numbers of asylum seekers and refugees in Plymouth may not be fully representative of the general population in Plymouth and the UK.
Despite increasing cultural diversity within the UK population, available mental health services exist mainly as developed from a Western psychological model of mental distress and treatment. This research provides services with a more informed understanding of mental health for asylum seekers and refugees. As such it is of value towards future service design in Plymouth and the UK. Findings also contributed to a successful funding bid to set up a peer-led support project in the city.
The purpose of this paper is to explore the consequences for older people’s mental wellbeing of understandings relating to the Mental Capacity Act 2005 (MCA). The MCA…
The purpose of this paper is to explore the consequences for older people’s mental wellbeing of understandings relating to the Mental Capacity Act 2005 (MCA). The MCA seeks to maximise people’s abilities to make decisions and provides a framework for decisions to be made in a person’s best interests should they lack the mental capacity to do so themselves (Graham and Cowley, 2015). Practice varies widely amongst health and social care practitioners and little is known about the nature of interventions under the MCA or the outcomes for service users’ lives and health, especially their mental health and emotional wellbeing.
By reflecting upon existing evidence this position paper offers a narrative of how practice in applying the principles of the MCA may impact upon the mental wellbeing of older people. Drawing upon court of protection judgements and existing research the author analyses the way the MCA is understood and applied and how institutional mechanisms might hinder good practice.
There are tensions between policy imperatives and examples of practice linked to the MCA, the spirit of the MCA and tenets of good practice. Despite efforts on promoting choice, control and rights there is growing paradoxical evidence that the MCA is used as a safeguarding tool with the consequences that it constrains older people’s rights and that it may encourage risk averse practice. The consequences of this for older people are considerable and include lack of choice, autonomy and self-determination. This discussion suggests that anxiety in relation to the application of the MCA stills exists in practice and that maximising older people’s capacity and supporting decision making is central in promoting mental health and wellbeing.
This position paper will identify how the MCA might be interpreted in action through consideration of existing evidence. This paper may lead to future research on how understandings of the MCA are constructed and what values underpin its application from conception to outcomes in relation to understandings of risk, risk aversion, decision making and the potential and need for emancipatory practice. Essentially, the paper will discuss how the MCA actually seeks to enhance the mental health and emotional wellbeing of older adults by offering a rather radical approach to understanding people’s wishes and feelings, but how attitudes may lead to misunderstandings and negative outcomes for the individual.
In a climate of serious case reviews identifying concerns and abuses in care it is imperative that understanding of the MCA inform good practice. However, what constitutes good practice requires unravelling and the agendas, requirements and attitudes of interventions need considering from an epistemological perspective as well as to project how the outcomes of decision-making impact upon the mental health of older adults. This paper will discursively add value to the narrative around how the MCA is applied in practice and how chosen practice often constructs the mental wellbeing of older adults.