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Article
Publication date: 3 October 2008

Michael Aherne and José L. Pereira

The purpose of this paper is to use a descriptive case study to establish how collaboration, innovation and knowledge‐management strategies have scaled‐up learning and development…

3120

Abstract

Purpose

The purpose of this paper is to use a descriptive case study to establish how collaboration, innovation and knowledge‐management strategies have scaled‐up learning and development in rural, remote and other resource‐constrained Canadian delivery settings.

Design/methodology/approach

Intervention design was realized through a one‐time, collaborative, national capacity‐building project. A project portfolio of 72 sub‐projects, initiatives and strategic activities was used to improve access, enhance quality and create capacity for palliative and end‐of‐life care services. Evaluation was multifaceted, including participatory action research, variance analysis and impact analysis. This has been supplemented by post‐intervention critical reflection and integration of relevant literature.

Findings

The purposeful use of collaboration, innovation and knowledge‐management strategies have been successfully used to support a rapid scaling‐up of learning and development interventions. This has enabled enhanced and new pan‐Canadian health delivery capacity implemented at the local service delivery catchment‐level.

Research limitations/implications

The intervention is bounded by a Canada‐specific socio‐cultural/political context. Design variables and antecedent conditions may not be present and/or readily replicated in other nation‐state contexts. The findings suggest opportunities for future integrative and applied health services and policy research, including collaborative inquiry that weaves together concepts from adult learning, social science and industrial engineering.

Practical implications

Scaling‐up for new capacity is ideally approached as a holistic, multi‐faceted process which considers the total assets within delivery systems, service catchments and communities as potentially being engaged and deployed.

Originality/value

The Pallium Integrated Capacity‐building Initiative offers model elements useful to others seeking theory‐informed practices to rapidly and effectively scale‐up learning and development efforts.

Details

Leadership in Health Services, vol. 21 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

Content available
Article
Publication date: 1 April 2006

Michael Aherne

287

Abstract

Details

Leadership in Health Services, vol. 19 no. 2
Type: Research Article
ISSN: 1366-0756

Article
Publication date: 1 January 2005

Michael Aherne and José Pereira

This paper situates a large‐scale learning and service development capacity‐building initiative for hospice palliative care services within the current Canadian policy context for…

Abstract

Purpose

This paper situates a large‐scale learning and service development capacity‐building initiative for hospice palliative care services within the current Canadian policy context for use by international readers.

Design/methodology/approach

In 2000 a national initiative using action research as its design was crafted to support continuing professional development and knowledge management in primary‐health care environments.

Findings

The Canadian health policy context is complex and requires innovative solutions to achieve desired changes in response to emerging population health demands for quality end‐of‐life care. Employment of educational and social science constructs, including complexity theory, communities of practice, transformative learning theory, and workplace learning methods, has proven helpful in supporting the creation of national capacity for hospice palliative care.

Research limitations/implications

There is a significant contribution for social scientists to make in aiding a better understanding of the complexity in health systems. At the same time, an aging population in industrial countries demands more active engagement of legal and bioethical scholars in a range of emerging policy and legislative questions about quality end‐of‐life care. Educational research is also required to understand better and reform curricula to prepare an emerging generation of health science practitioners for the demands of an aging population.

Practical implications

Changing health service delivery environments demand rethinking of the knowledge and skills leaders require to influence desired change. A broader understanding of where and how learning takes place is essential for enhancing the quality of patient care.

Originality/value

The Pallium Project represents a generative response to facilitating learning and building longer‐term system capacity. The journey of project development to date illustrates some important lessons that can be adopted from hospice palliative care to inform other primary‐health care initiatives, including, potentially, mental health, cardiology, diabetes, geriatrics, where productive change can result from productively linking specialists and primary‐care colleagues.

Details

Leadership in Health Services, vol. 18 no. 1
Type: Research Article
ISSN: 1366-0756

Keywords

Content available
Article
Publication date: 3 October 2008

Jennifer Bowerman

432

Abstract

Details

Leadership in Health Services, vol. 21 no. 4
Type: Research Article
ISSN: 1751-1879

Content available
Article
Publication date: 2 October 2009

Michael Aherne

414

Abstract

Details

Leadership in Health Services, vol. 22 no. 4
Type: Research Article
ISSN: 1751-1879

Content available
Article
Publication date: 2 October 2009

Jennifer Bowerman

379

Abstract

Details

Leadership in Health Services, vol. 22 no. 4
Type: Research Article
ISSN: 1751-1879

Article
Publication date: 1 December 2000

Aedh Aherne

Looks at the life and poetry of W.B. Yeats to establish whether or not he engaged in marketing and what his marketing practices were. Uses Yeats as an example of Irish marketing…

Abstract

Looks at the life and poetry of W.B. Yeats to establish whether or not he engaged in marketing and what his marketing practices were. Uses Yeats as an example of Irish marketing at its best. Suggests that a Celtic Marketing Era will reappear to challenge the established “Anglo‐Saxon” approach to marketing and marketing education.

Details

Marketing Intelligence & Planning, vol. 18 no. 6/7
Type: Research Article
ISSN: 0263-4503

Keywords

Article
Publication date: 1 February 1978

Claudia Carlen

Throughout the past few decades a considerable philosophical literature has appeared, covering the various aspects of the history of philosophy and practically all of the…

Abstract

Throughout the past few decades a considerable philosophical literature has appeared, covering the various aspects of the history of philosophy and practically all of the systematic disciplines. Annual reports of this literature have been prepared for the past twenty years by James Collins, St. Louis University, for the Cross Currents review. These surveys are the best single source for keeping abreast of publications in the field. The collected reviews (1957–1977) are now available from Cross Currents at Dobbs Ferry, New York.

Details

Reference Services Review, vol. 6 no. 2
Type: Research Article
ISSN: 0090-7324

Article
Publication date: 1 December 2000

Stephen Brown and Anthony Patterson

An introduction to the special issue “A taste of paradise”. Discusses the various representations of paradise over time and asserts that these have always reflected the society…

736

Abstract

An introduction to the special issue “A taste of paradise”. Discusses the various representations of paradise over time and asserts that these have always reflected the society that produced them. Stresses that marketing is unavoidably implicated in our perceptions of paradise. Refers to the different notions of marketing paradise held by the various authors of the papers in the special issue.

Details

Marketing Intelligence & Planning, vol. 18 no. 6/7
Type: Research Article
ISSN: 0263-4503

Keywords

Article
Publication date: 17 December 2013

Mark White, John Wells and Tony Butterworth

This paper reviews the Lean Healthcare and Productive Ward: releasing time to care (RTC) literature and extracts the reported effects and impacts experienced by employees who…

1009

Abstract

Purpose

This paper reviews the Lean Healthcare and Productive Ward: releasing time to care (RTC) literature and extracts the reported effects and impacts experienced by employees who implement it. The purpose of this paper is to identify and investigate the strength of the connection between the two models and explores the implications for leadership and implementation.

Design/methodology/approach

This study reviewed the Lean Healthcare and Productive Ward: RTC literature using strict systematic inclusion criteria. A qualitative content analysis was used to identify key characteristics of reported employee experience, effect or impact. Themes and categories were ranked by the number of citations and presented.

Findings

This study outlines the similar employee effects and impacts that exist between Lean-type improvement initiatives and the Productive Ward: RTC programme. It discusses the three top themes of: Empowerment, Leadership and Engagement and explores the opportunities for leadership. It also identifies one key difference between the two initiatives, the socio-cultural effect and impact which is strongly reported with Lean-type improvement initiatives. The socio-cultural element is discussed and presented as one of the fundamental aspects of Lean and the original Toyota production system.

Originality/value

This study brings new insights for leaders involved in Lean-type improvement initiatives which are currently being imported into healthcare and provides a comprehensive list of reported employee impacts and effects of value to healthcare leaders attempting to establish an environment and culture of improvement.

Details

The International Journal of Leadership in Public Services, vol. 9 no. 3/4
Type: Research Article
ISSN: 1747-9886

Keywords

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