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Article
Publication date: 2 December 2014

Michael Mandelstam

– The purpose of this paper is to consider the criminal offence of wilful neglect in the context of hospital health care in England.

Abstract

Purpose

The purpose of this paper is to consider the criminal offence of wilful neglect in the context of hospital health care in England.

Design/methodology/approach

Summarise the evidence of neglectful care in hospitals and analyse the ingredients and application of the offence of wilful neglect.

Findings

Neglect is ongoing and systemic in the hospitals and the offence of wilful neglect seems to be ineffective as either a punitive or deterrent measure.

Practical implications

There is a mismatch between the extent of systemic, reckless neglect in the hospitals and the application of the criminal offence of wilful neglect. The answer, if any, might be: widening of the offence to anybody who is wilfully neglected (not just those mentally disordered or mentally incapacitated people), a new offence of corporate neglect, the holding of reckless leaders to account, and a reinvigorated Care Quality Commission and Health and Safety Executive.

Originality/value

The author is unaware that such a review of this area of law, applied to health care, has been undertaken.

Details

The Journal of Adult Protection, vol. 16 no. 6
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 13 June 2016

Michael Preston-Shoot

The purpose of this paper is to draw on systemic and psychodynamic theories to subject published serious case reviews (SCRs) involving self-neglect to a deeper level of…

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Abstract

Purpose

The purpose of this paper is to draw on systemic and psychodynamic theories to subject published serious case reviews (SCRs) involving self-neglect to a deeper level of scrutiny, in order to understand how complex contexts impact on self-neglect work. It also updates the dataset of self-neglect SCRs and accompanying thematic analysis.

Design/methodology/approach

Psychodynamic and systemic ideas are applied to the content of published SCRs in order to understand how different contexts – societal, legal, organisational, professional and personal – impact on and are influenced by work with adults who self-neglect. Further published reviews are added to the core dataset, with thematic analysis updated using four domains.

Findings

Thematic analysis within and recommendations from SCRs have focused on the micro context, what takes place between individual practitioners, their teams and adults who self-neglect. This level of analysis also commonly extends to how organisations have worked together and how Local Safeguarding Adults Board (LSABs) have supported and scrutinised their collaboration. This level of analysis enables an understanding of local geography. However, there are wider systems that impact on and influence this work, especially law and the societal context. If review findings and recommendations are to fully answer the question why, systemic analysis should be extended to appreciate the influence of national geography.

Research limitations/implications

There is still no national database of reviews commissioned by LSABs so the dataset reported here might be incomplete. The Care Act 2014 does not require publication of reports but only a summary of findings and recommendations in LSAB annual reports. This makes learning for service improvement challenging.

Practical implications

Answering the question why is a significant challenge for safeguarding adults reviews (SARs). Different approaches have been recommended, some rooted in systems theory. The theoretical formulations here extend the lens of systemic analysis on the different contexts that influence how practitioners work with adults who self-neglect and simultaneously are shaped by that work. This adds to the practice, management and organisational evidence base for working with adults who self-neglect but also shines the analytic lens on legal and policy mandates.

Originality/value

The paper extends the use of systemic theory for understanding and learning from practice with adults who self-neglect and additionally offers psychodynamic formulations to appreciate what happens within and between practitioners and their organisations. The paper therefore contributes new perspectives to the methodology for conducting SARs. It also extends the thematic analysis of available reviews that focus on work with adults who self-neglect, further building on the evidence base for practice.

Details

The Journal of Adult Protection, vol. 18 no. 3
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 1 December 2004

Phil Minshull

Can models be set in place to prevent neglect and abuse in inpatient settings from becoming systemic? This article suggests that they can, and describes how the…

Abstract

Can models be set in place to prevent neglect and abuse in inpatient settings from becoming systemic? This article suggests that they can, and describes how the establishment of multi‐agency forums within care teams can help foster working practices that are open, accountable and respectful.

Details

The Journal of Adult Protection, vol. 6 no. 4
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 26 November 2020

Jiska Cohen-Mansfield

The impact of COVID-19 has most dramatically affected the older population, and nursing homes have become infection hotspots. As a response, governments have ordered…

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Abstract

Purpose

The impact of COVID-19 has most dramatically affected the older population, and nursing homes have become infection hotspots. As a response, governments have ordered isolation of older adults in geriatric institutions owing to the high risk of critical illness and mortality. The purpose of this paper is to discuss the potential impact of current policies on nursing homes and community-based care and provide suggestions for improvement in care.

Design/methodology/approach

Taking the situation in Israel as an example, the author discussed major systemic problems pertaining to long-term care facilities and to community based care; the neglect of mental health; systemic deficiencies in end of life care; and the need to revise communications concerning COVID-19.

Findings

Within each of the identified areas, recommended changes in strategy, policy and practice can help mitigate the dramatic impact of COVID-19 on the living experience of the older population.

Originality/value

Drawing on the Israeli experience, this paper presents current shortcomings in the policy response to COVID-19 regarding nursing homes and community-based care and provides recommendations that are applicable to other contexts as well. Although some of these have been suggested or even practiced in some locations, many continue to be neglected and have not been discussed even as COVID-19 continues to infect societies around the globe.

Details

Quality in Ageing and Older Adults, vol. 21 no. 4
Type: Research Article
ISSN: 1471-7794

Keywords

Article
Publication date: 31 May 2011

Jaana Junell and Pirjo Ståhle

The purpose of this paper is to provide a quantitative measure for organizational renewal capability which would enable inter‐firm comparison and external communication…

Abstract

Purpose

The purpose of this paper is to provide a quantitative measure for organizational renewal capability which would enable inter‐firm comparison and external communication. To make the tool more concrete for the reader, a case organization with the measurement results and conclusions is described.

Design/methodology/approach

A method of how renewal capability can be shown on an organizational level and measurement is demonstrated. The approach is based on systems thinking, but it also has boundary surfaces with the knowledge‐based theory of the firm, dynamic capability approach, and intellectual capital (IC) research. A tool for analyzing and measuring organizational renewal, called KM‐factor®, and the theoretical model behind it, is presented.

Findings

The preliminary analysis indicates that the indexes of KM‐factor® correlate strongly with the future financial success of the company. Thus, the results refer to the fact that companies with (system based and strategy connected) renewal capability have more competitive advantage than others. It is crucial for the organization to understand the required change direction in renewal capability to achieve sustainable competitive advantage.

Originality/value

The topic of renewal has been increasingly dealt with by the research traditions of IC, knowledge management and strategic management. However, even if several relatively consolidated theories about the composition of IC or competitiveness have been presented – renewal being one of the components – the operational and measurement perspectives of continuous renewal have mainly been neglected. This paper demonstrates a quantitative and practical implementation of organizational renewal capability measurement.

Details

Competitiveness Review: An International Business Journal, vol. 21 no. 3
Type: Research Article
ISSN: 1059-5422

Keywords

Book part
Publication date: 14 December 2018

Shatha Qamhieh Hashem and Islam Abdeljawad

This chapter investigates the presence of a difference in the systemic risk level between Islamic and conventional banks in Bangladesh. The authors compare systemic

Abstract

This chapter investigates the presence of a difference in the systemic risk level between Islamic and conventional banks in Bangladesh. The authors compare systemic resilience of three types of banks: fully fledged Islamic banks, purely conventional banks (CB), and CB with Islamic windows. The authors use the market-based systemic risk measures of marginal expected shortfall and systemic risk to identify which type is more vulnerable to a systemic event. The authors also use ΔCoVaR to identify which type contributes more to a systemic event. Using a sample of observations on 27 publicly traded banks operating over the 2005–2014 period, the authors find that CB is the least resilient sector to a systemic event, and is the one that has the highest contribution to systemic risk during crisis times.

Details

Management of Islamic Finance: Principle, Practice, and Performance
Type: Book
ISBN: 978-1-78756-403-9

Keywords

Book part
Publication date: 10 May 2017

Bernard P. Perlmutter

In this chapter, I examine stories that foster care youth tell to legislatures, courts, policymakers, and the public to influence policy decisions. The stories told by…

Abstract

In this chapter, I examine stories that foster care youth tell to legislatures, courts, policymakers, and the public to influence policy decisions. The stories told by these children are analogized to victim truth testimony, analyzed as a therapeutic, procedural, and developmental process, and examined as a catalyst for systemic accountability and change. Youth stories take different forms and appear in different media: testimony in legislatures, courts, research surveys or studies; opinion editorials and interviews in newspapers or blog posts; digital stories on YouTube; and artistic expression. Lawyers often serve as conduits for youth storytelling, translating their clients’ stories to the public. Organized advocacy by youth also informs and animates policy development. One recent example fosters youth organizing to promote “normalcy” in child welfare practices in Florida, and in related federal legislation.

Details

Studies in Law, Politics, and Society
Type: Book
ISBN: 978-1-78714-344-9

Keywords

Book part
Publication date: 16 December 2016

Thomas Clarke and Soheyla Gholamshahi

The purpose of this chapter is to analyse how in recent years the rediscovery that extreme inequality is returning to advanced economies and has become widespread. What is…

Abstract

Purpose

The purpose of this chapter is to analyse how in recent years the rediscovery that extreme inequality is returning to advanced economies and has become widespread. What is at issue are the causes of this inequality. It is becoming clear that the wider population, particularly in Anglo-American economies have not shared in the growing wealth of the countries concerned, and that the majority of this wealth is being transferred on a continuous and systemic basis to the very rich. Corporate governance and the pursuit of shareholder value it is argued has become a major driver of inequality.

Methodology/approach

The current statistical evidence produced by leading authorities including the US Federal Reserve, World Economic Forum, Credit Suisse and Oxfam are examined. The policy of shareholder value and the mechanisms by which the distributions from business take place are investigated from a critical perspective.

Findings

While the Anglo-American economies are seeing a return to the extremes of inequality last witnessed in the 19th century, the causes of this inequality are changing. In the 19th century great fortunes often were inherited, or derived by entrepreneurs from the ownership and control of productive assets. By the late 20th century as Atkinson, Piketty and Saez (2011) and others have highlighted, the sustained and rapid inflation in top income shares have made a significant contribution to the accelerating rate of income and wealth inequality.

Research implications

The intensification of inequality in advanced industrial economies, despite the consistent work of Atkinson and others, was largely neglected until the recent research of Picketty which has attracted international attention. It is now acknowledged widely that inequality is a serious issue; however, the contemporary causes of inequality remain largely unexplored.

Practical/social implications

The significance of inequality, now that it is recognized, demands policy and practical interventions. However, the capacity or even willingness to intervene is lacking. Further analysis of the debilitating consequences of inequality in terms of the efficiency and stability of economies and societies may encourage a more robust approach, yet the resolve to end extreme inequality is not present.

Originality/value

The analysis of inequality has not been neglected and this chapter represents a pioneering effort to relate the shareholder value orientation now dominant in corporate governance to the intensification of inequality.

Details

Finance and Economy for Society: Integrating Sustainability
Type: Book
ISBN: 978-1-78635-509-6

Keywords

Article
Publication date: 1 April 2006

Dionysios S. Demetis and Ian O. Angell

The paper seeks to analyse the systemic effects of AML‐technologies and regulations, at both national and organizational levels.

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Abstract

Purpose

The paper seeks to analyse the systemic effects of AML‐technologies and regulations, at both national and organizational levels.

Design/methodology/approach

It focuses the power of systems theory, particularly the insights about self‐referential systems, to describe the organizational and bureaucratic phenomena that have emerged from the introduction of technology in the AML domain.

Findings

The paper confronts the technological instrumentalism both prevalent in the AML community and implied by the actions of regulators. It demonstrates the many false assumptions being made, and calls on the whole AML community to re‐think and clarify its position.

Research limitations/implications

This is the second paper describing an ongoing research project that focuses theory on the phenomena occurring when information and computer technologies are applied in the AML arena. The project is experimental and in its early stages, and so is necessarily limited in scale, but not in scope. The objective is to invite the AML community into a hermeneutic debate of the ideas, thereby informing AML policy decisions.

Practical implications

The paper calls for a reconsideration of the underlying assumptions within which AML‐related technology is appropriated by financial institutions. It demonstrates how this technology creates multiple complex systemic phenomena that often act contrary to initial intentions. This complexity is generated not only by data mining and/or profiling technologies, but also by peripheral technologies as they interact with human activity systems in the AML domain.

Originality/value

The paper is one of the relatively few that moves away from narrative description of AML phenomena, to present an academically legitimate theoretical foundation for analysis.

Details

Journal of Money Laundering Control, vol. 9 no. 2
Type: Research Article
ISSN: 1368-5201

Keywords

Article
Publication date: 19 September 2016

Kathryn Waddington

The purpose of this paper is to argue that gossip is a neglected aspect of organizational communication and knowledge, and an under-used management resource.

1239

Abstract

Purpose

The purpose of this paper is to argue that gossip is a neglected aspect of organizational communication and knowledge, and an under-used management resource.

Design/methodology/approach

The paper challenges mainstream managerial assumptions that gossip is trivial or tainted talk which should be discouraged in the workplace. Instead, gossip is re-framed at an organizational level of analysis, which provides the opportunity for relational knowledge about systemic failure and poor practice in healthcare to surface.

Findings

Rather than simply viewing gossip as an individual behaviour and interpersonal process, it is claimed that organizational gossip is also a valuable early warning indicator of risk and failure in healthcare systems. There is potentially significant value in re-framing gossip as an aspect of organizational communication and knowledge. If attended to (rather than neglected or silenced) gossip can provide fresh insights into professional practice, decision making and relational leadership.

Originality/value

This paper offers a provocative challenge to mainstream health organization and management thinking about gossip in the workplace. It offers new ways of thinking to promote patient safety, and prevent the scandals that have plagued healthcare organizations in recent years.

Details

Journal of Health Organization and Management, vol. 30 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

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