Search results

1 – 10 of over 4000
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 scrutiny…

2051

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 establishment of…

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: 29 November 2022

Ali Yavuz Polat

This study proposes a framework based on salience theory and shows that focusing on one type of risk (idiosyncratic or systemic) can explain overpricing of securities ex ante, and…

Abstract

Purpose

This study proposes a framework based on salience theory and shows that focusing on one type of risk (idiosyncratic or systemic) can explain overpricing of securities ex ante, and resales at low prices during crisis periods.

Design/methodology/approach

The author consider an overlapping generations (OLG) model where each generation lives for two periods and there is no population growth. Agents (investors) start their lives with an endowment W > 0 and have mean-variance utility. They invest their endowment when young and consume when old. Each period, the young investors optimally choose their portfolio from different risky assets acquired from the old generation, all assumed to be in fixed supply.

Findings

The author show that investor salience bias can explain excess volatility of asset prices and the resulting fire-sales in periods of financial turmoil. A change in salience – from one component (idiosyncratic) to the other (systemic) – will generate excess volatility. Interestingly, higher risk aversion generally exacerbates the excess volatility of prices. Moreover, the model predicts that if a big systemic shock hits the financial system, due to salience bias the price of systemic assets falls sharply. This relates to the observed fire-sales of assets during the global financial crisis.

Practical implications

The proposed model and results suggest that there may be a scope for intervention in financial markets during turbulences. In terms of ex ante policies the study suggests that investors and regulator should use better risk assessment technologies.

Originality/value

This is the first study constructing a tractable model based on the argument that investor salience may exacerbate the excess volatility of prices during financial downturns. The author relate salience to two types of risk; idiosyncratic and systemic and assume that investors' risk perception is biased towards the type of risk that is currently salient based on prior beliefs or past data. The author show that the diversification fallacy of the precrisis period, where seemingly safe assets were overpriced, can be explained by agents overweighing idiosyncratic risk and ignoring systemic risk.

Details

Journal of Economic Studies, vol. 50 no. 7
Type: Research Article
ISSN: 0144-3585

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 isolation of…

948

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. To make…

1005

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

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.

899

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.

1474

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

Article
Publication date: 31 August 2023

Helena Á Marujo

This underscores individual and social implications for how mental disorders and mental well-being are constructed, conceived of and treated. Further, this paper aims to examine…

Abstract

Purpose

This underscores individual and social implications for how mental disorders and mental well-being are constructed, conceived of and treated. Further, this paper aims to examine positive psychology’s role in supporting the advancement of a broader systemic and contextual approach to mental health. With that aim, this paper connects data on mental health and well-being with peace studies to describe the systems of value and social ecologies underpinning mental disorders, using public happiness/Felicitas Publica as a possible framework to enhance public mental health while intervening at the local level (Bruni and Zamagni, 2007; Marujo and Neto, 2013, 2014, 2016, 2017, 2021; Marujo et al., 2019).

Design/methodology/approach

Theoretical foundations and data on positive peace and mental well-being are described with the intention to propose a systemic, contextual, relational, communitarian, economic and sociopolitical perspective of well-being that goes beyond individual bodies and/or brains and, instead, views mental disorder and mental health as social currency (Beck, 2020).

Findings

The interventions using dialogic, conversational and community approaches are a possible path to promote peace, mental health and public happiness.

Research limitations/implications

Examining the interplay between the fields of positive psychology, mental health and cultures of peace, this work contributes to the broadening of research and subsequent intervention topics through transdisciplinary approaches while reinforcing the role of systemic and social determinants and complementing the prevalent medical model and intraindividual perspective of mental health and well-being.

Practical implications

Adopting positive psychology to address mental health through public happiness concepts and interventions opens opportunities to respond to the ebb and flow of social challenges and life-giving opportunities. Therefore, the paper intends to articulate actor-related, relational, structural and cultural dimensions while moving away from discrete technocratic and individual models and pays attention to the way their implementations are aligned with both individual and social needs.

Social implications

The work offers an inclusive, equalitarian, politically sensitive approach to positive mental health and positive psychology, bringing forward a structural transformation and human rights-based approach perspective while rethinking the type of social and political solutions to mental health issues.

Originality/value

Creating a critically constructive debate vis-à-vis the fluidity and complexity of the social world, the paper examines mental health and positive psychology simultaneously from a “hardware” (institutions, infrastructures, services, systems, etc.) and a “software” (i.e. individuals and community/societal relations).

Details

Mental Health and Social Inclusion, vol. 27 no. 4
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 12 October 2015

Thomas Theobald

The purpose of this paper is to provide market risk calculation for an equity-based trading portfolio. Instead of relying on the purely stochastic internal model method which…

Abstract

Purpose

The purpose of this paper is to provide market risk calculation for an equity-based trading portfolio. Instead of relying on the purely stochastic internal model method which banks currently apply in line with the Basel regulatory requirements, the author also propose including alternative price mechanisms from the financial literature in the regulatory framework.

Design/methodology/approach

For this purpose, a financial market model with heterogeneous agents is developed, capturing the realistic feature that parts of the investors do not follow the assumption of no arbitrage, but are motivated by behavioral heuristics instead.

Findings

Although both the standard stochastic and the behavioral model are restricted to a calibration including the last 250 trading days, the latter is able to capitalize possible turbulence on financial markets and likewise the well-known phenomenon of excess volatility – even if the last 250 days reflect a non-turbulent market.

Practical implications

Thus, including agent-based models in the regulatory framework could create better capital requirements with respect to their level and counter-cyclicality.

Originality/value

This in turn could reduce the extent to which bubbles arise, since market participants would have to anticipate comprehensively the costs of such bubbles bursting. Furthermore, a key ratio is deduced from the agent-based construction to lower the influence of speculative derivatives.

Details

Journal of Economic Studies, vol. 42 no. 5
Type: Research Article
ISSN: 0144-3585

Keywords

1 – 10 of over 4000