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Abstract

Details

International Journal of Health Care Quality Assurance, vol. 26 no. 4
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 20 November 2017

Sarah Enciso, Carlson Milikin and James Scofield O’Rourke

Business organizations should strive to create ethical cultures to win consumer loyalty and thus safeguard long-term performance success. Management bears ultimate responsibility…

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Abstract

Purpose

Business organizations should strive to create ethical cultures to win consumer loyalty and thus safeguard long-term performance success. Management bears ultimate responsibility for promoting ethical behavior. By rewarding ethical behaviors and punishing transgressions, management will reinforce morally upright behavior and create a positive company culture. Successful promotion of corporate ethics, in turn, will boost employee morale, increase performance beyond bare minimums and retain employees in the long run. With a well-structured ethics code and strong reward system, management has all the tools necessary to create an ethical company culture.

Design/methodology/approach

This viewpoint paper, while advocating for a systematic approach to ethical behavior in a business organization, carefully reviews both well-established literature in this area as well as current best practices. The aim is to provide senior managers with a sense of how the best corporate ethics programs are organized and structured.

Findings

A successful corporate ethics program must involve all employees from executives to hourly wage workers, with each taking personal responsibility for his or her own performance and results. While no guarantees of success are offered, one reasonably certain path to failure is for an organization to post an ethics code and then ignore it. Ethics must be discussed, modified from time to time and actively integrated into the life of every organization that hopes to avoid ethical missteps.

Originality/value

This paper offers a fresh viewpoint on both the value and the organization of a potentially successful corporate ethics program. While time-honored ideas serve as the foundation for our discussion, a thorough review of current issues and best practices form the directional heading for the paper’s conclusions.

Article
Publication date: 18 February 2021

Irina Ibragimova and Helen Phagava

Abstract

Details

International Journal of Health Governance, vol. 26 no. 1
Type: Research Article
ISSN: 2059-4631

Article
Publication date: 12 June 2017

Christian Gadolin and Thomas Andersson

The purpose of this paper is to describe and analyze conditions that influence how employees engage in healthcare quality improvement (QI) work.

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Abstract

Purpose

The purpose of this paper is to describe and analyze conditions that influence how employees engage in healthcare quality improvement (QI) work.

Design/methodology/approach

Qualitative case study based on interviews (n=27) and observations (n=10).

Findings

The main conditions that influence how employees engage in healthcare QI work are professions, work structures and working relationships. These conditions can both prevent and facilitate healthcare QI. Professions and work structures may cement existing institutional logics and thus prevent employees from engaging in healthcare QI work. However, attempts to align QI with professional logics, together with work structures that empower employees, can make these conditions increase employee engagement, which can be accomplished through positive working relationships that foster institutional work, which bridge different competing institutional logics, making it possible to overcome barriers that professions and work structures may constitute.

Practical implications

Understanding the conditions that influence how employees engage in healthcare QI work will make initiatives more likely to succeed.

Originality/value

Healthcare QI has mainly been studied from an implementer perspective, and employees have either been neglected or seen as passive resisters. Weak employee perspectives make healthcare QI research incomplete. In our research, healthcare QI work is studied closely at the actor level to understand healthcare QI from an employee perspective.

Details

International Journal of Health Care Quality Assurance, vol. 30 no. 5
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 28 January 2019

Kieran Mervyn, Nii Amoo and Rebecca Malby

Public sectors have responded to grand societal challenges by establishing collaboratives – new inter-organizational partnerships to secure better quality health services. In the…

1060

Abstract

Purpose

Public sectors have responded to grand societal challenges by establishing collaboratives – new inter-organizational partnerships to secure better quality health services. In the UK, a proliferation of collaboration-based healthcare networks exists that could help to enhance the value of investments in quality improvement programs. The nature and organizational form of such improvements is still a subject of debate within the public-sector literature. Place-based collaboration has been proposed as a possible solution. In response, the purpose of this study is to present the results and findings of a place-based collaborative network, highlighting challenges and insights.

Design/methodology/approach

This study adopted a social constructionist epistemological approach, using a qualitative methodology. A single case study was used and data collected in three different stages over a two-year period.

Findings

The study finds that leadership, data-enabled learning through system-wide training and development, and the provision of an enabling environment that is facilitated by an academic partner, can go a long way in the managing of healthcare networks for improving quality.

Research limitations/implications

Regardless of the tensions and challenges with place-based networks, they could still be a solution in maximizing the public value required by government investments in the healthcare sector, as they offer a more innovative structure that can help to address complex issues beyond the remit of hierarchical structures. This study is limited by the use of a single case study.

Practical implications

Across countries health systems are moving away from markets to collaborative models for healthcare delivery and from individual services to population-based approaches. This study provides insights to inform leaders of collaborative health models in the design and delivery of these new collaborations.

Social implications

As demand rises (as a result of increasing complexity and demographics) in the western world, health systems are seeking to redefine the boundaries between health service provision and community self-reliance and resilience. This study provides insights into the new partnership between health institutions and communities, providing opportunities for more social- and solidarity-based healthcare models which place patients and the public at the heart of change.

Originality/value

The city place-based network is the first of such organizational form in healthcare collaboration in the UK.

Details

International Journal of Organizational Analysis, vol. 27 no. 4
Type: Research Article
ISSN: 1934-8835

Keywords

Book part
Publication date: 10 August 2018

Susan Albers Mohrman and Stu Winby

We argue that in order to address the contemporary challenges that organizations and societies are facing, the field of organization development (OD) requires frameworks and…

Abstract

We argue that in order to address the contemporary challenges that organizations and societies are facing, the field of organization development (OD) requires frameworks and skills to focus on the eco-system as the level of analysis. In a world that has become economically, socially, and technologically highly connected, approaches that foster the optimization of specific actors in the eco-system, such as individual corporations, result in sub-optimization of the sustainability of the natural and social system because there is insufficient offset to the ego-centric purposes of the focal organization. We discuss the need for OD to broaden focus to deal with technological advances that enable new ways of organizing at the eco-system level, and to deal with the challenges to sustainable development. Case examples from healthcare and the agri-foods industry illustrate the kinds of development approaches that are required for the development of healthy eco-systems. We do not suggest fundamental changes in the identity of the field of organizational development. In fact, we demonstrate the need to dig deeply into the open systems and socio-technical roots of the field, and to translate the traditional values and approaches of OD to continue to be relevant in today’s dynamic interdependent world.

Open Access
Article
Publication date: 19 December 2019

Martha L.P. MacLeod, Neil Hanlon, Trish Reay, David Snadden and Cathy Ulrich

Despite many calls to strengthen connections between health systems and communities as a way to improve primary healthcare, little is known about how new collaborations can…

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Abstract

Purpose

Despite many calls to strengthen connections between health systems and communities as a way to improve primary healthcare, little is known about how new collaborations can effectively alter service provision. The purpose of this paper is to explore how a health authority, municipal leaders and physicians worked together in the process of transforming primary healthcare.

Design/methodology/approach

A longitudinal qualitative case study was conducted to explore the processes of change at the regional level and within seven communities across Northern British Columbia (BC), Canada. Over three years, 239 interviews were conducted with physicians, municipal leaders, health authority clinicians and leaders and other health and social service providers. Interviews and contextual documents were analyzed and interpreted to articulate how ongoing transformation has occurred.

Findings

Four overall strategies with nine approaches were apparent. The strategies were partnering for innovation, keeping the focus on people in communities, taking advantage of opportunities for change and encouraging experimentation while managing risk. The strategies have bumped the existing system out of the status quo and are achieving transformation. Key components have been a commitment to a clear end-in-view, a focus on patients, families, and communities, and acting together over time.

Originality/value

This study illuminates how partnering for primary healthcare transformation is messy and complicated but can create a foundation for whole system change.

Details

Journal of Health Organization and Management, vol. 34 no. 3
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 19 June 2017

Sofia Kjellström, Gunilla Avby, Kristina Areskoug-Josefsson, Boel Andersson Gäre and Monica Andersson Bäck

The purpose of this paper is to explore work motivation among professionals at well-functioning primary healthcare centers subject to a national healthcare reform which include…

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Abstract

Purpose

The purpose of this paper is to explore work motivation among professionals at well-functioning primary healthcare centers subject to a national healthcare reform which include financial incentives.

Design/methodology/approach

Five primary healthcare centers in Sweden were purposively selected for being well-operated and representing public/private and small/large units. In total, 43 interviews were completed with different medical professions and qualitative deductive content analysis was conducted.

Findings

Work motivation exists for professionals when their individual goals are aligned with the organizational goals and the design of the reform. The centers’ positive management was due to a unique combination of factors, such as clear direction of goals, a culture of non-hierarchical collaboration, and systematic quality improvement work. The financial incentives need to be translated in terms of quality patient care to provide clear direction for the professionals. Social processes where professionals work together as cohesive groups, and provided space for quality improvement work is pivotal in addressing how alignment is created.

Practical implications

Leaders need to consistently translate and integrate reforms with the professionals’ drives and values. This is done by encouraging participation through teamwork, time for structured reflection, and quality improvement work.

Social implications

The design of the reforms and leadership are essential preconditions for work motivation.

Originality/value

The study offers a more complete picture of how reforms are managed at primary healthcare centers, as different medical professionals are included. The value also consists of showing how a range of aspects combine for primary healthcare professionals to successfully manage external reforms.

Details

Journal of Health Organization and Management, vol. 31 no. 4
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 8 February 2011

Jerry D. VanVactor

The purpose of this paper is to present a collaborative communications model developed during the conduct of a recent academic research study and provide information to healthcare

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Abstract

Purpose

The purpose of this paper is to present a collaborative communications model developed during the conduct of a recent academic research study and provide information to healthcare supply chain managers and administrators.

Design/methodology/approach

Using data collected from a case study involving healthcare supply chain managers in the United States Army, this work examines how collaborative communications is linked to healthcare supply chain management. The findings associated with this study may have many transferable applications to institutions beyond a military health services context.

Findings

This paper presents the findings and conclusions ascertained during a case study of collaborative communications. Five emerging themes were identified and a management model was developed for the enhancement of healthcare supply chain operations. Emerging themes included synergy among organizations, stakeholders working together, enhancements in supply chain operations, a continuance of training for supply chain leaders, and commonalities among disparate levels of management.

Practical implications

Healthcare is a continually evolving industry. Supply chain efficiency can be linked to potential cost savings and more efficient operations within healthcare organizations. By understanding a model related to communicating collaboratively, leaders begin to understand the need for partnering among internal and external stakeholders and creating more efficient practices and processes. While this discussion is directed specifically toward healthcare management, the principles are applicable across a wide array of industries.

Social implications

Communicating effectively is never easy for any healthcare organization or staff. Whether isolated to key individuals or throughout the entire organization, leaders have an inherent responsibility to share information and set conditions for organizational success. Arguably, the critical path to success involves effective, collaborative communications across multiple echelons of management responsibilities.

Originality/value

While there is a dearth of literature examining communications and collaboration among various industries, little information is directed specifically toward the management of healthcare organizations or supply chain operations. In an applied sense, this model provides healthcare supply chain managers with concepts related to communicating more effectively at both the individual and organizational levels.

Details

Leadership in Health Services, vol. 24 no. 1
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 1 December 2007

Karen Miller, Jan Walmsley and Sadie Williams

There is robust evidence that good teamwork is essential to the delivery of high‐quality healthcare. This paper reports on a leadership intervention to improve team‐working in

Abstract

There is robust evidence that good teamwork is essential to the delivery of high‐quality healthcare. This paper reports on a leadership intervention to improve team‐working in multidisciplinary clinical teams and the health outcomes of those populations served by them. The Shared Leadership for Change initiative was funded and managed by The Health Foundation as part of its portfolio of leadership awards. The initiative sought to support the development of ‘shared’ leadership in the teams through the intervention of specially trained and supported leadership development consultants who worked with clinical teams delivering diabetes care working across primary and secondary sectors. The paper explains the rationale underpinning the approach, describes how the intervention was operationalied, and presents findings on its impact to date. The authors conclude by advocating that given the right context this intervention is an effective approach that leads to improved clinical team effectiveness and better multidisciplinary working in modern healthcare. The difficulties of ascribing any improvements in clinical outcomes or the patient experience to the interventions are also explored.

Details

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

Keywords

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