Linking organizational context and managerial action: The dimensions of quality of management

2007 ◽  
Vol 15 (S2) ◽  
pp. 91-112 ◽  
Author(s):  
Sumantra Ghoshal ◽  
Christopher A. Bartlett
2020 ◽  
pp. 107808742091950
Author(s):  
Ting Guan ◽  
Tao Liu

This article examines the concept and practices of “participatory representation” in the Chinese context, a subset of substantive representation that emphasizes “authenticity” and participatory engagement in solving neighborhood problems. Through examining Chinese homeowner associations (HOAs), we explain how representation operates at the neighborhood level in a grassroots organizational context without a Western style of democracy, identifying the determinants and capacities of participatory representation. By proposing a model of representational capacity and using logistic regression analysis, we find that four factors have an impact on the quality of participatory representation: (1) homeowner attributes (i.e., gender, occupation, and length of residence), (2) problem-solving effectiveness of representative organizations, (3) transparent and open elections, and (4) level of homeowner participation. We further suggest that in a transitional society like China, these representative organizations, namely, HOAs, act as important training grounds for democratic skills, through which participatory citizen engagement is being learned and cultivated. This study contributes to contemporary accounts of participatory representation by identifying the informal representation patterns within HOAs and their potential to foster civic participation and social democracy in China in the coming decades.


Author(s):  
Kevin Stainback

This chapter explores theory and research that shows how employment discrimination and inequality are shaped by organizations and organizational context. More specifically, it considers how group-linked discrimination and other status-linked categorical distinctions give rise to group-level employment inequalities. It argues that categorical distinctions, such as race, gender, and citizenship, influence quality of life and life chances across institutional contexts including work, and that organizational context affects the extent to which such statuses become the basis, in part or whole, for sorting people into jobs or being exposed to opportunities and experiences. Three general forces that shape employment discrimination and group-linked inequality are discussed: inertia, the tendency for organizations—once policies, practices, and procedures are established—to produce stability and resist change over time; intraorganizational pressure, in particular the relative power of internal constituencies; and environmental pressures, both direct and diffuse, on organizations to implement organizational practices and procedures.


2008 ◽  
Vol 13 (3_suppl) ◽  
pp. 97-103 ◽  
Author(s):  
Michael Calnan ◽  
Rosemary Rowe

Objective: Trust in health care is an important policy area although research has tended to focus on interpersonal trust between patient and practitioner and has neglected trust relations at the organizational and institutional levels. Each of these levels of trust may have been influenced by recent policy and organizational changes in the NHS as well as wider cultural changes. Our aim was to explore the relationship between patients, practitioners and managers to identify if there was any evidence of changes in trust relations. Method: A comparative case study design in two different clinical and organizational settings. Results: Trust is still important for effective therapeutic and working relationships but the nature of that trust and how it is lost and won appears to be affected by the organizational context in which health services are delivered. The increasing partnership between patients and clinicians in managing health problems and the greater interdependence of clinicians and managers in providing multidisciplinary shared care have changed how patients, clinicians and managers trust each other. For many informants trust can no longer be assumed, it is conditional and has to be earned. However, the sources of trust are the quality of the patient- clinician interaction, the competence and empathy that is displayed rather than informed trust based on abstract disembodied data. Likewise in inter-practitioner relationships and clinician-manager relations trust no longer appears to be primarily based on professional status and seniority, instead it appears to be conditional and may be earned through a variety of strategies that demonstrate honesty, reliability, competence, accessibility and an indication that colleagues share similar values and have a common agenda. Conclusion: Trust is still important for effective therapeutic and working relationships.


2020 ◽  
Vol 5 (2) ◽  
pp. 41-46
Author(s):  
Piotr MALINOWSKI

The armed forces of NATO, the foundation of military security in the collective and individual sense, have been, for years, constituting the determinants shaping their interoperability and effectiveness. Such actions are taken with varying intensity by all members also in terms of military leadership. The scope and comprehensiveness of these actions mainly oscillate around the perception of leadership in the context of the tool for shaping interpersonal relationships. The goal of the organizational context, which less attention is put to, is the proper section and training of the leaders, who are not accidentally appointed, but were chosen on the basis of a thoughtful process. Therefore, in the area of leadership considered an important organizational phenomenon, a variety of transformations are carried out, which are intended to improve leadership and the units implementing them, so it is used for the benefit of the armed forces. The Polish armed forces have also undertaken such actions. Their scope is to be based on a broad analysis of leadership in conducted in 2018. However, ensuring the optimization of further action requires the recognition of the most significant leadership transformations that have been implemented by the Alliance’sleading armed forces and are a guarantor of substantially higher quality of military leadership. These transformations are described and discussed in this paper.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 161-161
Author(s):  
Patrick Wachholz ◽  
Paulo José Fortes Villas Boas ◽  
Vivian Schutz ◽  
Michael Lepore ◽  
Deanna Myer ◽  
...  

Abstract The Brazilian long-term care (LTC) sector remains poorly structured and underdeveloped. COVID-19 did not bring unprecedented focus to the sector just because of the high mortality; it also affected the quality of care. In this pilot study, we evaluated the perspectives toward WE-THRIVE LTC measurements from Brazilian frontline workers in five long-term care facilities. For the four WE-THRIVE domains of LTC measurement (workforce and staffing, person-centered care, organizational context, and care outcomes), respondents used a 4-point Likert scale to rate their importance and answered open-ended questions about how these aspects of care changed since COVID-19. With few exceptions, respondents rated these aspects of LTC as extremely important or very important. Qualitative results highlighted concerns about and impacts of COVID-19, such as challenges related to the isolation of residents. The assessed measurement domains are confirmed to be important by frontline staff in Brazil. Measurement adoption must account for current issues.


Author(s):  
Carole A. Estabrooks ◽  
Stephanie A. Chamberlain

This chapter describes 10 years of research into organizational context in residential long-term care (LTC) settings. It focuses on this book’s first and third questions: What constitutes context for an event, situation, or phenomenon? And how do contexts change, and what is the role of actors in such processes? Although with respect to change, it does not focus as much on secular trends as it does on strategies to improve local context. We explore how context influences use of research by staff, quality-of-life indicators for staff, and ability to improve quality of care and quality of life for LTC residents. First, it describes the development and ongoing use of the Alberta Context Tool. Second, it describes the Translating Research in Elder Care (TREC) program of research, and the LTC setting in which the authors study context to bring about quality improvements. Third, it presents selected empirical findings as evidence that context matters in LTC. Finally, it proposes future directions to understand and modify context for improved quality in LTC.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amer Hatamleh ◽  
Anas Ghassan Kanaan

Purpose This study aims to carry out the critical assessment of success factors of mass collaboration in the context of retail companies operating in Jordan. Design/methodology/approach This study is quantitative in nature in which data has been gathered from the primary sources of information through a survey questionnaire. The employees and managers from the retail sector of Jordan have been considered. Confirmatory factor analysis has been carried out to determine the reliability and validity of the factors that are included in the research model. Quality of model and predictive prevalence has been tested with the help of determining the R-square of the model. Path assessment has also been done as a part of data analysis to assess the statistical significance of the association between different factors and the success of a mass collaboration. Findings The analysis determined that organizational structure, the mechanism in collaborative learning along with technologies adopted in collaborative learning, evaluation of learner’s performance and quality of knowledge has a significant effect on mass collaboration within the context of the retail sector in Jordan. Research limitations/implications The context of this research is the Jordanian retail sector; hence, it is very concise and cannot be necessarily applied within the context of other industries. This research has adopted a quantitative design where the data was collected with the help of a survey questionnaire based on the close-ended questionnaire. This has limited the answers to the available options given. Originality/value The originality of this study has been ensured by carrying out a primary survey with the employees and managers belonging to the Jordanian retail sector to the promising approach to create agile knowledge and share to enhance the organizational context.


2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 48-48
Author(s):  
Holly Mead ◽  
Mandi Pratt-Chapman ◽  
Sean Cleary ◽  
Sarah Raskin

48 Background: With 15.5 million cancer survivors in the U.S., cancer is increasingly viewed as a chronic illness that requires systematic, coordinated care. Yet research has not determined what models of survivorship are most effective in providing high quality, patient-centered care. This study evaluates the quality of three models of cancer survivorship care using a newly developed patient-centered measure. Methods: We conducted a comparative effectiveness study with 32 cancer programs distributed across 3 distinct models of survivorship care: 1) Consultative Specialized Survivorship Clinic; 2) Longitudinal Specialized Survivorship Clinic; and 3) Oncology-Embedded Survivorship Clinic with Referrals. We developed the Patient-Prioritized Measure of High Quality Survivorship Care (PPM), a scale comprising 9 patient-prioritized components of survivorship care. We enrolled 991 survivors of breast, colorectal and prostate cancer across these programs and followed them over 6 months collecting self-reported data on quality of survivorship services. Results: Preliminary results suggest statistically significant differences across models of care for six PPM components. Model 1 is more likely than the other two models to provide a full spectrum of services (p=0.0001), mental health and social support (p<0.0001), and information and resources for patients in survivorship (p=0.0002). Model 2 is better than model 3 at providing a medical home (0.04), and outperforms both other models at coordinating care and transitions (p=0.0059). Both Models 1 and 2 are better than model 3 in ensuring productive patient-provider interactions (p=0.006). Conclusions: It appears that certain models of survivorship care are better at specific domains of patient-centered quality, suggesting cancer centers should consider their organizational context and their patients’ needs before committing to a particular model of care.


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