scholarly journals Restrictive practices on refugees in Australia with intellectual disability and challenging behaviours: a family’s story

2016 ◽  
Vol 10 (4) ◽  
pp. 222-232 ◽  
Author(s):  
Julie King ◽  
Niki Edwards ◽  
Ignacio Correa-Velez ◽  
Rosalyn Darracott ◽  
Maureen Fordyce
Keyword(s):  
Intellectual Disability ◽  
Service Provision ◽  
Service System ◽  
Ethnographic Study ◽  
Refugee Status ◽  
Content Type ◽  
Loved One ◽  
Restrictive Practice ◽  
Complex Disability

Purpose The purpose of this paper is to explore the experiences of a refugee family navigating complex disability and restrictive practice service systems. Living with disability, or caring for someone with disability can compound the disadvantage and marginalisation already experienced by refugees. The nexus between disability and refugee status, particularly intellectual disability and restrictive practices, has received little scholarly attention and almost nothing is known of people’s experiences in this situation. Design/methodology/approach Thematic analysis of a case study is used to illustrate the experiences of a refugee family in this situation. The case study presented was part of a larger ethnographic study exploring the experiences of people of refugee background living with disability. Findings There were numerous barriers to accessing appropriate services. The family experienced high levels of stress simultaneously navigating the resettlement process and the disability service system. They were poorly informed and disempowered regarding the care of their loved one and the use of restrictive practices. Experiences in the country of origin, employment responsibilities, and unfamiliarity with the service system were key factors in this family’s difficulty in safeguarding the rights of their family member with disability. Originality/value This case study examines the complexity experienced when disability intersects with refugee background. Areas for additional research and significant gaps in service provision are identified. The case study clearly demonstrates the importance of understanding people’s pre- and post-settlement experiences to inform policy and service provision.

Impressions in action: the socially situated construction of expertise in the workplace

2015 ◽  
Vol 4 (1) ◽  
pp. 44-63 ◽  
Author(s):  
Aditya Johri
Keyword(s):  
Impression Formation ◽  
Task Assignment ◽  
Ethnographic Study ◽  
Knowledge Generation ◽  
Task Completion ◽  
Content Type ◽  
Using Data ◽  
Workplace Setting ◽  
Socially Situated

Purpose – The impressions of others’ expertise are fundamental to workplace dynamics. Identifying expertise is essential for workplace functions such as task assignment, task completion, and knowledge generation. Although prior work has examined both the nature of expertise and its importance for work, formation of expertise impressions in the workplace has not received much attention. The paper aims to discuss these issues. Design/methodology/approach – In this paper the author addresses the question – how do we form expertise impressions in the workplace – using data from an ethnographic study of a workplace setting. The author employs a case study of project team formation to synthesize a process framework of impression formation. Findings – The author proposes a framework that integrates sociocultural and interactional accounts to argue that actors utilize situational and institutional frames to socially construct their expertise impressions of others. These frames emerge as actors engage in activities within a community of practice. Originality/value – This practice-based explication of expertise construction moves beyond narrow conceptions of personality-based traits or credentials as signals of expertise. It explains why sharing of expertise within organizations through the use of information technology continues to be problematic – expertise is an enactment and therefore it defies reification through knowledge management.

scholarly journals Partnering for change

2019 ◽  
Vol 34 (3) ◽  
pp. 255-272 ◽  
Author(s):  
Martha L.P. MacLeod ◽  
Neil Hanlon ◽  
Trish Reay ◽  
David Snadden ◽  
Cathy Ulrich
Keyword(s):  
Primary Healthcare ◽  
Health Authority ◽  
Service Provision ◽  
Service Providers ◽  
Processes Of Change ◽  
Content Type ◽  
The Status ◽  
Managing Risk ◽  
Healthcare Transformation

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.

scholarly journals Service system well-being: conceptualising a holistic concept

2019 ◽  
Vol 30 (6) ◽  
pp. 766-792 ◽  
Author(s):  
Wei Wei Cheryl Leo ◽  
Gaurangi Laud ◽  
Cindy Yunhsin Chou
Keyword(s):  
Service System ◽  
Case Study Research ◽  
Well Being ◽  
Content Type ◽  
Holistic Concept ◽  
Multi Level ◽  
Multi Stakeholder ◽  
Service Managers

Purpose The purpose of this paper is to develop a concept of service system well-being by presenting its collective conceptualisation and ten key domains. Design/methodology/approach Service system well-being domains were established using multi-level theory and a qualitative case study research design. To validate the domains initially developed from the literature, 19 in-depth interviews were conducted across two case studies that represented the service systems of a hospital and a multi-store retail franchise chain. A multi-stakeholder approach was used to explore the actor’s perspectives about service system well-being. Key domains of service system well-being were identified using deductive categorisation analysis. Findings The findings found evidence of ten key domains of well-being, namely strategic, governance, leadership, resource, community, social, collaborative, cultural, existential and transformational, among service system stakeholders. Research limitations/implications Service system well-being is a collective concept comprising ten domains that emerged at different levels of the service system. The propositions outlined the classification of and interlinkages between the domains. This exploratory study was conducted in a limited service context and focussed on ten key domains. Practical implications Service managers in commercial and social organisations are able to apply the notion of service system well-being to identify gaps and nurture well-being deficiencies within different domains of service-system well-being. Originality/value Based on multi-level theory, the study is the first to conceptualise and explore the concept of service system well-being across multiple actors.

When hierarchy becomes collaborative

2018 ◽  
Vol 23 (4) ◽  
pp. 599-613 ◽  
Author(s):  
Rebecca M. Rice
Keyword(s):  
Participant Observation ◽  
High Reliability ◽  
Ethnographic Study ◽  
Relationship Building ◽  
Incident Management ◽  
Content Type ◽  
Emergency Situations ◽  
Collaborative Processes ◽  
Individual Actions

Purpose The purpose of this paper is to expand understandings of interorganizational collaboration among high reliability organizations (HROs). It proposes that HROs face unique needs for relationship building, pre-planning, and retrospective sensemaking that do not fit within prior models of collaboration. For HROs, definitions of collaboration vary contextually based on needs that arise during emergency situations. HROs have a need for both hierarchical structure and collaborative processes and use collaboration as a sensemaking frame that allows practitioners to attend to both needs. Design/methodology/approach The paper uses a case study from an ongoing ethnographic study of an emergency response collaboration. The paper uses open-ended interviews about collaboration with all key members of the incident response hierarchy, and participant observation of collaboration before, during and after a key emergency incident. Findings The paper proposes a new framework for HRO collaboration: that collaboration is a sensemaking frame for HROs used to make sense of individual actions, that HRO collaboration is more complex during pre-planning and focused on individual decision making during incidents, and that members can communicatively make sense of the need for hierarchy and collaborative action by defining these needs contextually. Research limitations/implications The paper uses an in-depth case study of an incident to explore this collaborative framework; therefore, researchers are encouraged to test this framework in additional high reliability collaborative contexts. Practical implications The paper includes implications for best communicative practices to recognize the need to be both hierarchical and flexible in high reliability organizing. Originality/value This paper fulfills a need to expand collaboration literature beyond idealized and egalitarian definitions, in order to understand how practitioners use communication to understand their actions as collaborative, especially in organizations that also require hierarchy and individual actions. This case study suggests that collaboration as a sensemaking frame creates collaborative advantages for HROs, but can also limit sensemaking about incident management.

Innovation in service ecosystems

2016 ◽  
Vol 27 (4) ◽  
pp. 619-651 ◽  
Author(s):  
Kotaiba Aal ◽  
Laura Di Pietro ◽  
Bo Edvardsson ◽  
Maria Francesca Renzi ◽  
Roberta Guglielmetti Mugion
Keyword(s):  
Design Methodology ◽  
Service System ◽  
Service Innovation ◽  
Service Systems ◽  
Narrative Approach ◽  
Resource Integration ◽  
Content Type ◽  
Service Ecosystems

Purpose – The purpose of this paper is to extend the understanding of innovation in service ecosystems by focussing on the role of values resonance in relation to the integration of brands, service systems and experience rooms. Design/methodology/approach – An empirical, explorative case study of an innovative service system is carried out using a narrative approach and presented in the form of a saga. Findings – Insights gleaned from the empirical study are used for conceptual developments. Analysis of the empirical case study is presented as four lessons linked to values, brands, service systems and experience rooms. Originality/value – The paper extends a conceptual framework of innovative resource integration in service ecosystems. The paper also contributes four propositions to inform theory: values resonance is a basis for service innovation, the innovative integration of brands based on values resonance can foster innovation, the integration of resources across service system boundaries grounded in values resonance can enable innovation and the integration of experience rooms into a coherent servicescape based on values resonance can support novel forms of resource integration and value co-creation efforts in service ecosystems.

A multi-level ecological model of psychotropic prescribing to adults with intellectual disability

2013 ◽  
Vol 8 (1) ◽  
pp. 24-31
Author(s):  
Niki Edwards ◽  
Chris Bain ◽  
Allyson Mutch ◽  
Julie Dean ◽  
Nicholas Lennox
Keyword(s):  
Intellectual Disability ◽  
Psychotropic Medication ◽  
Ecological Model ◽  
Patient Characteristics ◽  
Valuable Insight ◽  
Community Based ◽  
Content Type ◽  
Multi Level ◽  
Insight Into

Purpose – Simple linear accounts of prescribing do not adequately address reasons “why” doctors prescribe psychotropic medication to people with intellectual disability (ID). Greater understanding of the complex array of factors that influence decisions to prescribe is needed. Design/methodology/approach – After consideration of a number of conceptual frameworks that have potential to better understand prescribing of psychotropic medication to adults with ID, an ecological model of prescribing was developed. A case study is used to outline how the model can provide greater understanding of prescribing processes. Findings – The model presented aims to consider the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The utility of the model is illustrated through a consideration of the case study. Research limitations/implications – The model presented is conceptual and is as yet untested. Practical implications – The model presented aims to capture the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The model may provide utility for clinicians and researchers as they seek clarification of prescribing decisions. Originality/value – The paper adds valuable insight into factors influencing psychotropic prescribing to adults with ID. The ecological model of prescribing extends traditional analysis that focuses on patient characteristics and introduces multi-level perspectives that may provide utility for clinicians and researchers.

Suicidality in detention centres: a case study

2017 ◽  
Vol 13 (1) ◽  
pp. 106-118 ◽  
Author(s):  
Jurgita Rimkeviciene ◽  
John O’Gorman ◽  
Diego De Leo
Keyword(s):  
Suicide Prevention ◽  
Asylum Seekers ◽  
Single Case ◽  
Refugee Status ◽  
Content Type ◽  
Study Approach ◽  
Processing Centre ◽  
Practical Implications ◽  
Insight Into

Purpose Recent reports raise suicidality among asylum seekers as a pertinent issue in current Australian offshore detention centres. However, knowledge on the nature of the suicidality in these centres is very limited. The purpose of this paper is to explore in depth how suicidality arises and develops in offshore detention centres. Design/methodology/approach A single case study approach was used. Findings This case study presents the findings on the suicidal process of an asylum seeker who attempted suicide three times while in Nauru Regional Processing Centre, the last of which being a near-lethal one. The prolonged mandatory detention, together with lack of clarity about the timeframes of detention and constant postponing of the legal processes were identified as the main factors driving the suicidal intent. The suicidal behaviour escalated from an interrupted attempt to a near lethal one within two years, which signals lack of adequate suicide prevention within detention. Practical implications The resources for mental health being limited in Nauru, it is likely overall changes in refugee status processing may be a more effective suicide prevention strategy rather than implementation of other additional measures. Originality/value Studies in offshore processing facilities have been scarce due to barriers for researchers to access the detention centres. This study offers a unique insight into suicidality in this hard to reach population.

Reflections on introducing a Leavers’ Preparation Group in an intellectual disability secure service

2018 ◽  
Vol 9 (2) ◽  
pp. 81-90 ◽  
Author(s):  
Gareth Hickman ◽  
Nicola Booth ◽  
Thuy Hoang
Keyword(s):  
Intellectual Disability ◽  
Service Provision ◽  
Group Intervention ◽  
Outcome Data ◽  
Service Users ◽  
Current Group ◽  
Content Type ◽  
User Attitudes ◽  
Personal Reflections ◽  
Learning Points

Purpose The purpose of this paper is to report on the introduction of a Leavers’ Preparation Group in an Intellectual Disability (ID) Secure Service. In the context of reductions in ID inpatient beds and reductions in restrictive practices, discharge and transfers out of hospital settings are increasing. The current group was established to provide support and preparation for service users as they approach discharge/transfer from hospital. The current paper provides example outcome data and reflects on the experience and learning points in delivering such interventions in secure contexts. Design/methodology/approach The Leavers’ Preparation Group is an eight-session preparatory, recovery focussed group intervention focussing on supporting service users as they approach discharge/transfer to lower levels of security. The intervention has a multi-disciplinary approach, focussing on psychosocial aspects of current and future risk reduction. Findings Overwhelmingly service users reported that they experienced the group as positive and beneficial. Personal reflections of the authors are offered on service user attitudes to discharge/transfer, the contextual impact of restrictive systems and the benefits of this type of group intervention. Originality/value This paper reports on clinical practice, which involves multi-disciplinary intervention, co-production with service users and relevant stakeholders, and provides a description of the group intervention. It also offers critical reflection on tensions in this area of service provision, such as control and choice, freedom and responsibility, limitations and restrictions and power imbalances.

scholarly journals Examining networked NGO services: reconceptualising value co-creation

2018 ◽  
Vol 38 (7) ◽  
pp. 1540-1561 ◽  
Author(s):  
Bernadette Best ◽  
Sandra Moffett ◽  
Claire Hannibal ◽  
Rodney McAdam
Keyword(s):  
Service Provision ◽  
Competitive Advantages ◽  
Structured Interviews ◽  
Content Type ◽  
Service Contracts ◽  
Multiple Data ◽  
And Performance ◽  
And Function ◽  
Internal Stakeholders

Purpose The purpose of this paper is to explain how value is co-created in a many-to-many (MTM) context. The authors use a case study of a non-governmental service delivery consortium engaging multiple actors to examine how value is co-created beyond the buyer-supplier dyad. Design/methodology/approach An explanatory case study of a consortium of seven UK non-governmental organisations (NGOs) delivering public service contracts is presented. Multiple data collection methods are combined; semi-structured interviews (n=30) and focus groups with internal stakeholders (n=5), participant observations (n=4) and document analysis. Findings The authors use three illustrative empirical examples to show how different sources, types, enablers and mechanisms of VCC are evident during service provision activities. The findings show how different service provision activities utilise different dimensions, leading the authors to suggest that dimensions of VCC may be context dependent. Research limitations/implications As consortia differ in their context and function, the findings may not be generalisable. Nevertheless, they provide specific examples of sources, types, enablers and mechanisms of value co-creation (VCC) that may be applicable to private, public and NGOs. Practical implications Understanding how value is co-created with multiple stakeholders can offer competitive advantages likely to lead to improved sustainability, impact and performance. Originality/value The empirical study offers a reconceptualisation of VCC in a MTM context. The paper combines disparate perspectives of VCC to offer a more holistic perspective.

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