scholarly journals Mapping clinical governance to practitioner roles and responsibilities

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Maureen Alice Flynn ◽  
Niamh M. Brennan
Keyword(s):  
Best Practice ◽  
Clinical Governance ◽  
Front Line ◽  
Structured Interviews ◽  
Content Type ◽  
Roles And Responsibilities ◽  
Academic Hospitals ◽  
Governance Practice ◽  
Organisational Structures ◽  
Governance Roles

PurposeWhile clinical governance is assumed to be part of organisational structures and policies, implementation of clinical governance in practice (the praxis) can be markedly different. This paper draws on insights from hospital clinicians, managers and governors on how they interpret the term “clinical governance”. The influence of best-practice and roles and responsibilities on their interpretations is considered.Design/methodology/approachThe research is based on 40 in-depth, semi-structured interviews with hospital clinicians, managers and governors from two large academic hospitals in Ireland. The analytical lens for the research is practice theory. Interview transcripts are analysed for practitioners' spoken keywords/terms to explore how practitioners interpret the term “clinical governance”. The practice of clinical governance is mapped to front line, management and governance roles and responsibilities.FindingsThe research finds that interpretation of clinical governance in praxis is quite different from best-practice definitions. Practitioner roles and responsibilities held influence practitioners' interpretation.Originality/valueThe research examines interpretations of clinical governance in praxis by clinicians, managers and governors and highlights the adverse consequence of the absence of clear mapping of roles and responsibilities to clinical, management and governance practice.

scholarly journals Grounded accountability in life-and-death high-consequence healthcare settings

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Maureen Alice Flynn ◽  
Niamh M. Brennan
Keyword(s):  
Design Methodology ◽  
Hospital Setting ◽  
Clinical Governance ◽  
Front Line ◽  
Content Type ◽  
Life And Death ◽  
Healthcare Settings ◽  
Academic Hospitals ◽  
Felt Accountability ◽  
Legal Processes

PurposeThe paper examines interviewee insights into accountability for clinical governance in high-consequence, life-and-death hospital settings. The analysis draws on the distinction between formal “imposed accountability” and front-line “felt accountability”. From these insights, the paper introduces an emergent concept, “grounded accountability”.Design/methodology/approachInterviews are conducted with 41 clinicians, managers and governors in two large academic hospitals. The authors ask interviewees to recall a critical clinical incident as a focus for elucidating their experiences of and observation on the practice of accountability.FindingsAccountability emerges from the front-line, on-the-ground. Together, clinicians, managers and governors co-construct accountability. Less attention is paid to cost, blame, legal processes or personal reputation. Money and other accountability assumptions in business do not always apply in a hospital setting.Originality/valueThe authors propose the concept of co-constructed “grounded accountability” comprising interrelationships between the concept’s three constituent themes of front-line staff’s felt accountability, along with grounded engagement by managers/governors, supported by a culture of openness.

Juggling on the line

2015 ◽  
Vol 37 (4) ◽  
pp. 459-474 ◽  
Author(s):  
Samantha Evans
Keyword(s):  
Critical Role ◽  
Case Study Research ◽  
Critical Factor ◽  
Employee Relations ◽  
Front Line ◽  
Structured Interviews ◽  
Line Managers ◽  
Content Type ◽  
Nuanced Understanding ◽  
High Level

Purpose – The purpose of this paper is to examine the interplay between the role of front line managers (FLMs) and their contribution to the reported gap between intended and actual human resource management (HRM). Design/methodology/approach – The findings draw on case study research using 51 semi-structured interviews with managers across two UK retail organisations between 2012 and 2013. Findings – This paper argues that FLMs are key agents in people management and play a critical role in the gap between intended and actual employee relations (ER) and HRM. The research found that these managers held a high level of responsibility for people management, but experienced a lack of institutional support, monitoring or incentives to implement according to central policy. This provided an opportunity for them to modify or resist intended policy and the tensions inherent in their role were a critical factor in this manipulation of their people management responsibilities. Research limitations/implications – The data were collected from only one industry and two organisations so the conclusions need to be considered within these limitations. Practical implications – Efforts to address the gap between intended and actual ER/HRM within organisations will need to consider the role tensions of both front line and middle managers. Originality/value – This research provides a more nuanced understanding of the interplay between FLMs and the gap between intended and actual HRM within organisations. It addresses the issue of FLMs receiving less attention in the HRM-line management literature and the call to research their role in the translation of policy into practice.

scholarly journals Practitioner perspectives of multi-agency safeguarding hubs (MASH)

2019 ◽  
Vol 22 (1) ◽  
pp. 9-20
Author(s):  
Sarah Shorrock ◽  
Michelle M. McManus ◽  
Stuart Kirby
Keyword(s):  
Design Methodology ◽  
Best Practice ◽  
Governance Structure ◽  
Structured Interviews ◽  
Content Type ◽  
The North ◽  
Everyday Practices ◽  
Agency Practices ◽  
Practical Implications ◽  
Insight Into

Purpose The challenges of transferring the theoretical requirements of an effective multi-agency partnership into everyday practices are often overlooked, particularly within safeguarding practices. Therefore, the purpose of this paper is to explore practitioner perspectives of working within a multi-agency safeguarding hub (MASH) and those factors that encourage or hinder a multi-agency approach to safeguarding vulnerable individuals. Design/methodology/approach Semi-structured interviews with 23 practitioners from one MASH location in the North of England were conducted, with a thematic analysis being used to analyse findings. Findings The interviews with practitioners illustrated the complexity of establishing a multi-agency approach to safeguarding. It was inferred that whilst information sharing and trust between agencies had improved, the absence of a common governance structure, unified management system, formalisation of practices and procedures and shared pool of resources limited the degree to which MASH could be considered a multi-agency approach to safeguarding. Practical implications Establishing a multi-agency approach to safeguarding is complex and does not occur automatically. Rather, the transition to collaborative practices needs to be planned, with agreed practices and processes implemented from the beginning and reviewed regularly. Originality/value Few studies have investigated the implementation of MASH into safeguarding practices, with this paper providing a unique insight into practitioner opinions regarding the transition to multi-agency practices. Whilst there is a focus on MASH, the challenges to arise from the research may be reflective of other multi-agency partnerships, providing a foundation for best practice to emerge.

Conservation-based intelligence-led policing

2019 ◽  
Vol 42 (1) ◽  
pp. 108-122 ◽  
Author(s):  
Devin Cowan ◽  
Christina Burton ◽  
William Moreto
Keyword(s):  
Interpersonal Relations ◽  
Structured Interviews ◽  
Wildlife Crime ◽  
Content Type ◽  
Intelligence Gathering ◽  
Roles And Responsibilities ◽  
Intelligence Operations ◽  
Study Sites ◽  
Traditional Setting ◽  
The Impact

Purpose The purpose of this paper is to examine the influence of interpersonal relations on the implementation of an intelligence-led initiative within a rural, conservation setting. Design/methodology/approach The data for this study are gathered from semi-structured interviews (n = 79) and field observations within five study sites that are managed by the Uganda Wildlife Authority. Findings The findings suggest that while law enforcement and community conservation rangers viewed intelligence operations to be necessary, there was general discontent and distrust toward intelligence rangers. This was largely due to the actuarial and perceived activities, roles and responsibilities of intelligence rangers and the belief that intelligence rangers reflected more of an internal affairs unit rather than one focused on intelligence gathering. Research limitations/implications The credibility of the data provided by respondents can be called into question; however, extensive efforts were made to establish rapport to help alleviate these hazards. Practical implications Findings from the current study highlight the importance of considering and managing interpersonal relations when implementing intelligence-led initiatives. Originality/value The current study is unique in that it examines crime in a non-traditional setting (a developing country, Uganda), with a non-traditional crime type (wildlife crime). Additionally, literature examining the impact of interpersonal relations on intelligence-led policing is limited.

The failure of non‐binding declarations to achieve university sustainability

2007 ◽  
Vol 8 (3) ◽  
pp. 301-316 ◽  
Author(s):  
S.A. Bekessy ◽  
K. Samson ◽  
R.E. Clarkson
Keyword(s):  
Best Practice ◽  
Small Scale ◽  
Structured Interviews ◽  
Pilot Studies ◽  
Content Type ◽  
Institute Of Technology ◽  
University Leaders ◽  
The University ◽  
The Impact ◽  
Insight Into

PurposeThis paper aims to assess the impact and value of non‐binding agreements or declarations in achieving sustainability in universities.Design/methodology/approachA case study of Royal Melbourne Institute of Technology (RMIT) University is presented, analysing the reasons for lack of progress towards sustainability and evaluating best ways forward. Using a timeline and analysis of historical records for the 12 years since RMIT first engaged in the sustainability agenda, major trends in the process of implementing policies are identified. Secondly, 15 semi‐structured interviews with university leaders and key sustainability stakeholders from across the university are analysed to provide insight into how and why the university has failed to achieve sustainability.FindingsNew implications for successfully achieving sustainability arise from these findings. Accountability is a key issue, as RMIT appears to reap benefits from being signatory to declarations without achieving genuine progress. To ensure that declarations are more than simply greenwash, universities must open themselves up to scrutiny of progress to determine whether commitments have been honoured.Practical implicationsRelying on small‐scale “club” activities establishing demonstrations and raising awareness is unlikely to lead to permanent change. The evidence of RMIT's engagement with sustainability shows that, for example, even when successful pilot studies are conducted, these initiatives may do little to affect the mainstream practices of a university unless certain conditions exist. Furthermore, given the on‐paper commitments institutions have made, and the role of the university in society, small‐scale and gradual changes in university practice are a far from adequate response to the urgent sustainability imperative.Originality/valueThe initial engagement of RMIT University with the sustainability agenda 12 years ago marked it as a world leader in sustainability best‐practice. Analysing how and why such a disappointing lack of action has resulted from such promising beginnings provides insight into future directions for implementing sustainability in universities. The paper argues that considering the key responsibility of universities in leading the sustainability agenda, a more systemic and serious response is required.

Implementation of Lean Six Sigma in Saudi Arabian organisations

2017 ◽  
Vol 34 (4) ◽  
pp. 508-529 ◽  
Author(s):  
Saja Ahmed Albliwi ◽  
Jiju Antony ◽  
Norin Arshed ◽  
Abhijeet Ghadge
Keyword(s):  
Saudi Arabia ◽  
Six Sigma ◽  
Best Practice ◽  
Online Survey ◽  
Saudi Arabian ◽  
Lean Six Sigma ◽  
Current Status ◽  
Future Research ◽  
Structured Interviews ◽  
Content Type

Purpose Although the popularity of the Lean Six Sigma (LSS) methodology has illustrated many benefits over the years for those organisations who have implemented it, this strategy has received less attention in developing countries. The purpose of this paper is to critically assess the current status of LSS implementation in Saudi Arabian organisations. Design/methodology/approach This research is based on a descriptive survey questionnaire which has been derived from two systematic literature reviews. The survey was distributed to 400 organisations in Saudi Arabia using Qualtrics online software. In total, 146 responses were received where 102 responses were completed and analysed. Findings The findings of the survey highlighted that the implementation of LSS is still in the early stages in organisations within Saudi Arabia. This was clearly shown by many factors such as years of deploying LSS, LSS infrastructure, level of awareness of LSS, impact of LSS on business functions and so on. Research limitations/implications The primary limitation of this study is that data has been collected from an online survey and therefore no deeper insights could have been captured from the survey. This calls for future research to be undertaken by executing semi-structured interviews in selective organisations within Saudi Arabia. Originality/value This paper contributes to the current status of LSS in Saudi Arabian organisations. It also gives recommendations to guide the future of LSS in Saudi organisations by comparing LSS literature with best practice.

Securities markets and protection of small investors in public shareholding companies of United Arab Emirates

2019 ◽  
Vol 11 (1) ◽  
pp. 73-80
Author(s):  
Nashat Jaradt
Keyword(s):  
United Arab Emirates ◽  
Best Practice ◽  
Stock Exchange ◽  
Securities Markets ◽  
Legal Cases ◽  
Content Type ◽  
Roles And Responsibilities ◽  
Doing Business ◽  
Small Investors ◽  
The Subject

Purpose The purpose of this paper is to review the laws in relation to the role of the securities markets in protecting small investors and examine legal cases that have recently been observed in this area. Design/methodology/approach A research-based qualitative analysis was undertaken to determine the governing authorities on the subject of international trade contracts globally. Various internet searches were conducted and information was collected to represent the subject at large and to the best and most current understanding. The information was assessed in its joined context to prepare recommendations for best practice. Findings In the United Arab Emirates (UAE), the rights of small investors in public shareholding companies are protected through many different legal stipulations that all must adhere to in order to offer stock. Through an examination of the laws of the UAE in relation to securities markets’ roles and responsibilities, a clear picture of protection is created that ensures small investors’ risks are minimized. In this regard, the UAE has implemented additional regulations in comparison to any other country as evident through the Doing Business Report (2014). Research limitations/implications The review of available documents is limited to UAE and hence cannot be generalized into a broader context. Originality/value This paper work contributes the research about the existing conditions of securities markets of protected small investor in UAE stock exchange market as serious as that of protecting the national economy.

A qualitative investigation of benchmarking barriers in Nigeria

2016 ◽  
Vol 23 (7) ◽  
pp. 1677-1696 ◽  
Author(s):  
Yewande Adetoro Adewunmi ◽  
Hikmot Koleoso ◽  
Modupe Omirin
Keyword(s):  
Design Methodology ◽  
Best Practice ◽  
Computer Software ◽  
Facilities Management ◽  
Structured Interviews ◽  
Quality Of Data ◽  
Content Type ◽  
Port Harcourt ◽  
Practical Implications

Purpose The purpose of this paper is to examine benchmarking barriers among Nigerian facilities management (FM) practitioners. Design/methodology/approach Data collection were through semi-structured interviews with 34 FM heads from three selected cities in Nigeria. Out of this number, 16 were from Lagos, ten from Abuja while eight managers were from Port Harcourt, respectively. These managers were selected using purposive sampling based on their experience in the field of FM across the various sectors of the economy. The interviews were analysed with Nvivo 10 software qualitative computer software. Findings Those that do informal benchmarking face challenges with data, employees lack of confidence in new initiatives and poor support of senior management, the companies that use best practice benchmarking face constraints of access to information and employees unwillingness to change and comply to company set standards, unwillingness of benchmarking partners to understand the usefulness of the project, and problems that emanate from the quality of data obtained. Practical implications The results therefore suggest that to improve the practice of best practice benchmarking there is need to improve both quantity and quality of data for the exercise and enhance standard practice. Originality/value The study established a new category of benchmarking barriers called the market category of benchmarking barriers and further distinguished benchmarking barriers based on two forms of benchmarking which is informal and formal benchmarking. Also there are limited studies on benchmarking barriers in developing countries.

scholarly journals Critical strategic issues for the integration of facilities management into the development process

2017 ◽  
Vol 35 (4) ◽  
pp. 380-393 ◽  
Author(s):  
Matthew Paul Tucker ◽  
Mohd Rayme Anang Masuri ◽  
Alison Cotgrave
Keyword(s):  
Best Practices ◽  
Best Practice ◽  
Development Process ◽  
Research Approach ◽  
Facilities Management ◽  
Structured Interviews ◽  
Property Development ◽  
Content Type ◽  
Strategic Issues ◽  
The Uk

Purpose The purpose of this paper is to identify the critical strategic issues for the integration of facilities management (FM) into the development process (DP). It explains the factors that limit the integration and recognises the best practices applied in the property development industry in the UK. Design/methodology/approach The study employs a qualitative research approach through semi-structured interviews from the FM and property development industry in the UK. Findings The study discovered that the recognition of FM in the property development industry is encouraging. However, FM has been given a low priority in the property development industry, resulting in facilities managers being inadequately integrated into the DP. Originality/value The paper suggests that it is imperative to understand these strategic issues to promote best practice in the industry that improve the position of FM in the property development industry.

Social partnerships addressing affordable housing and homelessness in Australia

2014 ◽  
Vol 7 (2) ◽  
pp. 218-232 ◽  
Author(s):  
Sharyn McDonald
Keyword(s):  
Affordable Housing ◽  
Best Practice ◽  
Common Ground ◽  
Structured Interviews ◽  
Content Type ◽  
Successful Model ◽  
Elizabeth Street ◽  
Formation And Evolution ◽  
Social Partnerships ◽  
The Relationship

Purpose – The purpose of this paper is to examine the formation of a cross-sector partnership in which a collaborative response addressed the issue of affordable housing and homelessness in Melbourne, Australia. Factors leading to the formation and evolution of the relationship reveal how social partnerships in the housing/construction industry can be formulated. Design/methodology/approach – Semi-structured interviews were held with representatives of the three sectors involved in an innovative social housing model, the Elizabeth Street Common Ground project. Supported with background documentation, interviews were coded and the results contrasted against theories pertaining to cross-sector collaboration. Findings – Several factors contributed to the formation of this partnership, most notably the strong social imperative found within the organisational ethos of the participating organisations. The opportunity to replicate a well-trialled and successful model coincided with the desire among all partners to be part of the solution. Originality/value – The results provide an insight into the ingredients pivotal to the formation of a successful multi-sector partnership. It highlights the value in sharing the best practice and the importance of networks when tackling major global problems such as affordable housing and homelessness.

Sign in / Sign up

Export Citation Format

Share Document