Leadership for health commissioning in the new NHS

2015 ◽  
Vol 29 (1) ◽  
pp. 75-91 ◽  
Author(s):  
Anna Coleman ◽  
Julia Segar ◽  
Kath Checkland ◽  
Imelda McDermott ◽  
Stephen Harrison ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Early Development ◽  
Design Methodology ◽  
Large Scale ◽  
Content Type ◽  
Early Experiences ◽  
Emerging Leadership ◽  
Creativity And Innovation ◽  
Leadership Approaches ◽  
Insight Into

Purpose – The purpose of this paper is to explore the early experiences of those involved with the development of Clinical Commissioning Groups (CCGs), examining how the aspiration towards a “clinically-led” system is being realised. The authors investigate emerging leadership approaches within CCGs in light of the criterion for authorisation that calls for “great leaders”. Design/methodology/approach – Qualitative research was carried out in eight case studies (CCGs) across England over a nine-month period (September 2011 to May 2012) when CCGs were in their early development. The authors conducted a mix of interviews (with GPs and managers), observations (at CCG meetings) and examined associated documentation. Data were thematically analysed. Findings – The authors found evidence of two identified approaches to leadership – positive deviancy and responsible guardianship – being undertaken by GPs and managers in the developing CCGs. Historical experiences and past ways of working appeared to be influencing current developments and a commonly emerging theme was a desire for the CCG to “do things differently” to the previous commissioning bodies. The authors discuss how the current reorganisation threatens the guardianship approach to leadership and question if the new systems being implemented to monitor CCGs’ performance may make it difficult for CCGs to retain creativity and innovation, and thus the ability to foster the positive deviant approach to leadership. Originality/value – This is a large scale piece of qualitative research carried out as CCGs were beginning to develop. It provides insight into how leadership is developing in CCGs highlighting the complexity involved in these roles.

Reflexivity and the clinician-researcher: managing participant misconceptions

2016 ◽  
Vol 16 (1) ◽  
pp. 13-25 ◽  
Author(s):  
Amy J Hiller ◽  
Danya F Vears
Keyword(s):  
Qualitative Research ◽  
Design Methodology ◽  
Clinical Care ◽  
Research Process ◽  
Professional Background ◽  
Content Type ◽  
Ethics Support ◽  
To Receive ◽  
Insight Into

Purpose – It is increasingly common for health care clinicians to undertake qualitative research investigating an aspect of their own profession. Although the additional knowledge and perspective of a clinician might benefit the research, the professional background of the clinician-researcher can be a precipitator for confusion, similar to the therapeutic misconception occurring in quantitative clinical trials research. A significant challenge for the clinician-researcher is managing the misconceptions of participants and others about their role in the research process. The purpose of this paper is to outline these misconceptions and provide insight into how they might be avoided and managed through awareness and reflexivity. Design/methodology/approach – In this paper the authors draw on their experiences as clinician-researchers and memo writing data from their respective qualitative research projects to discuss participant misconceptions. Theories of reflexivity and ethics support the discussion. Findings – Potential misconceptions from participants include feeling obliged to participate, expecting to receive clinical care or feedback and believing they are being judged. This paper promotes reflexivity as a tool to pre-empt, prevent and manage participant misconceptions resulting from misunderstandings about the role of the clinician-researcher. Originality/value – Alerting clinician-researchers to potential misconceptions and providing examples of reflexive thinking in practice can assist researchers to increase the rigor of their qualitative research.

Stepping off the drunkard’s path to walk the “wild side”

2019 ◽  
Vol 19 (2) ◽  
pp. 104-120
Author(s):  
Nicole Brunker
Keyword(s):  
Qualitative Research ◽  
Research Methodology ◽  
Design Methodology ◽  
Research Process ◽  
Doctoral Studies ◽  
Content Type ◽  
Creativity And Innovation ◽  
Looking Back ◽  
The Way

Purpose Working creatively as a researcher should be a core foundation in doctoral studies, though it may be an isolating, even risky, endeavour. The purpose of this paper is to share the author’s journey through the “darkness” of innovation in research methodology. Design/methodology/approach At the heart of this research journey was Portraiture (Lawrence-Lightfoot, 1983), which emerged early in the post-modern evolution of qualitative research. While exploring Portraiture, the author found researchers used this methodology in varying ways: application, appropriation and interpretation. In stumbling through Portraiture, the author discovered patchwork as their bricoleur’s toolbag. Patchwork provided a torch that gave light to the darkness of the research process enabling interpretation of Portraiture for alignment of method and research problematic[1]. Findings Looking back at the research journey, the author recognises the steps into post-qualitative research and the need for methodological innovators to share their journeys for inspiration, to develop understanding and open the way to greater creativity and innovation during the research process. Originality/value This paper provides an original view to Portraiture along with the addition of patchwork as a way of engaging with methodology as well as data.

scholarly journals Un[bracketed]: phenomenological polyethnography

2019 ◽  
Vol 19 (2) ◽  
pp. 146-155
Author(s):  
Phillip Allen Olt ◽  
Eric D. Teman
Keyword(s):  
Qualitative Research ◽  
Design Methodology ◽  
Qualitative Methodology ◽  
Hermeneutic Phenomenology ◽  
Thick Description ◽  
Content Type ◽  
Research Traditions ◽  
Relevant Difference ◽  
Emergent Phenomena ◽  
Insight Into

Purpose Due to the limitations to the purpose and practice of both phenomenological and duoethnographic research methodologies, the purpose of this paper is to propose phenomenological polyethnography as a hybrid qualitative methodology, which would guide skilled researchers in conducting phenomenological exploration of an emergent experience as insiders. Design/methodology/approach This study is an applied a hybridization approach to phenomenology and duoethnography as two distinct qualitative research traditions. Findings Employing a poststructuralist perspective, researcher-participants with relevant difference co-investigate a phenomenological question together. Borrowing elements from both hermeneutic phenomenology and duoethnography, this methodology involves the consideration of a phenomenon, the use of authors with relevant difference who have both special insight into that phenomenon as participants and skill as qualitative researchers, the intentional collection of prereflective data while all researcher-participants are experiencing the phenomenon or immediately after, the subsequent reflection upon and interpretation of the phenomenon as it was similarly and differently experienced by the researcher-participants, and the description of both the essence and meaning of the phenomenon. Research limitations/implications This new, hybrid qualitative methodology will enable researchers to more efficiently analyze and disseminate the research of insider knowledge on emergent phenomena in higher education and other settings. Originality/value As a new methodology, it may be used to investigate events and provide rich, thick description in a way not before seen.

Hobbyists, artisans and entrepreneurs

2015 ◽  
Vol 22 (2) ◽  
pp. 337-351 ◽  
Author(s):  
Martin Bouette ◽  
Florence Magee
Keyword(s):  
Qualitative Research ◽  
Design Methodology ◽  
Support Programs ◽  
Content Type ◽  
Quantitative And Qualitative Research ◽  
Professional Needs ◽  
Business Support ◽  
Perceived Relevance ◽  
Practical Implications ◽  
Insight Into

Purpose – The purpose of this paper is to provide an insight into the goals and values of craft practitioners in Ireland, and assesses the validity of the business support provided to Dublin based craft practitioners. This research aimed to identify entrepreneurial traits in craft businesses and to challenge the objectives of public business support programs. This research enquires into what support practitioners have participated in and the perceived relevance to their professional needs and goals. Indeed, does demand or policy shape business support programs for craft in Dublin? Design/methodology/approach – This paper is based on a mix of quantitative and qualitative research using surveys and interviews. Findings – The research provides new insights into the goals and values of craft practitioners in Ireland. It identifies discrepancies between the needs of these businesses and the support programs available in Dublin. This study also highlighted three profiles of craft practitioners with distinct goals and values: the hobbyist, the artisan and the entrepreneur. Research limitations/implications – This study was limited to members registered with the Craft Council of Ireland in Dublin. It therefore excluded any professional craft business non-registered with the agency. Practical implications – This paper provides valuable insights on craft practitioners goals and values and offers useful recommendation on business support for craft micro-businesses in Ireland. Originality/value – This paper offers empirical data entirely new for Ireland and highlights the similarities between craft businesses and other micro-businesses, questioning business support rationale for the whole of this sector.

Consumers, Norwegian food and belonging: a qualitative study

2016 ◽  
Vol 118 (10) ◽  
pp. 2359-2371 ◽  
Author(s):  
Gun Mikaela Roos ◽  
Kai Victor Hansen ◽  
Aase Vorre Skuland
Keyword(s):  
Qualitative Research ◽  
Product Differentiation ◽  
Design Methodology ◽  
Two Dimensions ◽  
Consumer Group ◽  
Food Category ◽  
Content Type ◽  
Qualitative Research Design ◽  
Insight Into ◽  
East West

Purpose The purpose of this paper is to provide an insight into considerations underlying consumers’ perceptions of Norwegian food and to examine what the concept of belonging can add to the understanding of national food. Design/methodology/approach Two-stage qualitative research design, where data were first collected by in-store interviews with 100 customers in 30 different food retail stores (supermarkets, low discount and specialty stores) in three areas in Norway (East, West and Mid). This was followed by four focus groups with consumers (n=34) in two areas (East and West). Findings The consumers perceived Norwegian food as having two main dimensions: foods grown and produced in Norway and dishes belonging to traditional cuisine. These two dimensions could coexist and foods that embodied both aspects were higher on a scale of national identity. Perceptions of Norwegian food reflected context, food category and consumer group. The findings support the use of the concept of belonging. Emotional belonging was mainly expressed by the consumers when talking about traditional dishes and Norwegian cuisine, whereas politics of belonging had to do with supporting domestic agriculture and especially produce that has been traditionally grown in Norway. Research limitations/implications The findings may have implications for product differentiation and marketing. Originality/value This study adds the concept of belonging to the existing literature on consumers, food and place.

Triadic analysis of business relationship’s ending: a case study of a dyad and a third actor

2015 ◽  
Vol 30 (8) ◽  
pp. 891-905 ◽  
Author(s):  
Anniina Schreiner
Keyword(s):  
Qualitative Research ◽  
Design Methodology ◽  
Data Gathering ◽  
Business Relationships ◽  
Business Relationship ◽  
Content Type ◽  
Theoretical Literature ◽  
Ending Process ◽  
Insight Into

Purpose – This paper aims to improve the knowledge of the way business relationships end by using a triadic analysis. Triadic analysis is used as a tool, permitting the examination of a dyadic business relationship in relation to a third actor(s). The triadic approach has been chosen for two reasons: first, because a triad is the smallest possible network and so offers a network perspective on the phenomenon. Second, the triadic approach exposes the process of forming internal and external coalitions, which affects the course of events and, thus, offers a different perspective from the traditional dyadic one on the dissolution of business relationships. Design/methodology/approach – As adopting a triadic perspective on the ending of business relationships and the field of research are relatively new, data gathering and empirical findings play an important role in producing understanding of the phenomenon. This qualitative research uses the abductive approach, in which empirical findings are systematically combined with the theoretical literature related to the topic. The research also draws from the theoretical literature of ending dyadic business relationships and uses a body of literature from the field of sociology where triadic analysis has long been used. Findings – As the result, this paper presents a model describing the end of a triadic business relationship and details the characteristics that derive from a triadic perspective. The study answers questions on what kind of process takes place when a triadic business relationship is ending; what kinds of sub-processes can be identified; and also adds information on what kinds of coalitions companies may form during the ending process of a triadic business relationship. The findings suggest that triadic analysis is an appropriate tool when studying a dyadic business relationship in relation to third actors. Originality/value – The research offers a new insight into the phenomenon of ending business relationships by using a triadic perspective.

Rethinking bibliographic utilities for library consortia

2020 ◽  
Vol 37 (8) ◽  
pp. 7-9
Author(s):  
Israel Odede
Keyword(s):  
Literature Review ◽  
Paradigm Shift ◽  
Design Methodology ◽  
Distributed Network ◽  
Network Resources ◽  
Content Type ◽  
Library Consortia ◽  
Individual Ownership ◽  
Insight Into

Purpose The paper aims to critically examine the bibliographic utility as a roadmap to increase library consortia and provide an insight into a new library consortia strategy that integrates librarians into a system of sharing both resources and knowledge. Design/methodology/approach This study adopted a literature review approach with a focus on bibliographic utility as a necessary prerequisite for effective library consortia, which is a paradigm shift from the concept of individual ownership to a collective access of distributed network resources and knowledge. Findings The reviewed literature indicated that significant bibliographic utilities and integrated library systems are factors that shaped and developed consortia activities in libraries. Originality/value The bibliographic utility has limited literature, and a few published scholarly studies have combined bibliographic utility and library consortia as strategies to share resources and knowledge

Formation of contracts for the international sale of goods under Korean law and the CISG

2017 ◽  
Vol 21 (3) ◽  
pp. 208-223
Author(s):  
Byung Mun Lee
Keyword(s):  
Comparative Study ◽  
Design Methodology ◽  
Case Law ◽  
The Other ◽  
Basic Question ◽  
Content Type ◽  
International Sale Of Goods ◽  
The Comparative Study ◽  
International Sales ◽  
Insight Into

Purpose The purpose of this paper is to describe and analyze the rules on the formation of contracts under Korean law and the Contracts for the International Sale of Goods (CISG) in a comparative way and introduce the relevant proposed rules under the Amendment Draft of the Korean Civil Code (KCC). In addition, it attempts to compare and evaluate them in light of the discipline of comparative law. Design/methodology/approach In order to achieve the purposes of the study, it executes a comparative study of the rules as to the formation of contracts of the CISG, Korean law and the Amendment Draft of the KCC. The basic question for this comparative study is placed on whether a solution from one jurisdiction is more logical than the others and to what extent each jurisdiction has responded to protect the reasonable expectations of the parties in the rules as to the formation of contracts. Findings The comparative study finds that most of the rules under the CISG are quite plausible and logical and they are more or less well reflected in the proposals advanced by the KCC amendment committee. On the other hand, the other rules under the CISG which have brought criticisms in terms of their complexity and inconsistent case law invite us their revision or consistent interpretation. The drawbacks of the CISG have also been well responded in the Amendment Draft of the KCC. Nevertheless, it is quite unfortunate that the Amendment Draft of the KCC still has a rule that regards any purported performance with non-material alteration of the terms of an offer as an acceptance. Originality/value This study may provide legal and practical advice to both the seller and the buyer when they enter into a contract for international sales of goods. In addition, it may render us an insight into newly developed or developing rules in this area and show us how they interact with each other. Furthermore, it may be particularly useful in Korea where there is an ongoing discussion for revision of the KCC.

Professionals freaking out: the case of accreditation in Dutch higher education

2009 ◽  
Vol 21 (5) ◽  
pp. 473-485 ◽  
Author(s):  
Everard van Kemenade ◽  
Teun W. Hardjono
Keyword(s):  
The Netherlands ◽  
Design Methodology ◽  
Iso 9000 ◽  
Preliminary Survey ◽  
External Evaluation ◽  
Content Type ◽  
Evaluation Systems ◽  
System A ◽  
Engineering And Technology ◽  
Insight Into

PurposeThe purpose of this paper is to define what factors cause willingness and/or resistance among lecturers in universities towards external evaluation systems, especially accreditation.Design/methodology/approachA model has been designed to describe possible factors of willingness and/or resistance towards accreditation based on Ajzen and Metselaar. A literature review has been undertaken on the effects of external evaluation like ISO 9000 as well as accreditation systems such as Accreditation Board for Engineering and Technology and European Quality Improvement System. A questionnaire has been administered to a group of 63 lecturers from three departments at Fontys University in The Netherlands. The results of this preliminary survey have been presented to 1,500 academics in The Netherlands and Flanders to collect empirical data.FindingsResistance to accreditation can be found in the consequences of accreditation for the work of the lecturer (workload), negative emotions (stress and insecurity); the lack of knowledge and experience (help from specialists is needed); and lack of acceptance (other paradigm).Originality/valueThe paper provides more insight into the difficulties that organizations, especially universities, have to commit their employees to external evaluation. It might be possible to generalize the findings to other professionals in other organizations. Little research in this field has been undertaken so far.

scholarly journals The future of financial markets and regulation: what strategy for Europe?

foresight ◽  
2014 ◽  
Vol 16 (2) ◽  
pp. 95-108 ◽  
Author(s):  
Jean-Baptiste Gossé ◽  
Dominique Plihon
Keyword(s):  
Financial Markets ◽  
Capital Market ◽  
Financial Stability ◽  
Design Methodology ◽  
Financial Integration ◽  
Content Type ◽  
Realistic Option ◽  
The Future ◽  
Unstable Environment ◽  
Insight Into

Purpose – This article aims to provide insight into the future of financial markets and regulation in order to define what would be the best strategy for Europe. Design/methodology/approach – First the authors define the potential changes in financial markets and then the tools available for the regulator to tame them. Finally, they build five scenarios according to the main evolutions observed on the financial markets and on the tools used by the regulator to modify these trends. Findings – Among the five scenarios defined, two present highly unstable features since the regulator refuses to choose between financial opening and independently determining how to regulate finance in order to preserve financial stability. Three of them achieve financial stability. However, they are more or less efficient or feasible. In terms of market efficiency, the multi-polar scenario is the best and the fragmentation scenario is the worst, since gains of integration depend on the size of the new capital market. Regarding sovereignty of regulation, fragmentation is the best scenario and the multi-polar scenario is the worst, because it necessitates coordination at the global level which implies moving further away from respective national preferences. However, the more realistic option seems to be the regionalisation scenario: this level of coordination seems much more realistic than the global one; the market should be of sufficient size to enjoy substantial benefits of integration. Nevertheless, the “European government” might gradually increase the degree of financial integration outside Europe in line with the degree of cooperation with the rest of the world. Originality/value – Foresight studies on financial markets and regulation are quite rare. This may be explained by the difficulty to forecast what will be their evolution in the coming decades, not least because finance is fundamentally unstable. This paper provides a framework to consider what could be the best strategy of regulators in such an unstable environment.

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