Does integrated health and care in the community deliver its vision? A workforce perspective

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Linda Marie Wain

PurposeThe purpose of this paper is to explore and capture workforce perceptions, experiences and insights of the phenomena of integrated care (IC) in a community health and care NHS trust in England; including whether there are any associated factors that are enablers, barriers, benefits or challenges; and the level of workforce engagement in the process of integrated health and care.Design/methodology/approachA qualitative design based on an interpretivist research paradigm was used with a purposive sampling technique. Five in-depth semi-structured interviews were conducted with community nursing, social workers and allied health professionals. Colaizzi's (1978) descriptive phenomenological seven-step method was applied to analyse data, with the emergence of 170 significant statements, 170 formulated meanings and 8 thematic clustering of themes to reveal 4 emergent themes and 1 fundamental structure capturing the essential aspects of the structure of the phenomenon IC.FindingsThis study revealed four interdependent emergent themes: (1) Insight of IC and collaboration: affording the opportunity for collaboration, shared goals, vision, dovetailing knowledge, skills and expertise. Professional aspirations of person-centred and strength-based care to improve outcomes. (2) Awareness of culture and professionalism: embracing inter-professional working whilst appreciating the fear of losing professional identity and values. Working relationships based on trust, respect and understanding of professional roles to improve outcomes. (3) Impact of workforce engagement: participants felt strongly about their differing engagement experience in terms of restructuring and redesigning services. (4) Impact of organisational structure: information technology (IT) highlighted a barrier to IC as differing IT platforms prevent interoperability with one system to one patient. Shared positivity of IC, embracing new ways of working.Originality/valueThis study proposes considerations for future practice, policy and research from a local, national and global platform, highlighting the need for any IC strategy or policy to incorporate the uniqueness of the “voice of the workforce” as a key enabler to integration developments, only then can IC be a fully collaborative approach.

Facilities ◽  
2015 ◽  
Vol 33 (1/2) ◽  
pp. 38-60 ◽  
Author(s):  
Peggie Rothe ◽  
Anna-Liisa Sarasoja ◽  
Christopher Heywood

Purpose – This paper aims to examine short-distance firm relocations, the most frequent form of relocation, to better understand how employees as individuals experience those relocations. Design/methodology/approach – This study was a multiple-case study with five organisations that had relocated within the same metropolitan area during the previous 18 months. To understand why and how the relocation was carried out, 15 semi-structured interviews were conducted with company representatives who were actively involved in making decisions and executing the relocation of their organisation. Subsequently, to study the employees’ experience and perception of the process, 17 employees who did not have an assigned role in the process were also interviewed. Findings – The findings show that even within the same organization, people experience relocation differently; therefore, the employees should not be treated as one object of change but as several individuals who experience change. Further, it was identified that relocation included both location and workplace change aspects. Research limitations/implications – The study is of qualitative nature and, therefore, the findings should not be generalized to individuals outside of the context of study. Instead, the value lies in the description and the themes developed in the specific context. The findings show that emphasis needs to be put on how the relocation process is managed, and that relocation change management efforts should include both location and workplace changes. Originality/value – This study provides new insight on how individual employees experience the relocation process and augments the previous body of knowledge on employee experiences and satisfaction with various elements in the work environment and/or with new ways of working, and the previous studies on relocation that focus on comparing employees’ experiences of the old office with the new one.


Author(s):  
Nick Hopwood ◽  
Karen Jensen

Purpose Shadow organizing refers to the emergence of parallel arrangements that sit alongside and imitate mainstream or conventional ways of organizing. It can be a response to challenges that require new ways of working without abandoning what is valuable about conventional arrangements. However, the processes through which shadow organizing is accomplished are not well understood; there is a need to go beyond traditional notions of mimicry and metaphor. The paper aims to discuss these issues. Design/methodology/approach This paper demonstrates how a Tardean approach to imitation can address this gap. It deploys imitation as an explanatory concept, based on contemporary readings of Tarde, as well as understandings of organizing as an unfolding process. Child and Family Centres in Tasmania (Australia), are used as an example of shadow organizing, delivering integrated health and education services in an emerging parallel arrangement. Findings The analysis highlights an imitation dynamic which is far from straightforward mimicry. Rather, it comprises repetition and generation of difference. This dynamic is conceptualized in Tardean fashion as three patterns: the imitation of ideas before expression; the selective nature of imitation; and insertion of the old alongside the new. Originality/value The paper moves beyond metaphors of shadow organizing, and understandings of shadow organizing as mimicry. Conceptualizing imitation in an alternative way, it contributes fresh insights into how shadow organizing is accomplished. This enriches and expands the conceptual apparatus for researchers wishing to understand the betwixt and between of shadow organizing.


Author(s):  
Grégory Jemine ◽  
Christophe Dubois ◽  
François Pichault

Purpose Several studies have recently documented projects of organizational transformation and modernization which, commonly clustered under the umbrella term “New Ways of Working” (NWoW), simultaneously entail material, technological, cultural and managerial dimensions. Academic contributions, however, have paid little attention to the mechanisms allowing such projects to progressively become legitimized in organizational discourses and practices. The purpose of this paper is to investigate the distinctive features of the legitimation process underlying the implementation of NWoW projects. Design/methodology/approach This paper relies on a longitudinal, three-year analysis of a large insurance company. Data were collected through qualitative methods including semi-structured interviews (48), periods of observation (3 months) and document analysis (78). Findings The paper develops a grounded and integrative framework of legitimation processes underlying “NWoW” change projects. The framework emphasizes four decisive operations of translation in “NWoW” design and implementation: translating material constraints into strategic opportunities; translating strategic opportunities into a quantitative business plan supported by the top management; translating compelling discourses around “NWoW” into an organizational machinery; and translating a transformation project into discourses of unequivocal success, conveyed by legitimate spokespeople within and beyond the organization. Originality/value Besides contributing to the understanding of a managerial fashion, which has received little academic attention so far, the paper also offers an original integrative framework to account for legitimation processes that combines two theoretical approaches – the sociology of translation and research on institutionalist work.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Manish Gupta ◽  
Abhishek Behl ◽  
YLN Kumar

PurposeGamification, the use of game elements and techniques in the non-game contexts, is gaining popularity among human resources (HR) in an online mode. This paper intertwines the flow and engagement theories to know the challenges faced by companies in India in implementing gamification in their various HR practices to engage their employees.Design/methodology/approachSemi-structured interviews of only the information-rich cases including game designers and HR practitioners were conducted using snowball sampling technique. The interviews were transcribed and were analysed using thematic analysis.FindingsThree reviewed themes emerged from the data labelled as organization-, employee- and job-specific factors. Separate thematic maps drawn for each of the reviewed themes give particulars pertaining to the issues highlighted by the game designers and the HR practitioners in gamification.Practical implicationsThe results of the study are expected to help the organizations make an informed decision about whether they should go ahead with risking their resources as they expect improved engagement levels at work.Originality/valueThe findings contribute to the online engagement literature by exploring its antecedents in the context of gamification of HR practices for higher engagement at work.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ismail Olatunji Adeyemi ◽  
Adedoyin Oluwatosin Esan ◽  
Abdulmalik Aleem

Purpose Gamification is a growing field of study that has not been touched by Nigerian academic librarians. This study aims to explore the awareness, perception and readiness of academic librarians on the application of gamification to library services. Design/methodology/approach This study adopts an interpretive research design and a qualitative research approach. This involves using semi-structured interviews to collect data for the study. Purposive sampling technique was used to select a sample of 20 participants but only 15 participated in the study. Participants were interviewed on their lived experience as to gamification; hence, phenomenology research method was adopted for the study. Thematic analysis was used to analyze collected data. Findings The findings of the study show that most of the academic librarians in Nigeria were not aware of gamification to library services. However, the few that were aware knew about the gamification of library service through their personal academic reading. It was shown that there is a link between awareness and positive perception of gamification to library services. It was found that most of the academic librarians did not have a positive perception of applying gamification to library services in Nigeria. Results show that important factors to consider in readiness towards application of gamification to academic library services in Nigeria include library management support, librarians’ technical know-how and IT compliance. Originality/value The findings of this study will provide insights as to academic librarians’ awareness, perception and readiness in applying gamification to library services in Nigeria and may provide insights into other developing Africa countries at large.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Grégory Jemine ◽  
François Pichault ◽  
Christophe Dubois

PurposeWhile more and more organizations commit to transformation projects with the aim of redesigning simultaneously their workspaces, work organization, and technologies, the design process supporting such projects remains largely understudied. This paper examines the political tensions that occur when such processes unfold as well as their implications for project management. By doing so, the paper counterbalances the prescriptive and normative literature on “New Ways of Working” which largely overlooks the political complexity of such projects.Design/methodology/approachThe paper is based on a qualitative study of a triple design process in a media company. Data collection mainly consists of a nine-month process of non-participant observation of weekly meetings held by the strategic group in charge of the project. Semi-structured interviews with members of the executive committee have also been conducted.FindingsThe analysis illustrates how space, organization and technology are gradually designed and structured. Four interconnected and often concealed mechanisms that support triple design processes are identified: political tensions, unexpected twists, conflicting temporalities and arbitration measures.Originality/valueThe originality of the paper lies in breaking down the concept of design in three separate objects – organization, space and technology – and examining how these objects were conjointly problematized by an organization in transformation, whereas existing studies often investigate organization design, space design or technology design in isolation.


2020 ◽  
Vol 40 (3/4) ◽  
pp. 409-424
Author(s):  
Aamar Ilyas ◽  
Muhammad Shehryar Shahid ◽  
Ramraini Ali Hassan

PurposeConventionally, the marginalised population was considered to engage in child labour due to poverty, education or lack of other options, but indeed, a few children work voluntarily. However, a growing number of scholars, in recent years, have drawn their attention to the valuable question, “why children are engaged in child labour in the informal economy”. Even though a few studies have explored the motives of informal workers, to our knowledge not a single paper has explored the motives of child labourers working in the informal economy. The purpose of this study is to fill this gap by evaluating the motives of child labourers, through three competing theorisations of the informal economy.Design/methodology/approachIn this study, face-to-face structured interviews of 45 child labourers were conducted, who worked in different automobile workshops in the city of Lahore, Pakistan. Respondents were selected using the snowball sampling technique as this strategy is suitable for researching sensitive issues and is feasible for small sample sizes.FindingsThe main finding is that no single explanation is universally applicable to all child labourers. Some (27 per cent) justify their participation in the informal sector as driven by necessity (structuralist perspective), majority (40 per cent) explain their participation in the informal economy as a rational economic choice (neo-liberal perspective) and finally, more than a quarter of respondents (31 per cent) engaged in child labour due to their own free will or voluntarily to work for their family (post-structuralist perspective). This study also revealed that entrepreneurial spawning is a key determinant of child labour as the majority of children, in our study, working in automobile workshops intended to start their own workshop business in the future.Research limitations/implicationsThis article shows that children early engaged in work with entrepreneurial intention/spawning. Entrepreneurial education is very important in a child’s life. Entrepreneurial education will be a ticket to fulfill their dreams and learn new things with entrepreneurial attitude.Practical implicationsGovernment should develop the vocational training institutes for children who left the schools.Originality/valueThis study contributes to the body of literature by providing a better understanding of why children work in informal employment, an occupation generally perceived as constituting exploitative working conditions. This study also contributes to the wider literature of entrepreneurship by exploring “entrepreneurial spawning” as one of the major reasons underlying the participation of children in informal work.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Grisna Anggadwita ◽  
Leo-Paul Dana ◽  
Veland Ramadani ◽  
Reza Yanuar Ramadan

PurposeIslamic boarding schools are education institutions that have been developing in Indonesia as places for the Indonesian people to learn and gain knowledge in the perspectives of the Islamic religion and Indonesian nationalism. This study aims to explore the potential of Islamic boarding schools as places to support and to empower the economy and to increase the participation of students in entrepreneurial activities by applying the Humane Entrepreneurship approach. This study identifies the humane entrepreneurship approach by analyzing the humane cycle and the enterprise cycle in the entrepreneurship activities occurring in a single case study of an Islamic boarding school.Design/methodology/approachThis article used a qualitative method with a case study approach through deep exploration and observation. In-depth semi-structured interviews were conducted with the key people in one of the Islamic boarding schools in Indonesia using a purposive sampling technique. Miles and Huberman (1984) technique was used for data analysis by grouping similar text segments into codes and categorizing them for further analysis.FindingsThe findings of this study indicate that the Islamic boarding school has implemented humane entrepreneurship through entrepreneurial-oriented activities as the main aspects of the humane cycle and the enterprise cycle. The implementation of humane entrepreneurship aims to achieve entrepreneurial growth, innovation and independence of the Islamic boarding school, as well as the development of the stakeholder's capabilities, knowledge and commitment. In addition, applying the spiritual approach, which is one of the important components of Islamic boarding schools, has proven to be effective in implementing humane entrepreneurship.Research limitations/implicationsThis study has several limitations. First, this study only focused on one Islamic boarding school in Indonesia. Second, there is still very little research in the field of humane entrepreneurship, so the concept itself is still considered to be relatively new. Therefore, further direction is needed for future research regarding the exploration and identification of any other factors that might influence humane entrepreneurship.Originality/valueThis study provides new insights on the implementation of humane entrepreneurship in Islamic boarding schools. This research covers the gap where the humane entrepreneurial approach can be applied not only in large organizations, but also in religious educational institutions. The spiritual approach and religious values as the principles of Islamic boarding schools have been proven to be effective in implementing humane entrepreneurship.


2019 ◽  
Vol 27 (3) ◽  
pp. 1105-1125
Author(s):  
Ellsworth Chouncey Jonathan ◽  
Chengedzai Mafini ◽  
Joyendu Bhadury

Purpose Interferences to supply chains (SC), regardless of whether they are regular, unplanned or intentional, are progressively distorting SC execution. As such, risk mitigation in SCs has received sufficient attention in the academic literature. However, there is scant research done on this topic within the African context, and none on the SC of electrical energy on that continent. In an effort to address this gap, the purpose of this paper is to focus on the SC department of Eskom, the primary utility company of South Africa and one of the largest on the continent. Design/methodology/approach Adopting a non-probability sampling approach utilising the purposive sampling technique to choose the sampling components from the target population, data were collected through semi-structured interviews as well as additional documentation in various forms. Data interpretation and codification thereof were done using ATLAS.ti 8 from which ten themes emerged. Findings The ten themes that emerged from the analysis of data show that SC risks emanate from value streams, information and affiliations, SC activities and external situations. Furthermore, these are brought into relief within the African context through examples and quotes from Eskom managers. Research limitations/implications Based on the findings, the paper makes five major recommendations that would broadly apply not only to SC risk management (SCRM) in Eskom, but also other African utility companies. Practical implications Companies in emerging economies such as South Africa and other Sub-Saharan countries face a unique set of challenges with regards to SCRM. Some of these are identified in this paper and appropriate recommendations have been made. Social implications Being the largest utility provider in Africa, services offered by Eskom are vital for economic development of South Africa as well as neighbouring countries. As such, the findings of this paper as well as the recommendations have social implications for economic development in that country as well as the region. Originality/value While SC risk management has been studied extensively in the academic literature, to the best of the authors’ knowledge, this is the first paper that attempts to study it within the context of South Africa with focal emphasis on one of the largest corporations in that country.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Wendy Jones ◽  
Alistair G.F. Gibb ◽  
Vivien Chow

Purpose Substantial changes were made on many UK construction projects in response to the COVID-19 pandemic. The purpose of this paper is to explore the unanticipated positive consequences of these and the scope for longer-term learning and developments within the sector. Design/methodology/approach A qualitative approach was used, semi-structured interviews were conducted across six major project sites. Interviewees (n = 33) included site and senior managers, supply chain representatives and occupational safety and health (OSH) professionals. The interviews explored their experiences of working on site during the pandemic, the changes made to work practices and their perceived impacts of these changes. Findings Improved planning and work sequencing were part of the revised process to make sites COVID-secure. This increased worker effectiveness and housekeeping/tidiness. The view on some sites was that this would improve OSH performance. The changes were perceived to be beneficial but may not be accepted by clients in the long term, as they could result in projects taking longer to complete. The ways in which COVID-19 risk has been communicated and perceived also provides longer-term lessons for the sector’s OSH management and training. Originality/value Construction has adapted rapidly and effectively to new ways of working during the pandemic. This research captured in real time some of the changes made and presents an argument for embedding and adopting the changes to improve working arrangements and OSH within the construction sector.


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