Uncovering paradoxes from physicians’ experiences of patient-centered ward-round

2016 ◽  
Vol 29 (2) ◽  
pp. 168-184 ◽  
Author(s):  
Fredrik Bååthe ◽  
Gunnar Ahlborg Jr ◽  
Lars Edgren ◽  
Annica Lagström ◽  
Kerstin Nilsson
Keyword(s):  
Professional Identity ◽  
Ward Round ◽  
Abductive Reasoning ◽  
Patient Centered ◽  
Content Type ◽  
Physician Engagement ◽  
Change Leaders ◽  
Dialectical Process ◽  
Complex Responsive Processes

Purpose The purpose of this paper is to uncover paradoxes emerging from physicians’ experiences of a patient-centered and team-based ward round, in an internal medicine department. Design/methodology/approach Abductive reasoning relates empirical material to complex responsive processes theory in a dialectical process to further understandings. Findings This paper found the response from physicians, to a patient-centered and team-based ward round, related to whether the new demands challenged or confirmed individual physician’s professional identity. Two empirically divergent perspectives on enacting the role of physician during ward round emerged: We-perspective and I-perspective, based on where the physician’s professional identity was centered. Physicians with more of an I-perspective experienced challenges with the new round, while physicians with more of a We-perspective experienced alignment with their professional identity and embraced the new round. When identity is challenged, anxiety is aroused, and if anxiety is not catered to, then resistance is likely to follow and changes are likely to be hampered. Practical implications For change processes affecting physicians’ professional identity, it is important for managers and change leaders to acknowledge paradox and find a balance between new knowledge that needs to be learnt and who the physician is becoming in this new procedure. Originality/value This paper provides increased understanding about how physicians’ professional identity is interacting with a patient-centered ward round. It adds to the knowledge about developing health care in line with recent societal requests and with sustainable physician engagement.

Personal goals in consumers' adoption of mHealth services

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lisa Schuster ◽  
Joy Parkinson
Keyword(s):  
Structural Equation ◽  
Online Survey ◽  
Social Acceptance ◽  
Health Benefit ◽  
Abductive Reasoning ◽  
Content Type ◽  
Health Goals ◽  
Consumer Goals ◽  
Scant Attention

PurposemHealth services are effective and cost efficient, yet wide-scale adoption of these services by consumers has yet to be achieved, constraining their public health benefit. Further investigation of non-technological determinants of mHealth adoption is needed; specifically, the role of consumers' goals has received scant attention and forms the research focus.Design/methodology/approachStudy 1 comprised 20 interviews with participants who possess a health goal, with the data analysed using an abductive reasoning approach. Study 2 was a 15-min online survey (n = 653), with the data analysed using multi-group structural equation modelling.FindingsStudy 1 identified several antecedents to the desirability and feasibility of consumers' health goals, which influence their desire to use mHealth services. Study 2 shows significant differences in the determinants of mHealth service acceptance depending on whether consumers set concrete as opposed to abstract goals, but social acceptance of mHealth services of these services is important for both groups.Practical implicationsThe findings suggest emphasising the importance of health goals to achieving other consumer goals (e.g. work or travel goals), the efficacy of mHealth services relative to other service alternatives for achieving those health goals, and the social acceptance of mHealth services to increase their uptake.Originality/valueThis study is the first to use construal-level theory to improve understanding of the role of consumers' goals in the adoption of mHealth services. By identifying the antecedents to goal desirability and feasibility, it also broadens the model of goal-directed behaviour.

Educator challenges using participatory methods in group-based patient education

2014 ◽  
Vol 114 (2) ◽  
pp. 152-165 ◽  
Author(s):  
Tue Helms Andersen ◽  
Nana Folmann Hempler ◽  
Ingrid Willaing
Keyword(s):  
Chronic Illness ◽  
Patient Education ◽  
Health Education ◽  
Structured Interviews ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Content Type ◽  
Strong Focus ◽  
Social Learning Processes

Purpose – The purpose of this paper is to explore educators’ experiences of putting a participatory and patient-centered education model, “The Health Education Juggler,” into practice after having attended a one-day seminar. The model consists of four educator roles in participatory group-based patient education in chronic illness: embracer (takes care of the group), facilitator (generates dialogue and participation), translator (communicates professional knowledge) and initiator (motivates action in patients). Design/methodology/approach – Qualitative analysis of observations of eight group-based patient education sessions and seven in-depth semi-structured interviews with 11 educators. Findings – Educators find it difficult to include disease-specific knowledge when working with a flexible patient-centered approach. They tend to stay in the role they find most comfortable during education sessions (most often that of embracer), rather than adopting new and more challenging roles in the teaching process. Educators theoretically understand the role of facilitator, but they do not know how to perform in this role in practice. The ability to juggle all educator roles depends on the ability to master each. Practical implications – The Health Education Juggler model shows promise in promoting participation and patient-centeredness and as a reflection tool for educators and an analytic tool for quality assessment of patient education. These findings support further development of model use. Originality/value – This model of educator roles in group-based patient education in chronic illness provides a new approach to patient education. It indicates the need for various professional competencies among educators to provide patient-centered education in a flexible way, with a strong focus on patient-identified problems and challenges, social learning processes and generation of internal motivation in patients.

The role of the lead firm in exploratory projects

2019 ◽  
Vol 13 (2) ◽  
pp. 312-339
Author(s):  
Fangwei Zhu ◽  
Mengtong Jiang ◽  
Miao Yu
Keyword(s):  
Design Methodology ◽  
Process Model ◽  
Abductive Reasoning ◽  
Content Type ◽  
Multiple Case ◽  
Lead Firm ◽  
Exploratory Innovation ◽  
Practical Implications

Purpose The challenge of unforeseen uncertainties in exploratory projects requires the lead firm in a project alliance to effectively manage exploratory co-innovation. The purpose of this paper is to investigate the types of capabilities a lead firm required in exploratory projects and how these capabilities enable the exploratory innovation of the project alliance. Design/methodology/approach A multiple-case study was done to provide empirical evidence for the rationale of the capabilities of the lead firm. The provided analysis used abductive reasoning of two typical exploratory projects in China. Findings This paper identifies two types of capabilities: innovation-related capabilities and network-related capabilities. Furthermore, a process model of the capabilities of the lead firm is developed that enables exploratory co-innovation in a project alliance. The capabilities of the lead firm input varied at four different stages. Practical implications Innovation-related capabilities and network-related capabilities could form the foundation for the lead firm in an exploratory project alliance. This will enable an exploratory co-innovation and collaboratively overcome the barriers of exploratory projects. Originality/value Although exploratory project attracts extensive attention for its unique characteristics and universal value, there is limited amount of research on the context of joint exploratory projects. This study starts from the role of lead firm in an exploratory project alliance, contributes toward the comprehension of the link between the lead firm’s capabilities and the process of exploratory co-innovation. The findings will be of value in supporting the management of exploratory innovation in a project alliance.

What can a municipality offer to its residents? Value propositions and interactions in a place context

2016 ◽  
Vol 10 (1) ◽  
pp. 24-37 ◽  
Author(s):  
Lisa Källström ◽  
Christer Ekelund
Keyword(s):  
Design Methodology ◽  
Geographical Location ◽  
Abductive Reasoning ◽  
Place Marketing ◽  
Structured Interviews ◽  
Content Type ◽  
Essential Services ◽  
Value Propositions ◽  
Insight Into

Purpose – The purpose of this paper is to explore the role of the municipality in the place marketing context and to describe how municipalities work on making their place good to live in. The study rests on abductive reasoning whereby service-based logic forms the study and offers a theoretical framework for how to approach the phenomena. Design/methodology/approach – A qualitative study in the form of 20 semi-structured interviews with leading elected officials and civil servants is used to let us understand how two typical municipalities in southern Sweden work on making their municipality a good place for their residents to live in. Content analysis is used to analyze the data. Findings – The study reveals how municipalities work on creating opportunities for interactions between themselves and their residents, as well as offers insight into what value propositions the municipalities believe they offer their residents. The current study shows that the geographical location and the natural environment, basic and essential services, accommodations, urban quality, recreation and leisure and ambience constitute important dimensions in the place offering. Originality/value – Service-based logic is used as a backdrop to facilitate the analysis in this study, which emphasizes value propositions offered by the municipality and interactions between the municipality and its residents, which increase our understanding of how municipalities work on making their place good to live in. The service-based logic help shed new light on the place marketing context and allows us to understand the context in a new way.

Graduate identity development in South Africa

2015 ◽  
Vol 30 (3) ◽  
pp. 304-319 ◽  
Author(s):  
Ilka Dunne ◽  
Anita Bosch
Keyword(s):  
South Africa ◽  
Identity Development ◽  
Professional Identity ◽  
Identity Formation ◽  
South African ◽  
Financial Institution ◽  
Third Party ◽  
Content Type ◽  
Insight Into

Purpose – The purpose of this paper is to focus on the misunderstandings that hamper the graduate identity development process of black South African graduates in the first year of work. The authors introduce the role of an independent mediator in supporting identity development in a graduate development programme (GDP). The independent mediator mediates between graduate and manager when misunderstandings occur that inhibit the warranting process during professional identity development. Design/methodology/approach – In seeking to understand the graduate transition from student to professional, the authors used identity studies as the foundation from which to track a group of 21 graduates on a year-long GDP, in a financial institution in Johannesburg, South Africa. A model of emergent graduate identity was utilised to gain insight into the warranting process and associated behaviours that graduates employ in their interactions with others in the workplace. Findings – As warranting is based on people’s own assumptions and beliefs about a particular situation or role, misunderstandings can occur during the warranting process when graduates are determining their professional identity, and managers are either affirming of disaffirming this identity. These misunderstandings were exacerbated by the fact that the graduates were often South African multi-cultural, first-generation professionals who lacked insight into and experience of corporate dynamics, this impacted on how they found their place in the organisation. Both graduates and managers were often not equipped to deal with cultural, racial, and other differences. When the graduate programme manager stepped in to play the additional role of independent mediator, helping to mediate misinterpretations during the identity formation process, the negative impact of misunderstandings was lessened, and graduates transitioned to a professional identity with greater ease. Managers also learned about managing multi-cultural individuals and their own, often limiting, experiences and worldviews. Practical implications – This highlights the value of a third-party intervention in graduate identity transitions, particularly in contexts where the graduate has little or no experience of what it means to be professional, and where managers are not equipped to deal with people who come from backgrounds that differ vastly from their own. Originality/value – The role of a third-party in shaping the identities of graduates during the identity warranting process, referred to as the independent mediator in this paper, has not been presented in research before. Studies of this nature would give us insight into how best to support graduate identity development and improve the design of GDPs.

Rethinking value proposition tools for living labs

2017 ◽  
Vol 27 (5) ◽  
pp. 1024-1039 ◽  
Author(s):  
Anne Äyväri ◽  
Annukka Jyrämä
Keyword(s):  
Empirical Research ◽  
Conceptual Analysis ◽  
Abductive Reasoning ◽  
Value Proposition ◽  
Content Type ◽  
The People ◽  
Living Lab ◽  
Value Propositions ◽  
Living Labs

Purpose The purpose of this paper is to provide a conceptual analysis on value proposition tools to be used in future empirical research and in building managerial insight. The conceptual analysis focusses on a living lab framework and recent theoretical developments around the concept of value that are reflected in the context of three managerial tools for creating value propositions. Design/methodology/approach Using abductive reasoning, the descriptions of the tools were analysed as cultural texts, as language-in-use in a social context. Findings In the context of the living labs approach, the Value Proposition Builder™ (VPB) seems to conflict with the ideas and premises of user-centric innovation processes. In the Value Proposition Canvas (VPC), the co-creation aspect is rather vague, as the enterprise and its offerings are presented as creators of value for the customer. Thus, this tool somewhat contradicts the living lab approach. The People Value Canvas (PVC) is aligned with the service-dominant logic and the premises of living labs. However, all three tools largely neglect a deeper acknowledgement of the role of the wider context, the service ecosystem, and the role of networked actors as resource integrators. Moreover, none of the tools explicitly point out the role of enterprises as intermediaries in constructing invitations for value co-creation. Originality/value The paper contributes to the SDL and living labs literature by conceptual analysis on different value proposition tools; the VPB™, the PVC, and the VPC which are relevant for academics as well as practitioners creating new understanding and insights on the connectedness of the living labs framework and SDL as well as their relationship to managerial tools. By identifying the absent elements of S-D logic from managerial value proposition tools, the paper contributes to current discussions by giving attention from scholars towards investigating managerial tools and by providing a new conceptual analysis for future empirical research. The critical analysis of the managerial tools contributes to managerial practice by emphasising the need to consciously evaluate the benefits and failures of tools for developing their organisations.

Markers of professional identity: records management jobs advertisements in Australia

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Leisa Gibbons ◽  
Janine Douglas
Keyword(s):  
Statistical Analysis ◽  
Professional Identity ◽  
Design Methodology ◽  
Records Management ◽  
Content Type ◽  
Job Seeking ◽  
Job Advertisements ◽  
Specialist Knowledge ◽  
Set Up

Purpose This paper aims to explore how and why the Australian records and archives professions are in decline by examining job advertisements. The hypothesis was that competencies, developed as standards to communicate a professional identity to recruiters, would show in job advertisements. Design/methodology/approach Searches were set up to capture job advertisements for records and archives positions advertised on Australia’s largest job seeking website: Seek.com.au. Criteria developed to identify relevant advertisements were based on existing competencies and standards outlining records professionals’ skills, knowledge and attributes. Statistical analysis was used to assess the data. Findings Employers and recruiters are looking for generalist skills rather than specialist knowledge. Additionally, the requirement of having experience outweighs qualifications. Most job advertisements did not demonstrate awareness of records professionals’ specialist skills, knowledge and attributes. Originality/value There is a dearth of research into the Australian records workforce. There has been only one other research project into job advertisements in Australia, which focussed only on Western Australia. This research collected data over a three-month period for jobs advertised all over Australia. This paper raises questions about the role of competencies in establishing and communicating professional identity, as well as the future of records profession in Australia.

Exploring the sources and role of knowledge sharing to overcome the challenges of organizational change implementation

2018 ◽  
Vol 26 (3) ◽  
pp. 567-581 ◽  
Author(s):  
Usman Aslam ◽  
Farwa Muqadas ◽  
Muhammad Kashif Imran ◽  
Ubaid-Ur-Rahman Ubaid-Ur-Rahman
Keyword(s):  
Organizational Change ◽  
Knowledge Sharing ◽  
Change Implementation ◽  
Content Type ◽  
Interview Method ◽  
Social Structural ◽  
Public Sector Organizations ◽  
Change Leaders ◽  
New Strategies

Purpose In recent times, organizations and leaders are focusing on new strategies to increase the success rate of organizational change (OC) implementation. Therefore, this study aims to uncover the sources and role of knowledge sharing (KS) to overcome the challenges of OC implementation. Design/methodology/approach For this research, data have been gathered from respondents based on their key designations by using unstructured interview method. Thematic analysis was then performed using the NVivo 11-Plus software. Findings It has found that employees in public sector organizations are opposing OC because of ineffective communication, and a lower level of employee participation in decision-making and barriers of, for example, a cultural, social, structural and political nature. Therefore, this study suggests how KS can be used to overcome the challenges of OC implementation. Research limitations/implications KS has become necessary to ensure incremental and radical changes in the survival of dynamic businesses. The results are useful to enhance understanding regarding the role of KS in the context of OC among change leaders, researchers, academicians and policymakers. Originality/value The study provides meaningful and novel knowledge regarding role of KS to overcome the challenges of OC implementation. No prior research that contributes practical and theoretical knowledge in the perspective of KS and OC has been found, especially in the context of developing countries and Asian culture. Therefore, this investigation attempts to explore the role of KS and presented overarching conceptual framework in the real context of OC implementation.

Assessing the role of dynamic capabilities in local food distribution: a theory-elaboration study

2019 ◽  
Vol 24 (6) ◽  
pp. 767-783 ◽  
Author(s):  
Tim Gruchmann ◽  
Stefan Seuring ◽  
Kristina Petljak
Keyword(s):  
Supply Chain ◽  
Dynamic Capabilities ◽  
Local Food ◽  
Distribution Channels ◽  
Food Distribution ◽  
Abductive Reasoning ◽  
Business Practices ◽  
Content Type ◽  
Capabilities Theory

Purpose The food industry and its distribution solutions often lie at the center of sustainability-related arguments. However, little is known about the dynamic role of business capabilities for sustainable transformations in the context of local food distribution. Accordingly, this study aims to investigate how dynamic capabilities drive sustainable supply chain management (SSCM) business practices in short food supply chains (SFSCs) through the professionalization and expansion of online distribution channels. Design/methodology/approach The present study analyzes sustainability-related practices at six online distribution channels selling local food products in Germany and Austria. By applying a cross-case study and theory-elaboration approach, the study analyzes empirical data derived from these businesses and provides insights into how dynamic capabilities can facilitate SSCM practices within SFSCs. Hereby, potential pathways for a sustainable transformation in this industry context are deduced through abductive reasoning. Findings The empirical findings provide evidence that supply chain orientation, coordination, innovation practices and strategies are highly relevant for SFSCs seeking to reach upscaling effects in regional markets. However, because SFSCs may not be able to reach mass markets without weakening their own sustainability performance, the present study recommends addressing sustainability inefficiencies in the region and developing further expansion potentials through replication in other regions. In this approach, related and necessary SSCM dynamic capabilities were identified and validated based on the empirical findings. Originality/value Although SFSCs include sustainability aspects at their core – particularly regarding resource usage, environmental friendliness and social-standard assurance – missing distribution-related capabilities limit growth such that these businesses often remain in a niche. To address this issue, the study builds on dynamic capabilities theory by identifying and describing core SSCM practices and capabilities; moreover, this study is among the first to elaborate empirically on the use of dynamic capabilities theory in this specific industry context.

Preservice teachers’ professional identity development and the role of mentor teachers

2016 ◽  
Vol 5 (2) ◽  
pp. 127-143 ◽  
Author(s):  
Mahsa Izadinia
Keyword(s):  
Teacher Education ◽  
Preservice Teachers ◽  
Professional Identity ◽  
Preservice Teacher ◽  
Preservice Teacher Education ◽  
Mentor Teachers ◽  
Mentoring Relationships ◽  
Teacher Voice ◽  
Content Type

Purpose – The purpose of this paper is to examine changes in eight preservice teachers’ professional identity and the factors contributing to such changes during a four-week block practicum. Design/methodology/approach – A qualitative case study design was used and the data were gathered through semi-structured interviews with preservice teachers and their mentors, reflective journals and observation checklists. Thematic analysis was used to interpret the data. Findings – The findings showed high levels of confidence and development of teacher voice by the end of their four-week block practicum. The findings also suggested that positive mentoring relationships contributed to changes in the preservice teachers’ teacher identity. Research limitations/implications – Despite focussing on a relatively small number of preservice secondary teachers during the first four-week practicum of a single teacher education program at a Western Australian University, this research highlights the need to maintain constructive mentoring relationships with preservice teachers to provide positive influences on their professional identity. In order to facilitate this, preservice teacher education programs should provide thorough training for mentor teachers. Originality/value – This work highlighted the crucial role of mentor teachers in creating positive impacts on preservice teachers’ professional identity, such as development of their confidence and teacher voice. This paper provides useful insights for researchers, mentor teachers, and preservice teacher education policy developers.

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