scholarly journals Griping and Joking as Identification Rituals and Tools for Engagement in Cross-Boundary Team Meetings

2017 ◽  
Vol 38 (6) ◽  
pp. 753-774 ◽  
Author(s):  
Vanessa Pouthier

This article explores the role of griping and joking behaviors in cross-boundary teams. Those socio-emotional behaviors often go unnoticed in studies of team communication, as does more broadly the work of building relationships. Given the growing recognition that the quality of connections among team members significantly influences the quality of coordinating and knowledge-sharing practices in cross-boundary teams, this seems an important lacuna to address. Drawing on a qualitative study of a cross-occupational team responsible for palliative care and oncology patients, I illustrate how those mundane, recurrent communicative activities, which may appear tangential to the task at hand, have important relational and emotional consequences for the functioning of cross-boundary teams. Based on the observed characteristics and effects of a variety of griping and joking behaviors, I propose to conceptualize those communicative activities as identification rituals. I discuss the implications of this work for both research on the production of positive relational realities in cross-boundary teams and the study of organizational griping and humor.

2017 ◽  
Vol 85 (1) ◽  
pp. 191-207 ◽  
Author(s):  
Paola García-Sánchez ◽  
Nieves L. Díaz-Díaz ◽  
Petra De Saá-Pérez

The purpose of this article is to analyse the role of social capital within academic research teams and its influence on knowledge sharing. An empirical study was carried out with 87 academic research teams at a Spanish university. The results show that internal ties have a positive effect on trust. Moreover, the results also reflect that both dimensions of social capital (internal ties and trust) have a positive and significant effect on research teams’ knowledge sharing. Therefore, the findings reveal that the network’s structure has a positive influence on the quality of relationships among academic researchers that favour knowledge sharing. Points for practitioners The results provide universities’ managers with a better understanding of internal social capital in academic research teams, which has important implications for researchers’ willingness to collaborate and share knowledge. Public university managers may use strategies to improve interdependence among research team members, favouring social relations among researchers. Thus, public universities should enhance research teams with stronger ties and high levels of trust that increase knowledge sharing.


Author(s):  
May Hua

Palliative care is a specialty of medicine that focuses on improving quality of life for patients with serious illness and their families. As the limitations of intensive care and the long-term sequelae of critical illness continue to be delimited, the role of palliative care for patients that are unable to achieve their original goals of care, as well as for survivors of critical illness, is changing and expanding. The purpose of this chapter is to introduce readers to the specialty of palliative care and its potential benefits for critically ill patients, and to present some of the issues related to the delivery of palliative care in surgical units.


Author(s):  
Chiyoko Inomata ◽  
Shin’ichi Nitta

In 2008, the authors’ team started an ongoing project to administer music therapy sessions for patients with neurodegenerative diseases. Studies were made conducted from the “caring” perspective to evaluate the effects of music therapy on the mental health of the patients (Inomata, 2008a, Inomata 2008b) and on the role of nurses in integrative medicine (Inomata, 2008c). On the basis of the findings from these studies, music therapy programs were designed and conducted to meet the different needs of various neurodegenerative diseases. This project was the first ever reported music therapy initiative undertaken as a multi-disciplinary collaborative work and in partnership with a patients’ group (Saji, 2010). The findings from four years of running the project are summarized as follows: (1) Music therapy helped maintain/improve the QOL(Quality of Life) level of neurodegenerative disease patients, which would otherwise deteriorate with the progress of symptoms; (2) There was an improvement in the patients’ psychological and spiritual health as exemplified by the expansion of consciousness and rebuilding of relationships; (3) The project increased the feeling of partnership among the multi-disciplinary team members; (4) Care providers shared values such as self-belief and respect for both the self and others; (5) Caring for patients’ emotional side by being compassionate and staying with them and/or listening to them resulted in a stronger care provider-patient bond; (6) Nurses were engaged in the building a healing environment as “healers,” and the patients found more hope in everyday life.


Author(s):  
Chris Dodds ◽  
Chandra M. Kumar ◽  
Frédérique Servin

The role of ethics in the care of the elderly is discussed, and some of the aspects of importance to anaesthesia are reviewed. Ethical principles are commonly viewed as either consequential, where the risk/benefit balance between necessary harm (surgery) provides improved quality of life, or deontological, where it is simply the action that is judged and not the outcome. The lack of individualized outcome data is identified as a major issue for the consequential process. Consent for surgery (and anaesthesia) is described in the context of the UK, but it is applicable worldwide. The validity of informed consent is reviewed against the criteria of competence, lack of duress, and appropriately provided information. The capacity to give consent and the use of legal alternatives such as health attorneys is detailed. Finally, the debate on excellent palliative care rather than assisted death is reviewed.


2017 ◽  
Vol 34 (04) ◽  
pp. 307-312 ◽  
Author(s):  
Rajiv Agarwal ◽  
Andrew Epstein

AbstractPalliative care is a powerful adjunct to oncology that adds distinct value to the physical, mental, and psychosocial well-being of patients living with cancer. Its expanding role and integration with standard oncologic care has proven clinical benefit, as the practice of palliative care can help alleviate symptom burden, enhance illness and prognostic understanding, and improve both the quality of life and overall survival for patients. The primary aim of this review article is to highlight the significant interplay between palliative care and oncology and, in doing so, shed light on the areas for improvement and modern challenges that exist to meet the complex palliative care needs of patients with cancer.


2020 ◽  
Vol 36 (3) ◽  
pp. 701-713
Author(s):  
Stefano Menghinello ◽  
Alison Pritchard ◽  
Daniela Ravindra ◽  
Arturo Blancas ◽  
Gerardo A. Durand Alcantara ◽  
...  

This paper highlights the key characteristics and implications of the strategic and data production frameworks designed and progressively implemented by the United Nations Committee of Experts on Business and Trade Statistics (UNCEBTS) to enhance the relevance, accuracy and coverage of business statistics, according to an internationally comparable, result-oriented and sustainable approach. The strategic framework aims to expand the traditional scope of official business statistics by including all relevant environmental and social related issues. NSOs may achieve relevant improvements by focusing their efforts upon specific global goals consistent with their national ones, and sourcing from knowledge sharing with other countries and international coordination. It also highlights the relevance of an enterprise-centered approach for a better understanding of emerging phenomena by official statisticians, and for priority setting in improving the quality of business statistics. The data production framework is dominated by the crucial role of the Statistical Business Register (SBR) as the backbone of any current and future improvements in the relevance and accuracy of business statistics. Its implications, both in terms of sustainability of production lines, data integration and production of new indicators that exploit the variability dimension of business statistics are further investigated in the paper.


2018 ◽  
Vol 17 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Charles L. Rhee ◽  
Michael Cuttica

Pulmonary hypertension (PH) is a progressive disease with high associated morbidity and mortality despite the development of novel therapies. Palliative care is a multidisciplinary field focused on optimization of quality of life and overall supportive care for patients and their families in the setting of life-limiting illness. Although the benefits of palliative care in oncology are well described, there are few studies regarding the timing and involvement of palliative care in PH patients. In this paper, we describe the importance of longitudinal advance care planning, including suggestions for addressing difficult topics such as end-of-life care, and the role of palliative care providers in helping guide these discussions throughout the course of the illness.


2005 ◽  
Vol 21 (3) ◽  
pp. 157-164 ◽  
Author(s):  
J. Randall Curtis ◽  
Ruth A. Engelberg ◽  
Marjorie D. Wenrich ◽  
David H. Au

Chronic obstructive pulmonary disease (COPD) is a leading cause of mortality and disability Worldwide. For many patients, maximal therapy for COPD produces only modest relief of disabling symptoms and these symptoms result in a significantly reduced quality of life. Despite the high morbidity and mortality, patients with COPD do not receive adequate palliative care. One reason these patients may receive poor quality palliative care is that patient-physician communication about palliative and EOL care is unlikely to occur. The purpose of this review is to summarize recent research regarding patient-physician communication about palliative care for patients with COPD. Understanding the barriers to this communication may be an important step to improving communication about EOL care and improving patient-centred outcomes. Two areas that may influence the quality of care received by patients with COPD are also highlighted: 1) the role of depression, a common problem in patients with COPD, in physician-patient communication; and 2) the role of advance care planning in this communication. Further research is needed to develop and test interventions that can enhance patient-physician communication about palliative and EOL care for patients with COPD, and we describe our perspective on a research agenda in each area.


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