Changing Domains in the Management Process: Imaging Services Managers in the Post-1990 National Health Service

2000 ◽  
Vol 13 (3) ◽  
pp. 178-186 ◽  
Author(s):  
T. Forbes ◽  
N. Prime

Much of the current literature on healthcare professionals developing management roles has focused almost exclusively upon hopsital doctors. This paper seeks to redress this imbalance and explores the emergence of the professions allied to medicine (PAMs) as clinical managers. A comparative study of 25 English and Scottish radiographer managers were interviewed. From the interviews, a number of themes were developed associated with moving from a clinical professional to a clinical manager and were analysed using domain theory. These themes included management, professionalism, management style, conflicts between the role of both manager and professional, and role change. Radiographer managers are forming new ‘hybrid’ managerial roles, which have been developing within a changing NHS. A definite tension was seen in this role change, and the transition has not been easy for this group of PAMs. However, they have shown resilience in undertaking both operational and strategic management decisions, while using their clinical background in their decision-making and have much to offer the management process.

Author(s):  
Ellen Sweeney

There is increasing evidence that raises specific concerns about prenatal exposures to toxic substances which makes it necessary to consider everyday exposures to industrial chemicals and toxic substances in consumer products, including endocrine disrupting chemicals. Pregnant women have measurable levels of numerous toxic substances from exposures in their everyday environments, including those which are associated with adverse developmental and reproductive health outcomes. As a result, environmental contexts have begun to influence the decisions women make related to fertility, as well as the formal guidelines and advice provided by healthcare professionals. This article provides an overview of the potential role for obstetricians and gynecologists in educating their patients about the role of toxic substances in fertility decision-making and pregnancy. It explores the emerging guidelines and recommendations from professional organizations and problematizes the limitations of these approaches.


2016 ◽  
Vol 54 (9) ◽  
pp. 2340-2366 ◽  
Author(s):  
Luqman Oyekunle Oyewobi ◽  
Abimbola Olukemi Windapo ◽  
James Olabode Bamidele Rotimi ◽  
Richard Ajayi Jimoh

Purpose The purpose of this paper is to examine the possible moderating role of organisational characteristics (organisational structure, management style and decision-making style) in the relationship between strategy and organisational performance among large construction organisations in South Africa. Design/methodology/approach The study adopted a quantitative research approach using a questionnaire survey to obtain data from 72 large construction organisations in South Africa. Using hierarchical multiple regression, the paper examines the relationship between the constructs discussed in the study. Findings The internal characteristics of the organisation form the vital basis for achieving optimal performance. The results obtained from the analysis revealed that decision-making style directly influences the measure of organisational effectiveness, while it could also be inferred that organisational characteristics partly moderate the relationship between competitive strategy and organisational performance. The findings indicate that internal characteristics is one of the means through which organisational strategic factors and contextual aspects are organised to achieve greater organisational performance levels. Originality/value The findings have theoretical implications for strategic management literature in construction as it extends the scope of research on strategic management from assessing a set of individual management practices to evaluating a complex mechanism that connects internal characteristics and competitive advantage. It is believed that this study will contribute positively to the role of organisational characteristics in the competitive strategy-performance relationships in large construction organisations in South Africa and to the ongoing discussion on emerging strategic management issues in construction.


Author(s):  
Abdul Karim

This research deepens the concept of Henry Mintzberg who gives hard criticism that most managers can not be classified definitively into management functions. Thus allowing manager to play his/her managerial’s roles which consist of interpersonal, informational, and decisional. So, this study will synthesize interpersonal’s role of the managers. Meanwhile, an independent position of this research is the manager's inspiration to play his/her roles in decision making. The main objective of this research is leader’s inspiration through the process of meditation, mediation, and reflection of the main Kyais in Pesantren Bendakerep Cirebon Indonesia. This objective can be answered deeply only with qualitative’s kind of research through cultural approach. The data which is collected through interview, observation and documents analysis, after going through triangulation stage, will be analyzed through categorization, reduction, and interpretation. The findings show that the Kyai’s efforts of decision making is by obeying the ancestor inheritances both materialistic and imaterialistic, to dig the inspiration through meditation, mediation and reflection in the form of decisions. Keywords: Managerial roles, leadership inspiration, traditional pesantren


2020 ◽  
Vol 24 (4) ◽  
pp. 631-649 ◽  
Author(s):  
Yingtong Zhong ◽  
Sovan Mitra

PurposeThe Chinese fashion market is becoming increasingly important in terms of consumption volume and value. A critical aspect of the Chinese fashion market is the role of the fashion retail buyer; however, there exists little literature on their role and their decision-making process. This paper, therefore, explores the role of Chinese fashion retail buyers, their decision-making process as well as the key factors that influence the retail buyer's decision-making process.Design/methodology/approachInformed by the inductive approach within Sheth's (1981) framework, in-depth interviews with a number of retail buyers in nine leading fashion companies in China were carried out to explore fashion retail buyers' decision-making processes.FindingsThe results show that management mentality, type of merchandise and type of decision context were the most influencing factors regarding merchandise requirements (MRs). Fashion retail buyers in China are substantially restricted by the management style of the firm, which also influences the product mix choice. To evaluate merchandise, fashion buyers take into account consumer demand, company position, geographical differences and fashion trends. In regards to supplier selection, production stability coupled with quality and cost factors become paramount. The study also demonstrates that country of origin (COO) is a less significant factor in the fashion buyer's decision-making process.Originality/valueThis is the first study that explores the fashion retail buyer's decision-making processes in the Chinese market. The results show Chinese fashion buyers' decision-making processes differ significantly from other markets. This paper offers guidelines for an efficient and effective fashion retail buying process in China. The findings offer important avenues for further research and provide insights for fashion professionals in the Chinese and other emerging markets contexts.


Author(s):  
Adam Ahmed Mousa Hamid

The objective of the study was to investigate the effect of the intermediate role of the organizational structure in the relation of the abilities of the senior leadership and the effectiveness of the decision. The analytical descriptive method was used, where a questionnaire was designed to collect data from the study community, and 50 questionnaires were distributed, 41 of which were valid for analysis (82%). There is a positive relationship between senior leadership abilities and decision-making. There is a positive relationship between senior leadership and organizational structure. There is a positive relationship between decision making and organizational structure. The organizational structure mediates the relationship between senior leadership abilities and decision-making. A number of statistical methods were used in the study such as arithmetic mean, standard deviation, alpha kernobakh coefficient, global analysis, Pearson correlation coefficient and regression analysis. The study reached a number of results, including: - (1) the abilities of senior leadership have a positive impact on the effectiveness of the decision. (2) The effectiveness of decisions is influenced by the characteristics of the organizational structure. (3) The organizational structure mediates the relationship between senior leadership capacity and decision effectiveness in organizations. The study recommended the possibility of conducting further research related to measuring the impact of the senior management style on management functions and introducing more variables to construct the model of the proposed studies in addition to applying the study in other sectors of business organizations.


2018 ◽  
Vol 41 ◽  
Author(s):  
Kevin Arceneaux

AbstractIntuitions guide decision-making, and looking to the evolutionary history of humans illuminates why some behavioral responses are more intuitive than others. Yet a place remains for cognitive processes to second-guess intuitive responses – that is, to be reflective – and individual differences abound in automatic, intuitive processing as well.


2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.


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