scholarly journals Developing an analytical framework for understanding the emergence of de‑professionalisation in health, social care and education sectors

2017 ◽  
Vol 19 (1) ◽  
pp. 66-162 ◽  
Author(s):  
Nigel Malin
Keyword(s):  
Social Care ◽  
Raw Materials ◽  
Job Insecurity ◽  
Analytical Framework ◽  
Professional Status ◽  
Junior Doctors ◽  
Policy And Practice ◽  
Professional Control ◽  
Specialist Knowledge

This article aims to develop an analytical framework for understanding the context in which a process of de-professionalisation exists within an employment culture dominated by capitalism, globalisation and inequality. It specifically focuses upon experiences arising in health, social care and education sectors typifying that found within the British Welfare State during late modernity. Different theoretical definitions are presented to introduce an argument for a multi-dimensional approach. For example de-professionalisation may cover the removal from professional control, influence, manipulation or a destabilisation of a conventional mode of professionalisation and professional ties. Alternatively it may embody causation to appear unprofessional; or to discredit or deprive of professional status; also privately may be experienced as a weakening of status, respect or tendency away from a position of strength or equal status and be associated with measures for lessening the need for specialist knowledge and expertise. This analysis is based on a review of recent policy and practice evidence to support the notion that de-professionalisation may be defined through a lens of ‘cuts to services’ and job insecurity. It includes a case study covering the strike by NHS junior doctors which it is argued has had an impact on the image of ‘doctors as professionals’, resulting in a potential loss of public trust. De-professionalisation may be defined by financial cuts to staff training and through critiquing models of current training; or by a lowering of morale, a demoralisation or pervasive denigration of the workforce. Lastly this process may be considered as an outcome of low productivity in the workplace where a rise in low-skilled jobs becomes blamed for static wages. Increases in productivity come about as a result of deploying better raw materials, better trained or educated labour or better machines. Ordinary workers seem to have enjoyed few of the benefits of economic growth. Keywords: ideological roots of de-professionalisation; neo-liberalism, Taylorism/Post-Fordism; health, social care and education providers; service cutbacks; reductions in training; workforce morale and productivity

scholarly journals Co-production and the third sector: A comparative study of England and France

2018 ◽  
Author(s):  
Caitlin McMullin
Keyword(s):  
Comparative Study ◽  
Third Sector ◽  
Analytical Framework ◽  
Institutional Logics ◽  
Production Theory ◽  
Structured Interviews ◽  
Policy And Practice ◽  
The Third ◽  
Documentary Analysis

This thesis explores co-production between citizens and third sector professionals in England and France. I focus on five community regeneration organisations in Sheffield, England, and five in Lyon, France, followed by an analysis of comparator organisations in two further sectors of activity – parents’ organisations, and projects to reduce older people’s loneliness. The research is based on 57 semi-structured interviews, as well as event observations and documentary analysis. I employ an analytical framework of institutional logics to explore the ways in which the rules, practices and narratives of the case study organisations are specific to their city and national contexts and how these in turn drive and shape co-production practices.The study finds that while the Sheffield organisations are characterised by an assimilation of the state, community and market logics, the Lyon organisations demonstrate a blend of a ‘Napoleonic state’ logic, and a ‘local solidarity’ (rather than community) logic. These different combinations of logics illuminate two approaches to co-production. In France, co-production is informed by notions of citizenship, solidarity and participative democracy, leading to a greater focus on citizen involvement in organisational governance and greater influence of rules as an enabler and constraint to co-production. In Sheffield, co-production is seen as a way to improve communities, services and outcomes, and we therefore see more pragmatic attention to co-design and co-delivery activities. This thesis provides an important contribution both to co-production theory as well as to policy and practice, by demonstrating some of the cultural and contextual subjectivity of co- production, which has been overlooked in previous studies. In addition, employing institutional theory to study co-production enables me to produce evidence of meso and macro level factors that influence co-production behaviour.

scholarly journals If telecare is the answer, what was the question? Storylines, tensions and the unintended consequences of technology-supported care

2018 ◽  
Vol 39 (1) ◽  
pp. 44-65 ◽  
Author(s):  
Jennifer K. Lynch ◽  
Jon Glasby ◽  
Suzanne Robinson
Keyword(s):  
Home Environment ◽  
Social Care ◽  
Unintended Consequences ◽  
Health Policies ◽  
Service Users ◽  
Argumentative Discourse ◽  
Policy And Practice ◽  
The Relationship

Telecare – services employing technology to monitor people’s movement, medication and home environment at a distance – has emerged as a key component of global social care and health policies. The relationship between policies about telecare and the experiences and aspirations of service users has been under-interrogated. This article draws on findings from an organisational case study involving people living with complex conditions using various telecare devices and employs Hajer’s (1995) concept of argumentative discourse analysis to identify two key storylines arguing that telecare improves people’s quality of life and promotes independence. While these storylines point to seemingly logical and incontestable objectives, uncritical policy and practice fails to recognise and prioritise the aspirations of service users, leading to unintended consequences that can deepen people’s isolation and minimise organisational benefits.

Factors Influencing Customer’s Retail Chain Store Brand Choice Intention: Empirical Study of Circle K Stores in Hanoi

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Nguyen Thu Ha ◽  
Nguyen Thi Thanh Huyen
Keyword(s):  
Brand Choice ◽  
Distribution Networks ◽  
Analytical Framework ◽  
Store Brand ◽  
Chain Store ◽  
Retail Chain ◽  
Five Elements ◽  
Relationship Of ◽  
The Relationship

The retail market in Vietnam continues to grow with the entry of foreign retail brands and the strong rise of domestic businesses in expanding distribution networks and conquering consumer confidence. The appearance of more retail brands has created a fiercely competitive market. Based on the outcomes of previous research results on brand choice intention combined with a customer survey, the paper proposes an analytical framework and scales to examine the relationship of five elements including store image, price perception, risk perception, brand attitudes, brand awareness and retail brand choice intention with a case study of the Hanoi-based Circle K convenience store chain. These five elements are the precondition for retail businesses to develop their brands so as to attract customers.

STRATEGI MENINGKATKAN LOYALITAS KONSUMEN MAKANAN KHAS KOTA CURUP KABUPATEN REJANG LEBONG

2019 ◽  
Author(s):  
Onsardi Onsardi
Keyword(s):  
Swot Analysis ◽  
Raw Materials ◽  
External Factors ◽  
Consumer Loyalty ◽  
Internal Factors ◽  
The Public ◽  
Typical Food ◽  
Internal And External Factors

The title of this study is the Strategy of Increasing Consumer Food Loyalty in CurupCity, Rejang Lebong Regency (Case Study in "Henvian" Typical Food Industry). Thisresearch is based on the importance of strategies in increasing business and consumerloyalty to products sold.Strategies to increase business and consumer loyalty can bedone with a SWOT analysis. Place of this research is the "Henvian" shop that sellstypical Rejang lebong food. The method used in this study is descriptive qualitative.Informants in this study were people who were considered to know for certain about theHENVIAN Specialty Food Store in Curup City, Rejang Lebong Regency. The dataanalysis technique used in this study is a SWOT analysis to determine the strengths,weaknesses, opportunities and threats in a typical Rejang Lebong food business.By using SWOT analysis techniques that consist of strengths (weakness), weaknesses(weakness), opportunities (opportnity) and threats (threath). The results of this studycan be concluded that the internal factors that are the strength of the marketing strategyare the quality of the product that is good at a price affordable to the public andtourists, service that is friendly and responsive to consumer needs, as well astechnological advancements that facilitate the promotion of business. Internal factorsthat are a weakness are often lack of stock, there are some products that do not meet thestandard packaging, the product shelf life is short, employees do not use uniforms.External factors that become opportunities are a fairly high economic community,abundant raw materials while external factors that are a threat are the manycompetitors, an unstable economy, the price of basic needs increases. Based on theresults of the SWOT analysis of internal and external factors, the strategy used is toimprove product quality by improving the appearance of packaging and quality ofcontent and quality of service by providing uniforms to employees and providingstandards of service to consumers. .Keywords: Strategy, Consumer Loyalty, SWOT

A case study evaluation of a community multidisciplinary team in South East England using a mixed-method approach

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711569
Author(s):  
Jessica Wyatt Muscat
Keyword(s):  
Mental Health ◽  
Mixed Method ◽  
Social Care ◽  
Free Form ◽  
Normalisation Process Theory ◽  
Multidisciplinary Teams ◽  
Mixed Method Approach ◽  
Health And Social Care ◽  
Method Approach

BackgroundCommunity multidisciplinary teams (MDTs) represent a model of integrated care comprising health, social care, and the voluntary sector where members work collaboratively to coordinate care for those patients most at risk.AimThe evaluation will answer the question, ‘What are the enablers and what are the restrictors to the embedding of the case study MDT into the routine practice of the health and social care teams involved in the project?’MethodThe MDT was evaluated using a mixed-method approach with normalisation process theory as a methodological tool. Both quantitative and qualitative data were gathered through a questionnaire consisting of the NoMAD survey followed by free-form questions.ResultsThe concepts of the MDT were generally clear, and participants could see the potential benefits of the programme, though this was found to be lower in GPs. Certain professionals, particularly mental health and nursing professionals, found it difficult to integrate the MDT into normal working patterns because of a lack of resources. Participants also felt there was a lack of training for MDT working. A lack of awareness of evidence supporting the programme was shown particularly within management, GP, and nursing roles.ConclusionSpecific recommendations have been made in order to improve the MDT under evaluation. These include adjustments to IT systems and meeting documentation, continued education as to the purpose of the MDT, and the engagement of GPs to enable better buy-in. Recommendations were made to focus the agenda with specialist attendance when necessary, and to expand the MDT remit, particularly in mental health and geriatrics.

scholarly journals Wrist fracture management and the role of surgical care practitioner through the patient’s journey

2021 ◽  
pp. 175045892097607
Author(s):  
Rojas Moya Desiree ◽  
Russell Kabir
Keyword(s):  
Emergency Services ◽  
Surgical Care ◽  
Wrist Fracture ◽  
Junior Doctors ◽  
Examination Technique ◽  
Legal Implications ◽  
Fracture Management ◽  
Surgical Options

The presentation of this case study involves an exploration of the patient's journey in detail after having a traumatic wrist fracture, which is recognised as one of the most common fractures encountered daily in emergency services by junior doctors and practitioners. However, this article not only analyses the medical guidance for this type of case, but also the importance of the surgical care practitioner role in trauma and orthopaedics. All practitioners attending patients in emergency services are required to develop a good knowledge of anatomy, physiology, patient’s examination technique, classifications and consequently being aware of the possible surgical options for treatment of the fracture. They will also need to fully understand the legal implications of consent to ensure safe practice.

scholarly journals Using Enterprise Architecture to Integrate Lean Manufacturing, Digitalization, and Sustainability: A Lean Enterprise Case Study in the Chemical Industry

2021 ◽  
Vol 13 (9) ◽  
pp. 4851
Author(s):  
Ming-Hui Liao ◽  
Chi-Tai Wang
Keyword(s):  
Chemical Industry ◽  
Lean Manufacturing ◽  
Enterprise Architecture ◽  
Raw Materials ◽  
Core Competencies ◽  
Sustainable Business ◽  
Business Transformation ◽  
Lean Enterprise ◽  
Architecture Framework

The chemical industry has sustained the development of global economies by providing an astonishing variety of products and services, while also consuming massive amounts of raw materials and energy. Chemical firms are currently under tremendous pressure to become lean enterprises capable of executing not only traditional lean manufacturing practices but also emerging competing strategies of digitalization and sustainability. All of these are core competencies required for chemical firms to compete and thrive in future markets. Unfortunately, reports of successful transformation are so rare among chemical firms that acquiring the details of these cases would seem an almost impossible mission. The severe lack of knowledge about these business transformations thus provided a strong motivation for this research. Using The Open Group Architecture Framework, we performed an in-depth study on a real business transformation occurring at a major international chemical corporation, extracting the architecture framework possibly adopted by this firm to become a lean enterprise. This comprehensive case study resulted in two major contributions to the field of sustainable business transformation: (1) a custom lean enterprise architecture framework applicable to common chemical firms making a similar transformation, and (2) a lean enterprise model developed to assist chemical firms in comprehending the intricate and complicated dynamics between lean manufacturing, digitalization, and sustainability.

scholarly journals The Problem of Success and Failure in Public-private Innovation Partnerships

2021 ◽  
pp. 1-21
Author(s):  
JONATHAN HAMMOND ◽  
SIMON BAILEY ◽  
OZ GORE ◽  
KATH CHECKLAND ◽  
SARAH DARLEY ◽  
...  
Keyword(s):  
Public Sector ◽  
Health Service ◽  
Policy Maker ◽  
Policy And Practice ◽  
Policy Success ◽  
Political Effects ◽  
Innovation Project ◽  
Multi Level ◽  
Test Beds

Abstract Public-Private Innovation Partnerships (PPIPs) are increasingly used as a tool for addressing ‘wicked’ public sector challenges. ‘Innovation’ is, however, frequently treated as a ‘magic’ concept: used unreflexively, taken to be axiomatically ‘good’, and left undefined within policy programmes. Using McConnell’s framework of policy success and failure and a case study of a multi-level PPIP in the English health service (NHS Test Beds), this paper critically explores the implications of the mobilisation of innovation in PPIP policy and practice. We highlight how the interplay between levels (macro/micro and policy maker/recipient) can shape both emerging policies and their prospects for success or failure. The paper contributes to an understanding of PPIP success and failure by extending McConnell’s framework to explore inter-level effects between policy and innovation project, and demonstrating how the success of PPIP policy cannot be understood without recognising the particular political effects of ‘innovation’ on formulation and implementation.

scholarly journals Rapid, remote and responsive research during COVID-19

2021 ◽  
Vol 14 (1) ◽  
pp. 205979912110085
Author(s):  
Jane Richardson ◽  
Barry Godfrey ◽  
Sandra Walklate
Keyword(s):  
Criminal Justice ◽  
Social Science ◽  
Health Research ◽  
Applied Research ◽  
Data Gathering ◽  
Policy And Practice ◽  
Research And Innovation ◽  
The Uk ◽  
Practical Recommendations

In March 2020, the UK Research and Innovation announced an emergency call for research to inform policy and practice responses to the COVID-19 pandemic. This call implicitly and explicitly required researchers to work rapidly, remotely and responsively. In this article, we briefly review how rapid response methods developed in health research can be used in other social science fields. After outlining the literature in this area, we use the early stages of our applied research into criminal justice responses to domestic abuse during COVID-19 as a case study to illustrate some of the practical challenges we faced in responding to this rapid funding call. We review our use of and experience with remote research methods and describe how we used and adapted these methods in our research, from data gathering through to transcription and analysis. We reflect on our experiences to date of what it means to be responsive in fast-changing research situations. Finally, we make some practical recommendations for conducting applied research in a ‘nimble’ way to meet the demands of working rapidly, remotely, responsively and, most importantly, responsibly.

Sign in / Sign up

Export Citation Format

Share Document