scholarly journals The Value of Communities of Practice as a Learning Process to Increase Resilience in Healthcare Teams

2021 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Janet Delgado ◽  
Serena Siow ◽  
Janet M. de Groot
Keyword(s):  
Communities Of Practice ◽  
Moral Distress ◽  
Shared Knowledge ◽  
Healthcare Team ◽  
Starting Point ◽  
Group Experiences ◽  
Moral Problems ◽  
The Relationship ◽  
Moral Resilience

This paper addresses the role that communities of practice (CoP) can have within the healthcare environment when facing uncertainty and highly emotionally impactful situations, such as the current COVID-19 pandemic. The starting point is the recognition that CoPs can contribute to build resilience among their members, and particularly moral resilience. Among others, this is due to the fact that they share a reflective space from which shared knowledge is generated, which can be a source of strength and trust within the healthcare team. Specifically, in extreme situations, the CoPs can contribute to coping with moral distress, which will be crucially important not only to facing crisis situations, but to prevent the long-term adverse consequences of working in conditions of great uncertainty. The purpose of this paper is to analyze how CoP can support healthcare professionals when building moral resilience. To support that goal, we will first define CoP and describe the main characteristics of communities of practice in healthcare. Subsequently, we will clarify the concept of moral resilience, and establish the relationship between CoP and moral resilience in light of the current COVID-19 pandemic. Finally, we analyze different group experiences that we can consider as CoP which emerged in the midst of the COVID-19 pandemic to navigate moral problems that arose.

scholarly journals Towards collective moral resilience: the potential of communities of practice during the COVID-19 pandemic and beyond

2021 ◽  
pp. medethics-2020-106764 ◽  
Author(s):  
Janet Delgado ◽  
Serena Siow ◽  
Janet de Groot ◽  
Brienne McLane ◽  
Margot Hedlin
Keyword(s):  
Communities Of Practice ◽  
Moral Distress ◽  
Ethical Challenges ◽  
Ethical Practice ◽  
Group Settings ◽  
Healthcare Settings ◽  
Mutual Engagement ◽  
Starting Point ◽  
Group Experiences ◽  
Moral Resilience

This paper proposes communities of practice (CoP) as a process to build moral resilience in healthcare settings. We introduce the starting point of moral distress that arises from ethical challenges when actions of the healthcare professional are constrained. We examine how situations such as the current COVID-19 pandemic can exponentially increase moral distress in healthcare professionals. Then, we explore how moral resilience can help cope with moral distress. We propose the term collective moral resilience to capture the shared capacity arising from mutual engagement and dialogue in group settings, towards responding to individual moral distress and towards building an ethical practice environment. Finally, we look at CoPs in healthcare and explore how these group experiences can be used to build collective moral resilience.

scholarly journals How Do Brazilian Consumers Relate to Chocolate Brands? Validity and Reliability Evidence of the Chocolate Brands Relationship Scale

2021 ◽  
Vol 13 (10) ◽  
pp. 5635
Author(s):  
Gisela Demo ◽  
Karla Coura ◽  
Fernanda Scussel ◽  
Graziela Azevedo
Keyword(s):  
Customer Relationship ◽  
Scientific Instrument ◽  
Validity And Reliability ◽  
Diagnostic Measures ◽  
Starting Point ◽  
Confirmatory Factor ◽  
Shopping Experience ◽  
Valid Instrument ◽  
The Relationship

Although the chocolate market has become increasingly larger and more competitive, no diagnostic measures were found to evaluate relationship marketing from customer perspectives in this very attractive market in the B2C context. Thus, the main purpose of this paper is to obtain validity evidence for the Chocolate Brands Relationship Scale (CBR Scale), a scientific instrument that enables the identification and measurement of the prime aspects perceived by chocolate brands’ customers as relevant in their relationship with such brands. Additionally, we tested the influence of the relationship, evaluated from the validated CBR Scale, with the chocolate consumers’ satisfaction. We conducted a survey with 523 Brazilian consumers, and data were analyzed using Confirmatory Factor Analysis. The CBR Scale is composed of 21 items divided into three factors: Brand Trust, Shopping Experience and Perceived Quality. As theoretical implications, we produce a valid and reliable operational measure, offering a useful starting point from which further theoretical and empirical research of customer relationship management, branding strategies, brand loyalty, and brand experience in the chocolate market can be built. Managerially, the CBR Scale is a valid instrument for practitioners and managers in the chocolate sector to access customers, establishing and developing long-term relationships with them.

scholarly journals Eltern, Schule, Aushandlung: Chancen und Grenzen demokratischer Schulentwicklung im Kontext von Vielfalt

2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Katjuscha von Werthern
Keyword(s):  
Equal Opportunity ◽  
School Development ◽  
Entire Group ◽  
Educationally Disadvantaged ◽  
Starting Point ◽  
The Subject ◽  
Anglo American ◽  
The Relationship

In educational policy and practical school discourse, cooperation between parents and schools is generally considered important in promoting more equal-opportunity education, but is also described as difficult in terms of implementation. The relationship between schools and parents with a so-called migration background (Migrationshintergrund) is the subject of a great deal of discussion, and these parents are frequently assigned responsibility of a lack in cooperation. In this contribution, I will show that the classification of an entire group of parents as bildungsfern (literally “far from education”) is part of the problem. (This problematic term is currently used in Germany to designate those population groups that in Anglo-American discourse are labelled “educationally disadvantaged”.) Classical forms of participation such as parents’ associations are insufficient and do not live up to parental diversity. The concept of democratic school-development (Schütze & Hildebrandt 2006) tries to engage all the parents in a school to minimize exclusion and institutional hierarchies. The starting point of this study, presented here in sections, is whether this can succeed over the long term. Democratic processes of school development offer great potential to approach diversity constructively and to make schools more democratic. But such processes, it seems, can never be considered completed, but need to be seen as an ongoing development in which all participants need to be involved in ever new ways and where the aims require constant renegotiation.

International Governance of the Antarctic – Participation, Transparency and Legitimacy

2015 ◽  
Vol 7 (1) ◽  
pp. 448-500
Author(s):  
Jill Barrett
Keyword(s):  
The Arctic ◽  
International Governance ◽  
Antarctic Region ◽  
Constituent Part ◽  
Starting Point ◽  
Antarctic Treaty ◽  
State Actors ◽  
The Antarctic ◽  
The Relationship

This article explores the principal institutions of international governance of the Antarctic region, their members, and how open they are to new participants. It considers the relationship between the openness of these institutions to new participation and their long-term international legitimacy and efficacy. Taking as its starting point the Antarctic Treaty System, each constituent part is examined for participation, transparency and legitimacy. It applies these criteria to both State and non-State actors and to parties and non-parties. Ultimately it seeks to determine what factors have contributed to its success over five decades in a radically changing world, and what factors might contribute to its future vulnerability. The examination and conclusions might have resonance for what happens in the Arctic.

scholarly journals Communities of practice: acknowledging vulnerability to improve resilience in healthcare teams

2020 ◽  
pp. medethics-2019-105865 ◽  
Author(s):  
Janet Delgado ◽  
Janet de Groot ◽  
Graham McCaffrey ◽  
Gina Dimitropoulos ◽  
Kathleen C Sitter ◽  
...  
Keyword(s):  
Communities Of Practice ◽  
Compassion Fatigue ◽  
Healthcare Professionals ◽  
Shared Knowledge ◽  
Healthcare Team ◽  
Self Awareness ◽  
Professional Lives ◽  
Healthy Work ◽  
Inherent Vulnerability

The majority of healthcare professionals regularly witness fragility, suffering, pain and death in their professional lives. Such experiences may increase the risk of burnout and compassion fatigue, especially if they are without self-awareness and a healthy work environment. Acquiring a deeper understanding of vulnerability inherent to their professional work will be of crucial importance to face these risks. From a relational ethics perspective, the role of the team is critical in the development of professional values which can help to cope with the inherent vulnerability of healthcare professionals. The focus of this paper is the role of Communities of Practice as a source of resilience, since they can create a reflective space for recognising and sharing their experiences of vulnerability that arises as part of their work. This shared knowledge can be a source of strength while simultaneously increasing the confidence and resilience of the healthcare team.

scholarly journals Impact of Knowledge-based Program Management Resource on Social Enterprise Sustainability: A Structural Equation Modelling Approach

2021 ◽  
Vol VI (I) ◽  
pp. 130-142
Author(s):  
Arif-Ud-Din ◽  
Syed Mohsin Ali Shah ◽  
Muhammad Jahangir
Keyword(s):  
Structural Equation Modelling ◽  
Social Enterprise ◽  
Structural Equation ◽  
The Body ◽  
Substantial Impact ◽  
Knowledge Based ◽  
Equation Modelling ◽  
Starting Point ◽  
The Relationship

The focus of this research is to look at knowledge-based programme management resources as a starting point for investigating the relationship between Team programme management resources and social enterprise sustainability in underdeveloped countries. This article examines data from 300 programme management personnel of social businesses in Pakistan who responded to a self-administered and online survey. The link between team programme management resources and social business sustainability was investigated using structural equation modelling (CB-SEM). A total of 9 critical indicators of the team programme management assets have a substantial impact on the three sustainability pillars (Social, economic and environmental). This research contributes to the understanding of the relationship between programme management resources and the long-term sustainability of social enterprises. Few publications have looked into intangible programme management resources as a basis of sustainability using the RBV of the organization. This study adds to the body of knowledge on the RBV of the business and advances our consideration of programme management resources as a foundation of long-term sustainability.

scholarly journals Research and Analysis on the Influencing Factors of the Purchase Decision of the Consumers of Fast Fashion Goods in Kazakhstan

2018 ◽  
Vol 13 (5) ◽  
pp. 37 ◽  
Author(s):  
Sagatdinova Dayana ◽  
Sha Zhen Quan
Keyword(s):  
Latent Variables ◽  
Reliability And Validity ◽  
Positive Research ◽  
Consumer Market ◽  
Fast Fashion ◽  
Starting Point ◽  
Confirmatory Factor ◽  
Belt And Road ◽  
The Relationship

In the consumer purchase decisions as the starting point, as China and Kazakhstan reached agreement on the implementation of the "Belt and Road" strategy, a large number of fashionable consumer goods in China entered Kazakhstan and enriched the consumer market in Kazakhstan, also changed people's consumption concept in Kazakhstan. In order to obtain a comprehensive and effective research results, the data obtained through the market research were analyzed by using the software of SPSS 20.0 to evaluate the reliability and validity of the data and the fitting degree of the model. Through the confirmatory factor analysis and path analysis of the model, the relationship between the latent variables in the model is obtained, And the results of the investigation and the theoretical analysis are analyzed and studied in detail so as to put forward a positive research proposal to better promote the long-term prosperity of the consumer market of fashion goods in Kazakhstan under the new situation.

Difficult healthcare transitions

2016 ◽  
Vol 23 (7) ◽  
pp. 770-783 ◽  
Author(s):  
Rosalind Abdool ◽  
Michael Szego ◽  
Daniel Buchman ◽  
Leah Justason ◽  
Sally Bean ◽  
...  
Keyword(s):  
Decision Making ◽  
Long Term Care ◽  
Moral Distress ◽  
Healthcare Providers ◽  
Healthcare Team ◽  
Term Care ◽  
Placement Decisions ◽  
Healthcare Transition ◽  
Home Placement

Background: In Ontario, Canada, patients who lack decision-making capacity and have no family or friends to act as substitute decision-makers currently rely on the Office of the Public Guardian and Trustee to consent to long-term care (nursing home) placement, but they have no legal representative for other placement decisions. Objectives: We highlight the current gap in legislation for difficult transition cases involving unrepresented patients and provide a novel framework for who ought to assist with making these decisions and how these decisions ought to be made. Research design: This paper considers models advanced by Volpe and Steinman with regard to who ought to make placement decisions for unrepresented patients, as well as current ethical models for analyzing how these decisions should be made. Participants and research context: We describe an anonymized healthcare transition case to illustrate the fact that there is no legally recognized decision-maker for placement destinations other than long-term care facilities and to show how this impacts all stakeholders. Ethical considerations: The case provided is an anonymized vignette representing a typical transition case involving an unrepresented patient. Findings: As a result of a gap in provincial legislation, healthcare providers usually determine the appropriate placement destination without a clear framework to guide the process and this can cause significant moral distress. Discussion: We argue for a team decision-making approach in the short term, and a legislative change in the long-term, to respect the patient voice, evaluate benefit and risk, enhance collaboration between healthcare providers and patients, and promote social justice. We believe that our approach, which draws upon the strengths of interprofessional teams, will be of interest to all who are concerned with the welfare and ethical treatment of the patients for whom they care. Conclusions: One of the main strengths of our recommendation is that it provides all members of the healthcare team (including nurses, social workers, therapists, and others) an increased opportunity to advocate on behalf of unrepresented patients.

scholarly journals Prescription to Remedy the IT-Business Relationship

2003 ◽  
pp. 181-202 ◽  
Author(s):  
Sandra Cormack ◽  
Aileen Cater-Steel
Keyword(s):  
Information Technology ◽  
Cultural Differences ◽  
Global Economy ◽  
Business Groups ◽  
Shared Knowledge ◽  
Business Relationship ◽  
Starting Point ◽  
It Culture ◽  
Organisational Behaviour ◽  
The Relationship

Even though organisations are highly dependent on information technology (IT), many organisations have reported an unhealthy relationship between business and IT professionals. Establishing an effective relationship between these two disparate groups is essential for organisational success in today’s competitive global economy. Despite many attempts to improve the IT-business relationship, tensions still exist. The cultural differences between business and IT have recently been blamed for these tensions. Through the application of relevant organisational behaviour theories, the cultural characteristics of the IT group that effect the IT-business relationship can be identified. Research shows that the IT culture is such that mutual benefits are not derived from the relationship, IT and business groups have a poor attitude towards cooperation, there is a lack of shared knowledge between business and IT, and there is a lack of organisational linkages between business and IT. As a starting point for reconciliation between business and IT, this chapter provides insights into how tensions in the IT-business relationship can be minimised through understanding and managing the IT culture.

scholarly journals Impact of Knowledge-based Program Management Resource on Social Enterprise Sustainability: A Structural Equation Modelling Approach

2021 ◽  
Vol VI (I) ◽  
pp. 166-181
Author(s):  
Arif-Ud-Din ◽  
Syed Mohsin Ali Shah ◽  
Muhammad Jahangir
Keyword(s):  
Structural Equation Modelling ◽  
Social Enterprise ◽  
Structural Equation ◽  
The Body ◽  
Substantial Impact ◽  
Knowledge Based ◽  
Equation Modelling ◽  
Starting Point ◽  
The Relationship

The focus of this research is to look at knowledge-based programme management resources as a starting point for investigating the relationship between Team programme management resources and social enterprise sustainability in underdeveloped countries. This article examines data from 300 programme management personnel of social businesses in Pakistan who responded to a self-administered and online survey. The link between team programme management resources and social business sustainability was investigated using structural equation modelling (CB-SEM). A total of 9 critical indicators of the team programme management assets have a substantial impact on the three sustainability pillars (Social, economic and environmental). This research contributes to the understanding of the relationship between programme management resources and the long-term sustainability of social enterprises. Few publications have looked into intangible programme management resources as a basis of sustainability using the RBV of the organization. This study adds to the body of knowledge on the RBV of the business and advances our consideration of programme management resources as a foundation of long-term sustainability.

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