scholarly journals The Dutch Citizen Forum on Public Reimbursement of Healthcare: A Qualitative Analysis of Opinion Change

2020 ◽  
Author(s):  
Maarten Jansen ◽  
Rob Baltussen ◽  
Leon Bijlmakers ◽  
Marcia Tummers
Keyword(s):  
Decision Making ◽  
Emotional Reactions ◽  
Critical Discussion ◽  
Structured Interviews ◽  
The Public ◽  
Opinion Change ◽  
Personal Experiences ◽  
Before And After ◽  
The One ◽  
Insight Into

Background: A deliberative Citizen Forum ‘Choices in healthcare’ was held in the Netherlands to obtain insight into the criteria informed citizens would propose for the public reimbursement of healthcare. During 3 weekends, 24 citizens participated in evidence-informed deliberation on the basis of 8 case studies. The aim of this study was to assess how the opinions of 8 participants in the deliberative Citizens Forum changed and if so, why participants themselves believe their opinions have changed, whether participation influenced their perceived reasonableness of other participants in the forum and whether it influenced their opinions about involvement of citizens in decision-making. Methods: Semi-structured interviews were held with 8 participants before and after their participation in the Citizen Forum. Using the method of reconstructing interpretive frames opinions about the public reimbursement of healthcare were reconstructed. Results: Participants’ opinions changed over time; they became more aware of the complexity of decision-making and came to accept that there are limits to the available resources and accept cost as a criterion for reimbursement decisionmaking. Participants report that exchanging arguments and personal experiences with other participants made them change their initial opinions. Participants ascribed increases in the perceived reasonableness of other participants’ opinions to feelings of group-bonding and becoming more familiar with each other’s personal circumstances. Participants further believe that citizens represent an additional opinion to that of other stakeholders and believe their opinions should be considered in relation to those of other stakeholders, given they are provided with opportunities for critical discussion. Conclusion: Organized deliberation should allow for the exchange of arguments and the sharing of personal experiences which is linked to learning. On the one hand this is reflected in the uptake of new arguments and on the other hand in the revision, specification or expansion of personal argumentation. Providing opportunities for critical deliberation is key to prevent citizens from adhering to initial emotional reactions that remain unchallenged and which may no longer be supported after deliberation.

scholarly journals DECISION-MAKING AT THE FIRST MANAGEMENT LEVEL: THE INTERFERENCE OF THE ORGANIZATIONAL CULTURE

2018 ◽  
Vol 19 (3) ◽  
Author(s):  
GUSTAVO G. MARCHISOTTI ◽  
MARIA DE L. C. DOMINGOS ◽  
RODRIGO L. DE ALMEIDA
Keyword(s):  
Decision Making ◽  
Organizational Culture ◽  
Treatment Technique ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Management Level ◽  
Decision Making Capacity ◽  
Practical Usefulness ◽  
The One ◽  
Different Origins

ABSTRACT Purpose: This article aims at explaining how a decision is made in the first management level, within five different organizations, from different origins - American, Brazilian and Chinese - in different branches of activity. Originality/value: This is an original work, since it goes beyond the frontiers of knowledge about the subject researched, both for its approach and for its practical usefulness in the day-to-day of the decision makers, being useful for both professionals - and decision making - and for companies - on how to improve the decision-making capacity of their managers. Design/methodology/approach: Fifty managers were interviewed, through the application of a qualitative exploratory research, with the collection of data through semi-structured interviews and content analysis as data analysis and treatment technique. Findings: One may conclude that the decision-making of the first level decision-making managers is more rational. Also, the organizational culture, among the studied variables is the one with the greater impact in the way this management level makes the decisions. This influence of the organizational culture contains three important elements: 1. the need of the manager to act procedurally, using the rules and standards of the company, 2. the use of supporting tools for the decision-making and 3. the learning from the current relationship - or from the past one - with their peers. To go deeper in the theme, we suggest the analysis of the influence of gender in decision-making, under the focus of rationality or intuition, in the first level of the managerial function of the organizations.

scholarly journals The rights and duties of post-adolescent daughters: Daughters' and parents' accounts

Sociologija ◽  
2008 ◽  
Vol 50 (4) ◽  
pp. 391-416 ◽  
Author(s):  
Metka Kuhar
Keyword(s):  
Decision Making ◽  
Adolescent Girls ◽  
Balance Of Power ◽  
Parental Home ◽  
Life Situation ◽  
Structured Interviews ◽  
Biological Parents ◽  
Adolescence Period ◽  
University City ◽  
Insight Into

The article deals with the conceptualisation and negotiation of post-adolescent daughters' rights and duties in their families of origin. More and more young Europeans and particularly many young Slovenians are staying with their parents in the post-adolescence period (and even later) or come home from their university city every weekend. This means that two adult generations live together in the same household; so they have to negotiate the rights and duties of the younger generation in different areas, from very personal domains (e.g. appearance) to more far-reaching life decisions (e.g. the post-study life situation, moving out of the parental home). The study provides at least a partial insight into the processes involved in the negotiation of rights and duties in families with post-adolescent daughters. The data stem from semi-structured interviews conducted in autumn 2006 in Slovenia with 70 first-born post-adolescent girls and both of their biological parents. The respondents answered closed- and open-ended questions referring to four vignettes suggesting controversial situations. The answers allow a view of the conceptualisations of post-adolescents' rights and duties, the distribution of decision-making power and the way of dealing with such situations. The results show that post-adolescent daughters are very dependent on their parents in various areas. It turned out that the contemporary Slovenian family with post-adolescent daughters is prepared to negotiate: patterns of intrafamilial communication range from the traditionally grounded commanding pattern where children have to obey unequivocally (but less than 10% of parents resort to the bare use of authority), to an open, active negotiation pattern where the balance of power is more equal and the achievement of consensus is very important.

Role reflections of police reservists: a study of volunteer reserve officers in Malaysia

2018 ◽  
Vol 41 (6) ◽  
pp. 813-827 ◽  
Author(s):  
Phaik Kin Cheah ◽  
N. Prabha Unnithan ◽  
Suresh Suppiah
Keyword(s):  
Police Officers ◽  
Design Methodology ◽  
Theory Approach ◽  
Structured Interviews ◽  
Content Type ◽  
The Public ◽  
Role Orientations ◽  
Grounded Theory Approach ◽  
Practical Implications ◽  
Insight Into

PurposeThe purpose of this paper is to investigate the work roles of the Royal Malaysia Police Volunteer Reserve officers.Design/methodology/approachA grounded theory approach was utilized for the generation and analysis of the data. Data were collected through interviews, observations and follow-ups. Semi-structured interviews were conducted with 20 male and female volunteer reserve officers and 5 regular police officers aged between 24 and 58 years of mixed socioeconomic backgrounds, ethnicities and ranking in the Royal Malaysia Police force. Two civilian respondents (spouses of the Police Volunteer Reserve officers) were also interviewed for this study for the purpose of theory sampling.FindingsThe data were analyzed qualitatively resulting in a model of Royal Malaysia Police Volunteer Reserve officer roles consisting of four orientations.Research limitations/implicationsStudy outcomes are discussed theoretically and administratively. The four role orientations identified will assist researchers studying police reserve volunteerism.Practical implicationsStudy outcomes allow administrators to utilize and deploy police reservists in consonance with the four role orientations identified.Social implicationsThis study provides insight into how police reservists conceive of and execute their roles as they negotiate them in relation to the regular police officers they work with and the public from which they are drawn.Originality/valueThis is the first study of police volunteerism in Malaysia.

Online Opinion Leaders in the Health Promotion Digital Era

2021 ◽  
Vol 37 (4) ◽  
pp. 295-309
Author(s):  
Joyce Cheah Lynn-Sze ◽  
◽  
Azlina Kamaruddin ◽  
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Social Media ◽  
Health Promotion ◽  
Health Communication ◽  
Opinion Leader ◽  
Well Being ◽  
Opinion Leaders ◽  
Structured Interviews ◽  
The Public

Health opinion leaders have widely embraced social media for health promotion and public health communication which can make a strong influence on the public decision making. However, despite the growing relevance of public health threats such as infectious diseases, pandemic influenza and natural disasters, research has paid little attention to the qualities of opinion leaders. Moreover, there is limited evidence that public health organisations use social media appropriately to engage in meaningful conversations with audiences. Thus, the aims of the study are to describe principles of communication practised by online opinion leaders to promote health issues, to discuss the strategies of social media used, to explain the opinion leaders’ influence attributes in health decision making and finally to develop a model of online opinion leader in the contemporary health promotion era. Content analysis was conducted on Facebook postings of five selected health opinion leaders. In addition, semi-structured interviews with 10 followers were conducted. The findings of the study revealed that there are three principles of communication practised by online opinion leaders, which are language, interaction and themes. There are three strategies opinion leaders use to influence the public: social connectivity, social support and social consultation. Furthermore, there are five opinion leaders’ attributes that influence the public’s decision making, namely personality, authenticity, trust/credibility, professional knowledge and social position. The model would be beneficial in educating and guiding the current public health opinion leaders in order to establish health and social well-being. Keywords: Online opinion leader, online health communication, public health, two-step flow theory, decision making.

Issues in Academic Leadership

2020 ◽  
pp. 220-244
Author(s):  
Uche T. Onyebadi ◽  
Dorothy Bland ◽  
Herman Howard ◽  
Carolyn Walcott
Keyword(s):  
Decision Making ◽  
Shared Governance ◽  
The United States ◽  
Administrative Leadership ◽  
Collective Decision Making ◽  
Administrative Positions ◽  
Personal Experiences ◽  
Higher Institutions ◽  
Theoretical Insight ◽  
Insight Into

Occupying administrative positions in any organization is an enormous and difficult task, especially in universities and other higher institutions of learning where the culture and conventional practices demand shared governance and collective decision making. Even more complex is when such positions are occupied by minorities who need to weigh a lot of factors in their decision making in order to effectively navigate and accomplish their duties and objectives. This chapter offers a brief theoretical insight into administrative leadership in the academy. More importantly, it provides the narratives of the personal experiences of administrators in the United States and Guyana; people whose gender and racial backgrounds categorize them as minorities. Sharing such experiences aligns with the purpose of this book and also provides some learning opportunities for people in the diaspora who aspire to become administrators in the academy and minorities who are currently doing the job.

scholarly journals Exploration of Silence's Motives Towards the Work Decisions: The Case of Jordanian Public and Private Schools

2019 ◽  
Vol 9 (1) ◽  
pp. 266
Author(s):  
Osama Khaled Alkhlaifat
Keyword(s):  
Decision Making ◽  
Private Schools ◽  
Human Resources Management ◽  
Point Of View ◽  
Decision Making Process ◽  
Structured Interviews ◽  
Public And Private ◽  
The Public ◽  
Work Related ◽  
Last Stage

The aim of this study has been to investigate and provide a deeper understanding of the motives of silence towards the participation in the work-related decisions, in both the public and private schools in the Jordanian capital (Amman). ‘100’ teachers were interviewed using the semi-structured interviews through the available communication means. The pre-set questions were directed to the sample of the study to identify both the situations related to the decisions and motives leading to silence and non-participation from the respondents' point of view. The motives were classified according to the factors to which they belong, as well as the situations were classified according to each stage of the decision-making process, where some specialists in the field of human resources management had been asked to help in accomplishing the classification. The results showed that the largest percentage of respondents faced at least one situation in which they chose to remain silent. Most of the situations mentioned were related to the first and last stage of decision-making process (identifying the problem and following up the decision). The results also showed that most of the motives were related to the organizational practices by the officials, where the total iteration is twice as the personal motives.

scholarly journals Managing divided loyalties in the emerging profession of community engagement

2019 ◽  
pp. 144078331987924
Author(s):  
Helen E Christensen
Keyword(s):  
Decision Making ◽  
Public Sector ◽  
Community Engagement ◽  
Ad Hoc ◽  
Public Institutions ◽  
Structured Interviews ◽  
Unique Role ◽  
The Public

Community engagement practitioners design, deliver, report and evaluate processes which invite the community to influence decision-making. It is a unique role, with practitioners serving two masters: the organisations that employ or contract them and the communities whose views they are engaged to elicit. In balancing these interests, practitioners experience a number of tensions in their work, and employ a variety of methods to address them. This article draws on a series of 20 semi-structured interviews with senior practitioners and finds that these tensions mainly relate to: the need to serve both the community and the engagement sponsor, their position in either the public sector or as a private consultants to the public sector, and the constraints and behaviours of public institutions. They way in which they manage these is relatively ad hoc, although it is often informed by principles and position.

scholarly journals An Eco-GAME Meta-Evaluation of Existing Methods for the Appreciation of Ecosystem Services

2020 ◽  
Vol 12 (18) ◽  
pp. 7805
Author(s):  
Maurizio Sajeva ◽  
Marjo Maidell ◽  
Jonne Kotta ◽  
Anneliis Peterson
Keyword(s):  
Decision Making ◽  
Sustainable Development ◽  
Ecosystem Services ◽  
Science Policy ◽  
Dimensional System ◽  
Structured Interviews ◽  
The Sustainable Development ◽  
Agenda 2030 ◽  
Development Goals ◽  
The One

The isolation of science disciplines and the weak integration between science, policy and society represent main challenges for sustainable human development. If, on the one hand, the specialization of science has produced higher levels of knowledge, on the other hand, the whole picture of the complex interactions between systems has suffered. Economic and natural sciences are, on matters of sustainable development, strongly divergent, and the interface informing decision-making is weak. This downplays uncertainty and creates room for entrenched political positions, compromising evidence-based decision-making and putting the urgent need to achieve the Sustainable Development Goals (SDGs) of Agenda 2030 at risk. This article presents the heterodox Eco-GAME framework for interconnecting science through trans-disciplinary social-learning and meta-evaluation of scientific knowledge in pursuit of SDGs. The framework is tested and refined in the BONUS MARES project by systematic literature analysis, participatory workshops, and semi-structured interviews, in relation to the specific habitats of Baltic Sea mussel reefs, seagrass beds and macroalgae ecosystem services produced and methods applied. The results, acknowledging the urgency of interfacing science, policy and society, validate the Eco-GAME as a framework for this purpose and present a multi-dimensional system of indicators as a further development.

The Concerns and Experience of Decision-Making Regarding Do-Not-Resuscitate Orders Among Caregivers in Hospice Palliative Care

2020 ◽  
Vol 38 (2) ◽  
pp. 123-129
Author(s):  
Ching-Chun Chiang ◽  
Shu-Chuan Chang ◽  
Sheng-Yu Fan
Keyword(s):  
Decision Making ◽  
Health Care Professionals ◽  
Medical Staff ◽  
Hospice Care ◽  
Family Members ◽  
Emotional Reactions ◽  
Do Not Resuscitate ◽  
Structured Interviews ◽  
End Of Life Decision ◽  
Hospice Palliative Care

A do-not-resuscitate (DNR) order is an important end-of-life decision. In Taiwan, family caregivers are also involved in this decision-making process. This study aimed to explore the concerns and experiences regarding DNR decisions among caregivers in Taiwan. Qualitative study was conducted. Convenience sampling was used, and 26 caregivers were recruited whose patients had a DNR order and had received hospice care or hospice home care. Semi-structured interviews were used for data collection, including the previous experiences of DNR discussions with the patients and medical staff and their concerns and difficulties in decision-making. The data analysis was based on the principle of thematic analysis. Four themes were identified: (1) Patients: The caregivers respected the patients’ willingness and did not want to make them feel like “giving up.” (2) Caregivers’ self: They did not want to intensify the patients’ suffering but sometimes found it emotionally difficult to accept death. (3) Other family members: They were concerned about the other family members’ opinions on DNR orders, their blame, and their views on filial impiety. (4) Medical staff: The information and suggestions from the medical staff were foundational to their decision-making. The caregivers needed the health care professionals’ supports to deal with the concerns from patients and other family members as well as their emotional reactions.

Democratising the global order: from communicative freedom to communicative power

2010 ◽  
Vol 36 (2) ◽  
pp. 431-447 ◽  
Author(s):  
JAMES BOHMAN
Keyword(s):  
Decision Making ◽  
Civil Society ◽  
Public Sphere ◽  
Institutional Design ◽  
The Other ◽  
Global Order ◽  
The Public ◽  
The Public Sphere ◽  
The One ◽  
Communicative Power

AbstractWhile there is much discussion of the need for democracy in transnational institutions, there is less discussion of the conditions for their democratisation. To address this deficit, a general account of democratisation is necessary. I propose that democratisation is dependent on the joint realisation of two conditions: communicative freedom and communicative power. Democratisation thus requires, first, publics and associations in which communicative freedom is realised on the one hand; and, second, institutions that link such freedom to the exercise of communicative power to decision making on the other. In order for these conditions to be met, civil society must be expanded into the public sphere. The transformation of communicative freedom into communicative power can be promoted only by institutions that recognise the decisional status of publics, which in turn depend on civil society to generate the deliberative benefits of the plurality of perspectives. Communicative power is not merely spontaneously generated through publics, but also through publics expressly formed through democratic institutional design.

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