Anglicization and canonization of ballroom dance, late 19th - early 20th century

Purpose of the Article. The aim of the article is to analyze the processes of anglicization and canonization of ballroom dance, during the period of democratization of social dances in England, in the late 19th - early 20th centuries. Methodology is an organic set of basic principles of research: objectivity, historicism, multifactor essence, systematicity, complexity, development, and pluralism, to achieve the goal, the following methods of scientific knowledge are used: problem-chronological, concrete historical, statistical, descriptive, logical- analytical. Scientific Novelty. The scientific novelty lies in the identification of the processes of origin and development of competitive ballroom dancing in England at the end of the 19th - beginning of the 20th centuries. Conclusions. The widespread democratization of social dancing in England began as early as the 19th century when the Austrian waltz and other ballroom dancing became popular among all social strata. Democratic fervor of the common people, which at the end of the XIX century got the opportunity to relax on the resort coast of Great Britain, gave birth to the first dance competition in ballroom dancing. It was often noted by professional dance experts that the new British dance forms were superior to the original. Certainly, the distinctive features and high quality of British ballroom dancing were a matter of special professional pride. The advantages of a standardized English style as early as the late 30s. The XX century was recognized outside the country for the extraordinary success of British dancers in international ballroom dancing championships. Gradually, it established the international standard for ballroom dancing and was adopted by many of the world's dance organizations at the national level, with the exception of the United States of America (by many American competitive ballroom dancers, the English style was not adopted until the 1960s.).

Centrality and compatibility of institutional logics when introducing value-based reimbursement

PurposeUsing financial incentives has been criticised for putting too much focus on things that can be measured. Value-based reimbursement may better align professional values with financial incentives. However, professional values may differ between actor groups. In this article, the authors identify institutional logics within healthcare-providing organisations. Further, the authors analyse how the centrality and compatibility of the identified logics affect the institutionalisation of external demands.Design/methodology/approach41 semi-structured interviews were conducted with representatives from healthcare providers within spine surgery in Sweden, where a value-based reimbursement programme was introduced. Data were analysed using thematic content analysis with an abductive approach, and a conceptual framework based on neo-institutional theory.FindingsAfter the introduction of the value-based reimbursement programme, the centrality and compatibility of the institutional logics within healthcare-providing organisations changed. The logic of spine surgeons was dominating whereas physiotherapists struggled to motivate a higher cost for high quality physiotherapy. The institutional logic of nurses was aligned with spine surgeons, however as a peripheral logic facilitating spine surgery. To attain holistic and interdisciplinary healthcare, dominating institutional logics within healthcare-providing organisations need to allow peripheral institutional logics to attain a higher centrality for higher compatibility. Thus, allowing other occupations to take responsibility for quality and attain the feeling of professional pride.Originality/valueInterviewing spine surgeons, physiotherapists, nurses, managers and administrators allows us to deepen the understanding of micro-level behaviour as a reaction (or lack thereof) to macro-level decisions.

A qualitative analysis of third-year medical students’ reflection essays regarding the impact of COVID-19 on their education

Background The COVID-19 pandemic fundamentally changed every aspect of healthcare delivery and training. Few studies have reported on the impact of these changes on the experiences, skill development, and career expectations of medical students. Method Using 59 responses to a short reflection essay prompt, 3rd year medical students in Philadelphia described how the COVID-19 pandemic affected their education in mid-2020. Using conventional content analysis, six main themes were identified across 14 codes. Results Students reported concerns regarding their decreased clinical skill training and specialty exposure on their career development due to the loss of in-person experience during their family medicine clerkship. A small number felt very let down and exploited by the continued high cost of tuition while missing clinical interactions. However, many students also expressed professional pride and derived meaning from limited patient and mentorship opportunities. Many students developed a new sense of purpose and a call to become stronger public health and patient advocates. Conclusions The medical field will need to adapt to support medical students adversely impacted by the COVID-19 pandemic, from an educational and mental health standpoint. However, there are encouraging signs that this may also galvanize many students to engage in leadership roles in their communities, to become more empathetic and thoughtful physicians, and to redesign healthcare in the future to better meet the needs of their most vulnerable patients.

Effects of Occupational Drivers’ Traffic Accident History on Risk Perception, Work Attitudes, and Unstable Driving

In previous studies the risk perception of future accidents was the main variable likely to affect safe driving. However, findings on the relationship between traffic accident history and risk perception of future accidents have been inconsistent. Moreover, in the case of occupational drivers, work attitudes could be the main factor affecting safe driving. However, no research has been conducted on the direct relationship between traffic accident history and work attitudes. Therefore, present study examined the effect of occupational drivers’ traffic accident history on their risk perception, work attitudes, and unstable driving. Data analysis was based on a self-reported survey of Korean occupational drivers (n = 388) and their official traffic accident records. Results show that traffic accident history was associated significantly with professional pride, job satisfaction, and aggressive driving but not with risk perception of future accidents or job stress. Moreover, all variables measuring unstable driving behavior were significantly related to professional pride, job satisfaction, and job stress. Furthermore, professional pride turned out to mediate the relationship between traffic accident history and current unstable driving. The major finding is that there is no significant relationship between traffic accident history and risk perception of future accidents. Furthermore, traffic accident history has a significant effect on positive variables such as professional pride and job satisfaction but not on negative variables such as job stress. In addition, the significant mediator in the relationship between traffic accident history and current unstable driving behavior was only professional pride.

Why nurses stay in departments with low turnover: A constructivist approach

Hospital nursing shortage is a global problem caused by nurse dissatisfaction with their manager, an extensive workload and a stressful work environment. The study aimed to investigate nurses’ experiences of practices in hospital departments with low nurse turnover rates in relation to culture, work environment, nursing competencies, and nurse management. A constructivist design using a positive deviance approach was used for this study. Four hospital departments with the lowest nurse turnover in the Zealand region of Denmark served as settings. Data were collected from 13 nurses through focus-group conversations and analysed using directed content analysis. The reporting adhered to the COREQ checklist. The three themes – collaborative fellowship, professional pride, and embracing management – revealed a sense of community between nurses and department managers. Even though the nurses’ daily practice was exhausting, they stayed in their positions due to the special culture in the departments, which brought the nurses closer together.

Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare

Background The delivery of high-quality service in nursing homes and homecare requires collaboration and shared understanding among managers, employees, users and policy makers from across the healthcare system. However, conceptualizing healthcare professionals’ perception of quality beyond hospital settings (e.g., its perspectives, defining attributes, quality dimensions, contextual factors, dilemmas) has rarely been done. This study therefore explores the meaning of “quality” among healthcare managers and staff in nursing homes and homecare. Methods The study applies a cross-sectional qualitative design with focus groups and individual interviews, to capture both depth and breadth of conceptualization of quality from healthcare professionals in nursing homes and homecare. We draw our data from 65 managers and staff in nursing homes and homecare services in Norway and the Netherlands. The participants worked as managers (n = 40), registered nurses (RNs) or assistant nurses (n = 25). Results The analysis identified the two categories and four sub-categories: “Professional issues: more than firefighting” (subcategories “professional pride” and “competence”) and “patient-centered approach: more than covering basic needs” (subcategories “dignity” and “continuity”). Quality in nursing homes and homecare is conceptualized as an ongoing process based on having the “right competence,” good cooperation across professional groups, and patient-centered care, in line with professional pride and dignity for the patients. Conclusion Based on the understanding of quality among the healthcare professionals in our study, quality should encompass the softer dimensions of professional pride and competence, as well as a patient-centered approach to care. These dimensions should be factors in improvement activities and in daily practice.

Like Soldiers on the Front – A Qualitative Study Understanding the Frontline Healthcare Professionals’ Experience of Treating and Caring for Patients With COVID-19

Background: While people in the societies must stay home to reduce spread of the newly discovered coronavirus, healthcare professionals do the exact opposite. For them the coronavirus is an enemy that should be defeated as a part of one’s job. They do, however, also have a daily life with family while doing their work obligations. The purpose of this study was to gain an in-depth understanding of the frontline healthcare professionals’ experience of balancing work life and family life during the COVID-19 pandemic.Methods: A sample of 22 frontline healthcare professionals caring for patients with COVID-19 was included and interviewed individually from May to August 2020. Ricoeur’s phenomenological hermeneutical philosophy inspired the methodology in this study. Result: Frontline healthcare professionals treating and caring for patients with COVID-19 are, voluntarily or involuntarily, forced to be ready to change departments as well as being ready to face the unknown coronavirus. The frontline work leads to feelings of being abandoned among their families and friends due to the threat of bringing the infection home and spreading the virus. Although healthcare professionals are facing a working life filled with uncertainty and unpredictability impacting their family life, they express opposing feelings of being a part of something bigger. Conclusion: The work life balance for these healthcare professionals is threatened by changes in professional responsibilities, working hours and shifts. Fear of bringing the infection home challenges them ethically and creates a distance between healthcare professionals and their families, leading to a conflict within the individual if their work on the frontline is worth it - or if it is a too high price to pay. Despite facing a working life filled with uncertainty and unpredictability the healthcare professionals are being a part of something bigger that contributes to a fighting spirit and professional pride outweighing the negative consequences; like being soldiers on the front.

A Culture of Organizational Grit From the Perspective of U.S. Military Officers: A Qualitative Inquiry

With the backdrop of the utility of grit at the individual level, speculation has begun to circulate that grit may exist as an organizational level phenomenon. To explore this potential construct, this study used an exploratory, qualitative research design. This study explored grit at the organizational level by interviewing leaders’ perceptions of what may be a culture of organizational grit. Participants included 14 U.S. military officers. Seven themes emerged relative to the research question: “What do U.S. military officers perceive as a culture of organizational grit?” Themes included professional pride, team unity, resilience-determination, mission accomplishment, core values, growth mindset, and deliberate practice. This study indicated that a culture of organizational grit is likely a combination of converging organizational elements. Overall, findings indicate that there may be a culture of organizational grit in the military and at the least, more research examining the concept is warranted.