Bradley Shrimpton, John McKie, Rosalind Hurworth, Catherine Bell and Jeff Richardson
Faced with an ageing population and newspaper warnings that escalating costs are leading to a health crisis, debate has intensified in Australia and elsewhere on the allocation of…
Abstract
Faced with an ageing population and newspaper warnings that escalating costs are leading to a health crisis, debate has intensified in Australia and elsewhere on the allocation of limited health resources. But whose values should inform decision‐making in the health area, and should the influence of different groups vary with the level of decision‐making? These questions were put to 54 members of the public and health professionals in eight focus groups. Unlike previous studies, participants were not asked if particular groups should be involved in decisions but rather through deliberation and discussion nominated their own potential decision‐makers. This delivered a clear message that participants saw a legitimate role for a broad range of stakeholders in priority‐setting decisions. The results suggest that qualitative methods of investigation have the potential to improve the legitimacy and accountability of policy decisions by contributing to a better understanding of the values of the public and health professionals.
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Deborah DiazGranados, Alan W. Dow, Shawna J. Perry and John A. Palesis
The purpose of this chapter is to highlight some of the critical multiteam system (MTS) issues that are faced in healthcare by utilizing case studies that illustrate the…
Abstract
Purpose
The purpose of this chapter is to highlight some of the critical multiteam system (MTS) issues that are faced in healthcare by utilizing case studies that illustrate the transition of a patient through the healthcare system and suggest a possible approach to studying these issues.
Design/methodology/approach
The approach taken by the authors is a case study approach, which is used to illustrate the transition of a patient through several venues in a healthcare system. This approach elucidates the MTS nature of healthcare. Moreover, a methodological explanation, social network analysis (SNA), for exploring the description and analysis of MTSs in healthcare is provided.
Findings
The case study approach provides concrete examples of the complex relationship between providers caring for a single patient. The case study describes the range of shared practice in healthcare, from collaborative care within each setting to the less obvious interdependence between teams across settings. This interdependence is necessary to deliver complex care but is also a source of potential errors during care. SNA is one tool to quantify these relationships, link them to outcomes, and establish areas for future research and quality improvement efforts.
Originality/value
This chapter offers a unique holistic view of the transition of a patient through a healthcare system and the interdependency of care necessary to deliver care. The authors show a methodology for assessing MTSs with a discussion of utilizing SNA. This foundation may offer promise to better understand care delivery and shape programs that can lead to improvement in care.
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This chapter focuses on women's descriptions of their own violence in nineteenth-century Ireland, as revealed in prisoner petitions held in the National Archives of Ireland. It…
Abstract
This chapter focuses on women's descriptions of their own violence in nineteenth-century Ireland, as revealed in prisoner petitions held in the National Archives of Ireland. It uses the case files of women imprisoned or sentenced to death for violent crimes such as infanticide, manslaughter, murder, wounding and assault. This chapter takes an empirical approach and considers the ways that women explained and rationalised their violent acts. An analysis of the petitions offers an insight into women's views of their own violence, gendered attitudes at the time, and women's sense of the factors that might lead to a commutation of sentence. The accuracy or truthfulness of the petitions is not important in this study; instead, the chapter explores the self-image that women wanted to portray and the tactics that they opted to use to seek a reduction in their sentences. As shown in this chapter, most women emphasised their passivity: they typically claimed to be innocent, coerced or provoked into violence.
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Feminist theory is concentrated on androcentric interpretations and the patriarchal status quo, with conflicts among feminists taking a definite second place to the concern with…
Abstract
Feminist theory is concentrated on androcentric interpretations and the patriarchal status quo, with conflicts among feminists taking a definite second place to the concern with uniting women in the face of their oppression under patriarchy. Recently, however, and especially in the United States, controversy among feminists has acquired a new intensity, with influential theorists like Gayatri Spivak and Trinh T. Minh‐ha challenging the limitations of dominant feminist paradigms.
The internationally well known Minamata disease caused by methyl mercury poisoning, which has been described as a great tragedy of the modern Japanese state in the 20th century…
Abstract
The internationally well known Minamata disease caused by methyl mercury poisoning, which has been described as a great tragedy of the modern Japanese state in the 20th century, in terms of a particular history of the “soul” narratives and practices is discussed. These narratives and practices are sometimes excluded from the authentic narratives in the state. I am exploring a historical vision connecting to the future of the Minamata disease victims as the “souls” of the Minamata disease after the “Final Settlement” in 1996. The paper's goal to suggest the “souls” of the Minamata disease is becoming out of place and it was articulated to some local people who experienced tragedies in the colonial or post-colonial situations.
Catherine Powell, Beth Fylan, Kathryn Lord, Fiona Bell and Liz Breen
The 999 ambulance call handler is critical in responding to emergency patient treatment; however, the call handlers are often a hidden component of the healthcare workforce and an…
Abstract
Purpose
The 999 ambulance call handler is critical in responding to emergency patient treatment; however, the call handlers are often a hidden component of the healthcare workforce and an under-researched group. The objective of this study is to understand stress triggers experienced by 999 ambulance call handlers that could lead to burnout and examine personal and organisational mechanisms and strategies which reduced the risk of burnout.
Design/methodology/approach
A single interview case study approach applying qualitative methods was undertaken. Participants were identified through a purposive sample of 999 ambulance call handlers with the Yorkshire Ambulance Service National Health Service Trust (UK). Participants were interviewed via telephone between July 2019 and September 2019.
Findings
In total, 18 staff participated in this study. Societal factors including public incivility and media representation and organisational factors, such as a demanding environment, lack of appreciation and career progression, training issues and protocols were key stressors. Organisational well-being services were helpful for some, but for others lacked accessibility and appropriateness. Positive public feedback and speaking with peers bolstered well-being. 999 ambulance call handlers suggested that sufficient breaks, co-design or feeding back on training and protocols and creating more informal opportunities to discuss ongoing everyday stressors as methods to reduce stress and burnout.
Originality/value
This paper explores a previously under researched area on stressors and potential burnout in 999 call handlers. This paper highlights the need for improved organisational support services and appropriate public and sector peer recognition of the role of ambulance 999 ambulance call handlers.
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Stephanie Walker, Sara Marcus, Rita Ormsby, Karen Mason, Monica Berger, Anamika Dasgupta, Catherine Stern, Ellen Sexton, Roman A. Santillan and Mitchell Brown
To report on keynote presentations at the 44th Annual LACUNY Institute held on May 18, 2007 in New York City, New York.
Abstract
Purpose
To report on keynote presentations at the 44th Annual LACUNY Institute held on May 18, 2007 in New York City, New York.
Design/methodology/approach
Conference report. Findings: The annual conference aims to provide attendees continuing professional education, invited papers and social events.
Originality value
Provides a review of some of the events of the conference.