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1 – 10 of 140This article describes an effort to ease the tension between boundary spanning roles for interns participating in a yearlong Professional Development School (PDS) program. In…
Abstract
Purpose
This article describes an effort to ease the tension between boundary spanning roles for interns participating in a yearlong Professional Development School (PDS) program. In order to do this, the structure of a Social Studies Methods course was revised to mimic a professional learning community (PLC) and assignments were not evaluated for grades.
Design/methodology/approach
A conceptual paper that relies on self-reflection as well as student reaction, work samples and survey data.
Findings
The findings demonstrate both practices contribute to a collegial and less stressful environment for interns, while not affecting the quality of work submitted.
Originality/value
This paper highlights two of the nine NAPDS essentials, Professional Learning and Leading (3) and Boundary Spanning (8), and describes the ways both are incorporated and addressed in a PDS situated methods course. Describing course revisions, including the implementation of an ungrading practice, provides examples for potential replication.
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Attempts to shed light on the mental health needs of ethnic minorities and the inadequacies of the existing mental health needs for them. Considers the drawbacks in the delivery…
Abstract
Attempts to shed light on the mental health needs of ethnic minorities and the inadequacies of the existing mental health needs for them. Considers the drawbacks in the delivery system and provides guidelines for improved assessment, treatment, treatment strategies and preventative measures. Uses analysis of recent psychological and sociological developments in the field of mental health.
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Angele Pieters, Charlotte van Oirschot and Henk Akkermans
The purpose of this paper is to report on a study investigating the limits of the applicability of the focused factory concept (FFC) in health care. The case setting comes from…
Abstract
Purpose
The purpose of this paper is to report on a study investigating the limits of the applicability of the focused factory concept (FFC) in health care. The case setting comes from the Dutch obstetric care system, which is organised by principles in sync with the FFC; the organisation for “simple” pregnancies (independent midwifery practices) is fully separated from that for “complex” pregnancies (obstetric departments in hospitals). The paper investigates the degree of fit between how the Dutch obstetric care system is organised and how it operates (internal fit).
Design/methodology/approach
This study analyses one year of patient data from one obstetric hospital department and from one midwifery practice in its immediate geographical proximity. Data were collected regarding the medical condition, consultations, and delivery. These data were used to test the degree to which the obstetric care system operates in line with the FFC; one would expect the midwifery practice to operate as a “line process”, and the obstetric department as a “jobbing process”.
Findings
Findings suggest that the Dutch obstetric care sector is designed in line with the FFC, but does not operate accordingly. Root causes for this misalignment can be found in the characteristics of the medical condition of pregnancy.
Research limitations/implications
The fact that the data concern only one region must raise caution for generalisation. However, the fact that medical conditions, which can be assumed to be universal, lead to an intrinsic mismatch between the FFC organisation and medical operational reality, suggests that this paper may have broad implications for theory and practice.
Practical implications
For the Dutch obstetric case system, this paper is one in a series that casts doubts on the sustainability of the two‐tiered system. For obstetric care in general, integrated care seems preferable to the FFC. For health care in general, this paper suggests that caution is required in applying the FFC. Moreover, in OM research for health care, more efforts should be made to understand how medical conditions affect the daily operational processes and, hence, the organisational design.
Originality/value
Most of the studies focusing on the applicability of the FFC look at financial and medical outcomes. This paper is original in that it looks at what drives these outcomes, i.e. the degree of fit between strategy, organisational design and operational performance.
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J. Robyn Goodman, Ryan Theis and Elizabeth Shenkman
The purpose of this research is to understand how low-income, ethnically diverse, Medicaid recipients read, interpret and use culturally tailored health communications…
Abstract
Purpose
The purpose of this research is to understand how low-income, ethnically diverse, Medicaid recipients read, interpret and use culturally tailored health communications, specifically health plan report cards and health intervention/wellness program recruitment materials.
Design/methodology/approach
The paper reports two exploratory studies on message design. Researchers considered 12 focus groups for Study 1, consisting of 51 African-American, Hispanic and non-Hispanic White men and women who were enrolled in Medicaid and had a behavioral health diagnosis and a chronic disease. Researchers considered 22 focus groups for Study 2, consisting of 102 Hispanic, African-American and non-Hispanic White women enrolled in Medicaid.
Findings
The paper provides qualitative insights into how underserved populations interpret the visual and verbal aspects of health communications. Key findings include problems with cultural tailoring and monetary incentives for health improvement program participation, message components that show respect and are more likely to be read, how visuals can expand verbal messages and provide symbolic models and specifics on the desired image content.
Research limitations/implications
Because of the qualitative approach, the research results may lack generalizability. Thus, researchers suggest conducting quantitative studies to test these findings.
Practical implications
The paper includes implications for the development of powerful verbal and visual messaging for underserved populations. Additionally, the findings suggest a need to include emotional response in health communication theories and to incorporate visual communication theories in message design studies.
Originality/value
Research on health communication with underserved populations is limited, yet these populations have higher incidences of death and disability from disease. This paper fulfills a need to discover best health communication practices with underserved populations.
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Derek Ong, Shirley Chiu, Elizabeth Andrews and Geetha Nadarajan
The global food waste and food scarcity paradox is steadfastly increasing. This study aims to examine the effects of digital nudging as forms of positive and negative…
Abstract
Purpose
The global food waste and food scarcity paradox is steadfastly increasing. This study aims to examine the effects of digital nudging as forms of positive and negative reinforcement to change food waste behavior and found that nudging positive reinforcement modifies this habit.
Design/methodology/approach
A field experiment was conducted on 628 diners randomly split into experiment (n = 412) and control group (n = 216) in two separate dining locations over four weeks. Out of these, 412 diners were randomly subjected to tent cards with positive (n = 228) and negative (n = 184) reinforcement nudging and completed a questionnaire to ascertain if nudging affects their consumption behavior. Consumption waste per unit revenue was calculated from all 628 diners individually to analyze the financial impact between control and experiment groups.
Findings
SEM analysis reveals that positive reinforcement mediates between external motivators (social media and restaurant service) and reduction of food waste behavior. Further analysis also reveals that nudging has a higher three times effect on reducing food waste as compared with no nudging (control).
Social implications
Positive messaging encourages behavior change more effectively as compared to negative ones. Gentle reminders of how everyone can personally be a “warrior” or “hero” in the fight against global food waste increases the likelihood of altruistic motivation in tackling these issues.
Originality/value
This study demonstrates how positive reinforcement in the form of nudges acts as key mediator to support reduction of consumer food waste on site, ultimately helping to reduce financial costs compared to those without nudges.
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This paper takes as its starting point the prediction made by the National Economic Development Office/Training Commission Report of July 1988 that four out of five new entrants…
Abstract
This paper takes as its starting point the prediction made by the National Economic Development Office/Training Commission Report of July 1988 that four out of five new entrants to the labour market in the 1990's will be women returning to work. It asks whether the demographic shift will increase the opportunities available to women returning to work. To what extent do employers’ perceived labour needs match the aspirations of women returners? What relationship is there, if any, between equal opportunities policies and the anticipated demand for women returners? What is the role of a state which is reluctant to intervene?
The essay builds a timeline of the friendship and intellectual intercourse between Sraffa and Wittgenstein with data from both their Cambridge Pocket Diaries (CPDs) and their…
Abstract
The essay builds a timeline of the friendship and intellectual intercourse between Sraffa and Wittgenstein with data from both their Cambridge Pocket Diaries (CPDs) and their correspondence and biography. The timeline distinguishes five phases: their first meetings until June 1930, the time in which their weekly conversations run uninterrupted (October 1930–June 1933); the period in which the enchantment of their previous meetings was broken (October 1933–July 1936); the following decade in which their meetings were in some years intense, in others nearly inexistent, until Sraffa decided to put an end to their conversations; and finally the years preceding Wittgenstein’s death. The meetings between Sraffa and Wittgenstein from their CPDs are listed in the Appendix.
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Ruth Heilbronn and Rosalind Janssen
Research suggests that parentally bereaved children are likely to experience lower academic success and may need long-term support through tertiary education. Gender matters …
Abstract
Research suggests that parentally bereaved children are likely to experience lower academic success and may need long-term support through tertiary education. Gender matters — boys bereaved of fathers and girls bereaved of mothers are at increased risk. Boys also exhibit higher levels of emotional and behavioural issues following bereavement. Age is another factor and exam results of children bereaved before the age of five or at twelve are significantly more affected than those bereaved at other ages. Circumstances affecting these achievements concern the relationship between the child’s emotional state and how it plays out in behaviour and motivation in school.
Significantly, Freddie Pargetter, the subject of the chapter, has a twin sister, Lily. The twins had just turned 12 when their father was killed. Comparing the twins’ General Certificate of Education (GCSE) results fits the research patterns — Lily managed well and Freddie did not. Freddie recognises that the academic environment of Felpersham Cathedral School did not support him well and chooses Borchester FE College to continue his studies. This choice raises controversy in the family, indicative of well-rehearsed, real-world educational arguments. Social media responses to other Archers plot lines reveal the extent of how educational issues in the programme resonate with listeners.
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