Rory Conn, Amit Bali and Elizabeth Akers
The purpose of this paper is to examine the impact of a structured clinical leadership programme on healthcare professionals working within the British National Health Service…
Abstract
Purpose
The purpose of this paper is to examine the impact of a structured clinical leadership programme on healthcare professionals working within the British National Health Service (NHS). Clinical leadership is now regarded as essential in addressing the complex challenges in the NHS, yet few trainees of any healthcare discipline receive formal training. The study describes a peer-led evaluation of a year-long, multidisciplinary, experiential programme, the “Darzi Fellowship”, based in London.
Design/methodology/approach
An anonymous survey was analysed using a mixed-methods approach. Individual and collective experiences of fellows were evaluated, in particular the perceived impact the fellowship had on: the fellows themselves, their “host” organisation and the NHS as a whole.
Findings
A 90 per cent return rate was achieved. In all, 94 per cent reported that the experience had been valuable to them, 85 per cent feeling more empowered to effect change in healthcare systems. Crucial mechanisms to achieve this included increased self-awareness, personal reflection and the freedom to gain a greater understanding of organisations. Particular emphasis was placed on the value of developing clinical networks which promote collaboration across boundaries. Fellows emerged as more reflexive, critical and strategic thinkers.
Practical implications
This paper demonstrates the positive impact that clinical leadership training can have on participants, and the mechanisms by which future leaders can be created.
Originality/value
The novel, non-commissioned, peer-initiated and peer-led evaluation describes the personal experiences of fellows in a unique, multidisciplinary clinical leadership programme. The authors hope this will inform the development of future schemes in the NHS and provide learning for an international healthcare audience.
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The failure of an entity is not necessarily an accounting and financial problem. It may include factors such as earnings management and personal values. The problem with managing…
Abstract
Purpose
The failure of an entity is not necessarily an accounting and financial problem. It may include factors such as earnings management and personal values. The problem with managing earnings is it becomes an ethical practice, regardless of who is or may be affected by the practice or the information that flows from it. Therefore, the purpose of this paper is to survey students and business managers to measure their perceptions about the morality of earnings management actions. Accounting educators should aim to assist students to understand how they may react once confronted with an ethical conflict when in practice.
Design/methodology/approach
This paper conducts a survey of undergraduate accounting students and business managers (MBA students) at a reputed international university. Undergraduate students, majoring in accounting and business managers were surveyed to measure their perception of specific earnings‐management actions. The questionnaire includes 20 items relating to ten earnings‐management practices. The respondents were required to rate each question on a five‐point scale ranging from 1, an ethical practice, to 5, totally unethical. The frequency distributions and the mean values were calculated, using a 0.05 difference in the mean values as significant. This paper uses a similar questionnaire as Giacomino and Akers. This questionnaire was originally used by Bruns and Merchant.
Findings
The evidence in this paper shows that there is no significant difference between the perceptions of business managers and students regarding the morality of earnings management. Furthermore, the survey indicated that more courses must be offered at universities to address such aspects of ethics and earnings management.
Originality/value
This paper indicates that business students need more exposure to and understanding of earnings management. There should be regular reports of fraudulent practices as a result of earnings management by the media and academic journals and greater emphasis should be placed in the accounting curricula on earnings management practices. However, difficult, it should be integrated into business courses or a separate business ethics course or an accounting course taught by accounting and ethics academia. Furthermore, Giacomino and Akers suggest that the “real‐world” aspects of earnings management practices be enhanced and that experienced business professionals become an integral part of accounting courses. By using experienced professionals during lectures and making discussions of earning more realistic, there is an expectation that the differences between students and business managers may be reduced.
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Brian D. Fitch, Anthony H. Normore and David R. Werner
During its 230 year prison history, the United States has advocated various – and sometimes conflicting – purposes for incarceration. Each justification has rested on the tenets…
Abstract
During its 230 year prison history, the United States has advocated various – and sometimes conflicting – purposes for incarceration. Each justification has rested on the tenets of some prevailing theory of human behavior (Akers & Sellers, 2008; Jones, 2008), which attempts to answer two recurring themes: why do some people commit crimes while others do not, and how should the criminal justice system, including the correctional system, respond to such behavior (Siegel, 2003; Winfree & Abadisky, 2010; Vito, Maahs, & Holmes, 2011). This chapter offers an overview of the general tenets of what is considered morally imperative when determining “right” from “wrong”; the four key criminological perspectives of crime, as well as the ontological assumptions, either explicit or implicit, within each hypothesis. Next, the authors discuss how these assumptions dictate society's response to crime and, more specifically, the type of punishment, rehabilitative efforts, or educational opportunities offered to those who violate society's laws (Bohn & Vogel, 2011). The chapter concludes with a discussion of the types of educational programs and therapies that have demonstrated the most promise at reducing crime and recidivism, as well as suggestions for improving current correctional practices.
Since 1986, there has not been another federal immigration reform policy that has legalized the status of the undocumented migrants living and working inside the United States…
Abstract
Since 1986, there has not been another federal immigration reform policy that has legalized the status of the undocumented migrants living and working inside the United States. Instead, there has been only criminalization and punitive measures. From the administrations of Bill Clinton to Donald Trump, and now that of Joe Biden, there has been a bipartisan continuity of the “enforcement-only approach,” which has corresponded with capital's increased reliance and preference for non-citizen labor. The abandonment of inclusive citizenship and rights-based immigration reform in favor of restrictive measures allows for capitalists to increase capital accumulation through greater exploitation of migrant workers. Working backwards from this process shows how this method of labor procurement and exploitation extends from the roots of imperialist expansionism abroad: the imposition of free-trade agreements and economic displacement, regional militarization, and the regulation and criminalization of cross-border migration. Because of these factors, it has become apparent that prospects for citizenship and rights-based reform will not likely be advanced electorally within the current configuration of party politics in the United States, and has therefore shifted to different forms of class struggle in workplaces and communities across the country.
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Juvenile delinquency research has identified two vital (and related) concepts to this area of study: age of onset and escalation. In this investigation, escalation is examined as…
Abstract
Juvenile delinquency research has identified two vital (and related) concepts to this area of study: age of onset and escalation. In this investigation, escalation is examined as a function of early drinking. Added to this are the influences of deviant peers and the social control effects of family and church. My analysis shows that consuming alcohol at a young age is correlated with illegal drug use, committing a greater number of illegal acts, committing more serious offences, and being confronted by police for delinquent behavior. Moreover, I show that peer influence has a greater impact on individual behavior than do other social control mechanisms. In conclusion, I offer a critique of current policies aimed at teenage drinking and argue in favor of preventative, rather than prohibitive strategies.
The potential for a ‘narrative turn’ in victimology carries with it all kinds of possibilities and problems in adding nuanced understandings smoothed out and sometimes erased from…
Abstract
The potential for a ‘narrative turn’ in victimology carries with it all kinds of possibilities and problems in adding nuanced understandings smoothed out and sometimes erased from the vision of victimhood provided by criminal victimisation data. In this chapter, we explore the methodological and theoretical questions posed by such a narrative turn by presenting the case of June: a mother bereaved by gun violence that unfolded in Manchester two decades ago. Excavated using in-depth biographical interviewing, June told the story of the loss of her son, the role of faith in dealing with the aftermath of violence and eventually, how this story became a source for change for the community in which it was read and heard. June's story provided an impetus for establishing a grassroots antiviolence organisation and continued to be the driver for that same group long after the issue it was formed to address had become less problematic. As a story it served different purposes for the individual concerned, for the group they were a part of and for the wider community in which the group emerged. However, this particular story also raises questions for victimology in its understanding of the role of voice in policy and concerning the nature of evidence for both policy and the discipline itself. This chapter considers what lessons narrative victimology might learn from narrative criminology, the overlaps that the stories of victims and offenders might share and what the implications these might have for understanding what it means to be harmed.
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Elizabeth Popp Berman and Abby Stivers
The United States has been at the forefront of a global shift away from direct state funding of higher education and toward student loans, and student debt has become an issue of…
Abstract
The United States has been at the forefront of a global shift away from direct state funding of higher education and toward student loans, and student debt has become an issue of growing social concern. Why did student loans expand so much in the United States in the 1990s and 2000s? And how does organization theory suggest their expansion, and the growth of federal student aid more generally, might affect higher education as a field? In the 1960s and 1970s, policy actors worked to solve what was then a central problem around student loans: banks’ disinterest in lending to students. They did this so well that by 1990, a new field of financial aid policy emerged, in which all major actors had an interest in expanding loans. This, along with a favorable environment outside the field, set the stage for two decades of rapid growth. Organization theory suggests two likely consequences of this expansion of federal student loans and financial aid more generally. First, while (public) colleges have become less dependent on state governments and more dependent on tuition, the expansion of aid means colleges are simultaneously becoming more dependent on the federal government, which should make them more susceptible to federal demands for accountability. Second, the expansion of federal student aid should encourage the spread of forms and practices grounded in a logic focused on students’ financial value to the organization, such as publicly traded for-profit colleges and enrollment management practices.
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The Institution of Mechanical Engineers celebrated its 150th anniversary in a symposium on 7‐8 July at the Queen Elizabeth II Conference Centre in London. Its theme was “Visions…
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The Institution of Mechanical Engineers celebrated its 150th anniversary in a symposium on 7‐8 July at the Queen Elizabeth II Conference Centre in London. Its theme was “Visions of the Future ‐ improving the quality of life through technology”, and many senior speakers were invited from industry and academia. Reviews in summary some of the presentations of particular relevance to readers interested in technology.
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AT the very outset of this paper it is necessary to make clear that it is not an attempt to compile an exhaustive bibliography of literature relating to special librarianship…
Abstract
AT the very outset of this paper it is necessary to make clear that it is not an attempt to compile an exhaustive bibliography of literature relating to special librarianship. Neither space nor time permit this. In fact, the references given can only claim to be a sample of the wealth of material on the subject and this paper is submitted in the hope that it will stimulate others to more scholarly efforts. Reference numbers throughout this paper refer to items in the ‘Select list of references to the literature of special librarianship’, section 2 onwards.
NANCY ALLEN is Communications Librarian at the University of Illinois, Urbana, where she has previously held the positions of Assistant Undergraduate Librarian and Reserve Book…
Abstract
NANCY ALLEN is Communications Librarian at the University of Illinois, Urbana, where she has previously held the positions of Assistant Undergraduate Librarian and Reserve Book Librarian. She earned her M.S. in Library Science at the University of Illinois, Urbana. Ms. Allen's writings have appeared in American Libraries, Film Library Quarterly, and Journalism Quarterly. She is author of Film Study Collections: A Guide to Their Development and Use.