William O'Driscoll, Gill Livingston, Anne Lanceley, Caoimhe Nic a' Bháird, Penny Xanthopoulou, Isla Wallace, Manonmani Manoharan and Rosalind Raine
The purpose of this paper is to explore physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors…
Abstract
Purpose
The purpose of this paper is to explore physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors underlying effective care and to identify areas in which patient experience could be improved.
Design/methodology/approach
Totally, 12 MDTs within the North Thames area participated; the authors recruited 13 patients from physical health MDTs and seven patients from mental health MDTs. The authors conducted semi-structured interviews with each participant and thematically analysed the transcripts.
Findings
The study found a marked contrast in patient experience: physical health patients emphasised their faith in the judgement of MDT clinicians, described experiencing high quality care and expressed a strong preference not to attend MDT meetings; mental health patients highlighted a range of negative experiences, were frequently sceptical about their diagnosis, and expressed a desire to have greater involvement in the decisions directing their care.
Research limitations/implications
It was necessary to revise the initial target of interviewing six patients per MDT due to recruitment difficulties.
Practical implications
In order to improve care, mental health MDTs should focus on promoting a shared understanding of illness by increasing the transparency of the diagnostic process. Key factors underlying effective MDT care in physical health services include enabling patients to determine their level of involvement in decision making and ensuring patients have a clear understanding of their care plan.
Originality/value
The paper highlights the importance of mental health MDTs focusing on developing a shared understanding of illness with their patients.
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Managing differences is a difficult undertaking, especially considering the difficulties arising from the unconscious functions of our brains. Organisations should strive to…
Abstract
Managing differences is a difficult undertaking, especially considering the difficulties arising from the unconscious functions of our brains. Organisations should strive to counteract the potentially harmful effects of unconscious bias by implementing policies that support bias-aware management and decision-making. Although it is obvious that bias cannot be completely eliminated, there is enough data, as discussed in this work, to demonstrate that unconscious bias and stereotypes can be addressed and decreased with mindfulness-based interventions (MBIs) to some extent. Mindfulness involves the process of bringing non-judgemental awareness to experience by striving for full attention in the present moment. In this context, including mindfulness practises into training programmes for equality, diversity, and inclusion may serve as an accelerator for recognising hidden biases, reducing stereotypes, eliminating discrimination, and encouraging cognitive changes. This chapter explains the ways in which MBIs can be used to promote cognitive changes and comprehend the automatic and unconscious nature of emotions and thoughts in order to remove barriers between all differences in the workplace.
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The black and ethnic minority (BME) elderly population in England and Wales is increasing. As dementia is an age‐related disorder and the prevalence of depression in old age is…
Abstract
The black and ethnic minority (BME) elderly population in England and Wales is increasing. As dementia is an age‐related disorder and the prevalence of depression in old age is high, the absolute number of cases of dementia and depression will increase among BME elders. This has implications for the development and delivery of old age psychiatry services (OAPSs) for BME elders. Demographic data pertaining to the elderly from BME groups in the 2001 population census were analysed in detail to evaluate the implications for development and delivery of OAPSs for BME elders. The demographic changes identified have important future implications for the development and delivery of OAPSs for BME elders. Unless they are addressed systematically, BME elders will continue to harbour untreated, hidden psychiatric morbidity. Strategies to ensure that this vulnerable group of elderly are identified and provided with accessible, acceptable and culturally sensitive OAPSs should be developed.
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This study offers a lens for exploring women leaders’ production of resistance through postfeminist discourses. Through the case study of Bozoma Saint John, a high-profile Black…
Abstract
Purpose
This study offers a lens for exploring women leaders’ production of resistance through postfeminist discourses. Through the case study of Bozoma Saint John, a high-profile Black C-Suite executive, this study examines micro-acts of subversion and considers the extent they can promote feminist thinking in the corporate world and the implications for feminist theorising about women in leadership.
Design/methodology/approach
Interviews with Saint John were collected from YouTube and examined using feminist critical discourse analysis informed by intersectionality, feminist poststructuralism and Foucault’s notion of “reverse discourse”.
Findings
Saint John reproduces elements of the postfeminist confidence discourse to defy stereotypes of Black women, while simultaneously reversing the individualistic conception of confidence in favour of corporate and collective action. This has the potential to facilitate positive change, albeit within the boundaries of the confidence culture.
Research limitations/implications
Combining reverse discourse, intersectionality and feminist poststructuralism with a micro-level analysis of women leaders’ language use can help to capture the ways postfeminist concepts are given new subversive meanings.
Originality/value
Whereas existing studies have focused on how elite women’s promotion of confidence sustains the status quo, this study shifts the research gaze to the resistance realised through rearticulations of confidence, illustrating how women-in-leadership research can advance feminist theorising without vilifying senior women even as they participate in postfeminist logics of success.
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THE scientist and philosopher will tell us that the mind of man cannot in a lifetime fully grasp and understand any one subject. Consequently it is unreasonable to expect that the…
Abstract
THE scientist and philosopher will tell us that the mind of man cannot in a lifetime fully grasp and understand any one subject. Consequently it is unreasonable to expect that the librarian—who, in spite of popular belief, is but man—can have a complete understanding of every department of knowledge relative to his work. He must, in common with his fellows in other callings, content himself with a more or less general professional knowledge, and may specialize, if he be so disposed, in certain branches of that knowledge. The more restricted this particular knowledge is, the greater will be its value from a specialistic point of view.
Anfan Chen, Zhuo Chen and Aaron Yikai Ng
This study examines the role of crowd wisdom in misinformation correction. Going beyond fact-checking, we investigate the mechanisms underlying laypeople’s participation in…
Abstract
Purpose
This study examines the role of crowd wisdom in misinformation correction. Going beyond fact-checking, we investigate the mechanisms underlying laypeople’s participation in misinformation correction. Drawing upon the Norm Activation Model (NAM), this study conceptualizes misinformation correction as a prosocial behavior and examines the impact of various media and social psychological factors on laypeople’s motivations to engage misinformation correction behavior.
Design/methodology/approach
Through a national survey of 1,022 respondents, we explore the norm activation process triggered by the perceived prevalence of online misinformation, which directly and indirectly impacts online misinformation correction intentions via awareness, norms, and efficacy. This mechanism was tested using structural equation modeling.
Findings
This study found that perceived prevalence of misinformation, self-efficacy, and outcome efficacy play multilayered roles in shaping misinformation correction intentions. The effects were mediated by the activation of personal norms, which showed the strongest direct relationship with correction intentions. However, these factors also demonstrated direct associations with correction intentions, indicating multiple paths in misinformation correction.
Originality/value
Differing from mainstream fact-checking approaches, this study provides a more comprehensive examination of the mechanisms underlying laypeople’s willingness to engage in social media misinformation correction behaviors. In addition, this study also extends NAM by incorporating media environment (perceived prevalence of online misinformation) into the model, identifying more paths affecting misinformation correction behaviors.
Peer review
The peer review history for this article is available at: https://publons.com/publon/10.1108/OIR-09-2023-0437
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Abstract
This chapter discusses the control of women's bodies and minds through the daily practices of menstrual control apps. Based on Michel Foucault's concepts (2003, 2006, 2013), the research is based on women's relationship with their own bodies. Still, it is wider than the body per se since the central theme is the construction of subjectivities. This paper embraces power modalities and explores disciplinary and discursive practices and regimes of truth, biopower, biopolitics and governance. The paper frames the fundamental points of Michel Foucault's analysis of power and how they are associated with strategies used for menstrual tracking apps. It looks at how apps act on the subjectivity of being a woman, shaping ways of thinking and acting. It looks at how disciplinary practices, knowledge–power and surveillance, as Foucault tells us, relate to themselves and medicine. The text highlights that monitoring data and corporate surveillance by menstrual apps poses unprecedented challenges to feminist politics. Therefore, we argue that the technology of menstrual tracking apps acts subtly and uninterruptedly to docilise female bodies and make them useful. Trying to find new paths and solutions from a feminist and critical perspective, we offer suggestions for further research on the topic, disregarding liberal approaches which rely on media literacy exclusively rather than a holistic comprehension of technology and women's rights.
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This paper seeks to describe a “bubble strategy” to public sector change, based on the principles that a change initiative must be defensible and supportive of an alternative…
Abstract
Purpose
This paper seeks to describe a “bubble strategy” to public sector change, based on the principles that a change initiative must be defensible and supportive of an alternative, entrepreneurial culture.
Design/methodology/approach
The research is developed through an action research case in Salford City Council, through which theory from technology innovation, change management and other sources is explored.
Findings
The paper finds that the managers developed a dynamic process wherein their ability to defend the new change initiative was primary. This required “under‐the‐radar” tactics that allowed different elements of the change initiative to grow before they were assessed or adopted by the wider organisation.
Research limitations/implications
The paper speculates on the ways in which the characteristics of the “bubble” could be adopted elsewhere. However, as an action research case, restrictions on the generalisability of the evidence are noted.
Practical implications
The “bubble” strategy is set out in its constituent parts and is thereby available for adoption elsewhere.
Originality/value
The strategy employed in the case is not documented elsewhere. The paper utilizes technology innovation theory and related literature like “skunk works”, outside their intended private sector context.
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When it comes to capital spending, British industry's habit of departmentalising budgets is reflected in piecemeal acquisition of materials handling equipment, says John Williams…
Abstract
When it comes to capital spending, British industry's habit of departmentalising budgets is reflected in piecemeal acquisition of materials handling equipment, says John Williams of the Materials Handling Centre. Yet an efficient handling system is as beneficial to warehousing and distribution as it is to production.