Jeanette Prorok, Kelly Kay, Adam Morrison and Salinda Anne Horgan
Performance measures are an important mediating mechanism that influences the design and delivery of care. Unfortunately, it is still commonly the case that acute care indicators…
Abstract
Purpose
Performance measures are an important mediating mechanism that influences the design and delivery of care. Unfortunately, it is still commonly the case that acute care indicators are employed to assess the efficacy of integrated care. This hinders the ability to accurately assess and continuously improve integrated care efforts for priority populations, including older persons who live with complex health and social care requirements. A core set of indicators is needed from which to assess the quality and impact of integrated care on these older persons and care partners.
Design/methodology/approach
A modified Delphi process was employed that comprised of the following steps: (1) selection of an indicator inventory (2) defining criteria for ranking and achieving consensus, (3) recruiting participants, (4) iterative voting rounds and analysis and (5) selection of a core indicator set.
Findings
The study produced a core set of 16 indicators of integrated care that pertain to older persons who live with health and social care requirements. The set can be applied by health and social care organizations and systems to assess the quality and impact of integrated care for this population across the continuum of care.
Research limitations/implications
Although the gap in the availability of relevant indicators was the impetus for the study, this also meant there was a dearth of validated indicators to draw from. There are significant gaps in commonly used data sets with respect to indicators of integrated care as it relates to older persons and care partner.
Practical implications
The indicator set is intended to follow the older person and care partner throughout their health journey, enabling a whole systems view of their care. The set can be used in full or in part by health and social care systems and organizations across various primary, acute, rehabilitative and community settings for program development and evaluation purposes.
Social implications
The core set of indicators that emerged out of this study is a first step toward ensuring that older persons who live with complex health and social care requirements and their care partners receive quality integrated care across the continuum of care.
Originality/value
The findings are informed by the perspectives of older persons, care partners and healthcare professionals. Future research is needed to test, validate and potentially expand the indicator set.
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The purpose of this paper is to define a systematic management structure that helps police practitioners institutionalize performance management and analysis in more…
Abstract
Purpose
The purpose of this paper is to define a systematic management structure that helps police practitioners institutionalize performance management and analysis in more rational‐technical ways.
Design/methodology/approach
The design is based on Gold's “complete participant” field researcher method.
Findings
The findings suggest a performance management model is more rational than the traditional command‐control model and may increase consistency in police management by systematically collecting and reporting on streams of data to measure performance instead of relying on rote compliance.
Research limitations/implications
The model is limited because it does not account for important intangible qualities of performance (e.g. attitude, initiative, judgment); in the hands of autocratic managers it can be oppressive and cause more problems than it solves; it may constrain officer discretion; it has not been advanced as a learning instrument; and performance indicators are subject to measurement error.
Practical implications
Most police agencies are already capturing the necessary data elements to implement a performance management model. Police executives and policymakers can use this model to definitively measure how well police agencies and individual programs are performing.
Originality/value
The paper represents an opportunity for police practitioners to embrace a new management process intended to improve performance and accountability. The framework is a universal management process that can be applied to any size police agency or any police program.
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Mark J. Ahn, Larry W. Ettner and Amanda Loupin
Using a values‐based leadership perspective, the paper aims to explore the Aeneid, Virgil's foundation epic of the Latin canon. Specifically, it aims to analyse the Aeneid in…
Abstract
Purpose
Using a values‐based leadership perspective, the paper aims to explore the Aeneid, Virgil's foundation epic of the Latin canon. Specifically, it aims to analyse the Aeneid in order to juxtapose the resonant leadership elements of vision, culture and values – and their corresponding equivalent Roman themes of fatum, pietas, and virtus.
Design/methodology/approach
Using a thematic analysis approach, the Aeneid was coded for key leadership themes; and a mixed‐method research framework was employed to juxtapose the leadership lessons identified to the demands of modern leadership.
Findings
The paper finds resonating elements of a compelling vision and strong culture – and coded the following eight values: integrity, good judgment, leadership by example, decision making, trust, justice/fairness, humility, and sense of urgency – in the Aeneid. Whether viewed qualitatively or quantitatively – or across sectors (i.e. for profit, non profit, government) – the findings of this study affirm the explicit relevance of the Aeneid to the demands of modern leadership. Moreover, integrity was found to be a superordinate value – without which the remaining values have far less significance.
Originality/value
This research highlights a leadership paradox – while managerial traits are an important consideration for the prevailing operational context in the short term, a values‐based approach to hiring, promoting and retaining leaders may be superior in achieving organizational sustainability and performance over the long term. This study illustrates the practical contemporary relevance of the Aeneid specifically, and illustrates a humanities laden and values‐based approach to reflecting on leadership effectiveness generally.
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Gustavo J. Nagy, Leonardo Seijo, José E. Verocai and Mario Bidegain
The purpose of this article is to discuss the assessment and inclusion of stakeholders' perception, and citizen participation instances to implementing management options to deal…
Abstract
Purpose
The purpose of this article is to discuss the assessment and inclusion of stakeholders' perception, and citizen participation instances to implementing management options to deal with climate threats within the existing institutional framework in Uruguay.
Design/methodology/approach
The approach being followed has different directional approaches and integrates them within a single assessment. First, a prescriptive climate change top-down path. Second, stakeholders' perception is assessed within a bottom-up risk-management model. Third, institutional agreements, arrangements, and consensus are reached. Considering the need for agreed and effective options, the approach is customized and turned flexible enough to accept inputs from scientists, managers, and stakeholders.
Findings
The co-production of knowledge and the achievement of agreed and feasible options is achieved by means of a consultation process which results in adaptive co-management agreements and collective decisions. This process is seen as both an empowerment of local actors and a multi-stakeholder learning-by-doing experiment. This allows for both an increase in coping capacity to climate threats and facilitates long standing conflict resolution.
Originality/value
Much literature discusses the importance of the role of social power in inclusive processes towards adaptation, and how difficult is ceding a genuine voice to stakeholders. The co-production of knowledge is a way to achieve the rapprochement of scientists with institutional and community actors. Thus, the participatory process gives stakeholders responsibility for identifying their specific needs and priorities and helps to establish community ownership.
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Building on relational inequality theory, this paper incorporates social capital as a device to trace the flow of resources through relationships originating within and beyond…
Abstract
Building on relational inequality theory, this paper incorporates social capital as a device to trace the flow of resources through relationships originating within and beyond organizations. I draw on a survey of over 1,700 lawyers to evaluate key dynamics of social capital that shape earnings: bridging and bonding, reciprocity exchanges and sponsorship, and boundary maintenance. The findings show social capital lends a lift to law graduates through bridges to professional careers and sponsorship following job entry. Racial minorities, however, suffer a shortfall of personal networks to facilitate job searches, and once having secured jobs, minorities experience social closure practices by clients and colleagues that disadvantage them in their professional work. A sizeable earnings gap remains between racial minority and white lawyers after controlling for human and social capitals, social closure practices, and organizational context. This earnings gap is particularly large among racial minorities with more years of experience and those working in large law firms. The findings demonstrate the importance of identifying the interrelations that connect social network and organizational context to impact social inequality.
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Elizabeth H. Gorman and Fiona M. Kay
In elite professional firms, minorities are actively recruited but struggle to move upward. The authors argue that initiatives aimed at general skill development can have…
Abstract
In elite professional firms, minorities are actively recruited but struggle to move upward. The authors argue that initiatives aimed at general skill development can have unintended consequences for firm diversity. Specifically, the authors contend that approaches that win partner support through motivational significance and interpretive clarity provide a more effective avenue to skill development for minorities, who have less access than White peers to informal developmental opportunities. The authors also argue that a longer “partnership track,” which imposes a time limit on skill development, will benefit minority professionals. Using data on 601 offices of large US law firms in 1996 and 2005, the authors investigate the effects of five developmental initiatives and partnership track length on the representation of African-Americans, Latinxs, and Asian-Americans among partners. Observed effects are consistent with expectations, but patterns vary across racial-ethnic groups.
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The methodology of mainstream neoclassical economics deals with knowledge deficiency problems in a deterministic manner and as “refinements to the theory of economic action rather…
Abstract
The methodology of mainstream neoclassical economics deals with knowledge deficiency problems in a deterministic manner and as “refinements to the theory of economic action rather than rudiments of it” (Coddington, 1975, p. 151). For Shackle (1972), such an approach to the subject is unacceptable, since its deterministic nature is fundamentally at odds with his argument that, to be meaningful, choice must make a difference to the unfolding skein of events. Central to his view of the nature of choice is clearly a rejection of the concept of equilibrium and of the assumptive fiction that co‐ordination is achieved, on a once‐and‐for‐all basis, via the costless efforts of an omniscient auctioneer. If choices are meaningful in Shackle's sense, the skein of events contains many surprises, many incentives for agents to rethink their views of things and change their behaviour. For example, the workings of a multiplier process falsify expectations and these surprises may then spark off euphoric or depressing super‐multiplier effects. In markets for financial assets, “bulls” and “bears” cannot both be right in their predictions, while in product markets the creative exercise of marketing and research and development personnel's imaginations may continuously send out waves and backwashes in keeping with Schumpeterian notions of creative destruction. If one accepts Shackle's alternative starting point, one must sacrifice notions pertaining to “given” preferences and technologies and, with them, the stable functions upon which IS‐LM macro models (see Shackle, 1982(a)) and orthodox value theory are built.
Inti Carro, Leonardo Seijo, Gustavo J. Nagy, Ximena Lagos and Ofelia Gutiérrez
This study aims to show a case study of ecosystem-based adaptation (EbA) measures to increase coastal system’s resilience to extreme weather events and sea-level rise (SLR…
Abstract
Purpose
This study aims to show a case study of ecosystem-based adaptation (EbA) measures to increase coastal system’s resilience to extreme weather events and sea-level rise (SLR) implemented at Kiyú (Uruguayan coast of the Rio de la Plata river estuary).
Design/methodology/approach
A participatory process involving the community and institutional stakeholders was carried out to select and prioritise adaptation measures to reduce the erosion of sandy beaches, dunes and bluffs due to extreme wind storm surge and rainfall, SLR and mismanagement practices. The recovery of coastal ecosystems was implemented through soft measures (green infrastructure) such as revegetation with native species, dune regeneration, sustainable drainage systems and the reduction of use pressures.
Findings
Main achievements of this case study include capacity building of municipal staff and stakeholders, knowledge exchanges with national-level decision makers and scientists and the incorporation of EbA approaches by subnational-level coastal governments. To consolidate EbA, the local government introduced innovations in the coastal management institutional structure.
Originality/value
The outcomes of the article include, besides the increase in the resilience of social-ecological systems, the strengthening of socio-institutional behaviour, structure and sustainability. This experience provides insights for developing a strategy for both Integrated Coastal Management and climate adaptation at the national scale.
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Richard D. Waters, Kathleen S. Kelly and Mary Lee Walker
The purpose of this study is to examine Kelly's proposed fundraising roles scales to describe the daily activities of male and female fundraisers.
Abstract
Purpose
The purpose of this study is to examine Kelly's proposed fundraising roles scales to describe the daily activities of male and female fundraisers.
Design/methodology/approach
The data collection procedure involved a national survey to a random sample of 286 fundraisers from the American Health Association. The pen‐and‐paper survey had a 48 percent response rate, and the scale indices were found to be reliable with Cronbach alpha tests.
Findings
The study found that there were no statistical differences in how male and female fundraisers enacted the technician role; however, gender differences emerged for all three managerial roles with males enacting the roles at statistically significant greater rates.
Originality/value
This study represents an important initial step in advancing theoretical knowledge on fundraising, and it is the first quantitative test of Kelly's proposed fundraising role scales.