Jessica Miller Clouser, Nikita Leigh Vundi, Amy Mitchell Cowley, Christopher Cook, Mark Vincent Williams, Megan McIntosh and Jing Li
Dyadic leadership models, in which two professionals jointly lead and share unit responsibilities, exemplifies a recent trend in health care. Nonetheless, much remains unknown…
Abstract
Purpose
Dyadic leadership models, in which two professionals jointly lead and share unit responsibilities, exemplifies a recent trend in health care. Nonetheless, much remains unknown about their benefits and drawbacks. In order to understand their potential impact, we conducted a review of literature evaluating dyad leadership models in health systems.
Design/methodology/approach
Our narrative review began with a search of PubMed, CINAHL, Web of Science and Scopus using key terms related to dyads and leadership. The search yielded 307 articles. We screened titles/abstracts according to these criteria: (1) focus on dyadic leadership model, i.e. physician–nurse or clinician–administrator, (2) set in health care environment and (3) peer-reviewed with an evaluative component of dyadic model. This yielded 22 articles for full evaluation, of which six were relevant for this review.
Findings
These six articles contribute an assessment of (1) teamwork and communication perceptions and their changes through dyad implementation, (2) dyad model functionality within the health system, (3) lessons learned from dyad model implementation and (4) dyad model adoption and model fidelity.
Research limitations/implications
Research in this area remains nascent, and most articles focused on implementation over evaluation. It is possible that some articles were excluded due to our methodology, which excluded nonEnglish articles.
Practical implications
Findings provide guidance for health care organizations seeking to implement dyadic leadership models. Rigorous studies are needed to establish the impact of dyadic leadership models on quality and patient outcomes.
Originality/value
This review consolidates evidence surrounding the implementation and evaluation of a leadership model gaining prominence in health care.
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This chapter examines the goals and outcomes of intergroup dialogue through the evaluation of a dialogue program between city and suburban high school students located in…
Abstract
This chapter examines the goals and outcomes of intergroup dialogue through the evaluation of a dialogue program between city and suburban high school students located in Syracuse, NY. The Community Wide Dialogue to End Racism, Improve Race Relations and Begin Racial Healing (CWD) organizers share with a wide range of conflict theorists and practitioners the impulse to bring citizens together to talk about complex social conflicts. Two of the main goals of this program, to build participants’ understandings of institutional racism and white privilege, are examined here. Drawing on in-depth interviews with a small sample of dialogue participants, a framework is developed for categorizing participant awareness and understanding of institutional racism and white privilege. The analysis suggests that relatively modest levels of understanding of both concepts should be anticipated from participants both before and after completion of a dialogue of this type. While dramatic changes resulting from the dialogue are not found, the data indicate that the dialogue does have demonstrable impacts on the ways participants think and talk about institutional racism and white privilege. The central challenges faced by participants in understanding the concepts, specifically ability to personalize white privilege and capacity to adopt structural ways of thinking about institutional racism, are identified and described. This research helps to clarify the range of outcomes we can feasibly expect when bringing citizens together to talk about social conflicts by providing a qualitative framework for measuring awareness and understanding of white privilege and institutional racism.
Lyndsay M.C. Hayhurst, Holly Thorpe and Megan Chawansky
This study aims to establish the complex nature of leadership in children’s centres in the UK and to demonstrate the value of system leadership as a vital concept for children’s…
Abstract
Purpose
This study aims to establish the complex nature of leadership in children’s centres in the UK and to demonstrate the value of system leadership as a vital concept for children’s centre leadership.
Design/methodology/approach
The study presents a case study of leadership development with 24 leaders of children’s centres across Hertfordshire.
Findings
The study considers the efficacy of system leadership, including distributed leadership, within this setting. Evaluation of the programme found that the concept of system leadership was appropriate, supportive and validating for leaders of children’s centres; however, the concept needed support with further practical tools and resources.
Research limitations/implications
The limitation of the study is its specificity to one local authority, and further research will be needed to see how generalisable the findings are.
Practical implications
The implication of the study is that leaders of children’s centres could be supported to work more effectively with system leadership.
Social implications
When leaders of children’s centres feel effective, they have enhanced well-being and achieve more outcomes, which in turn enhances the well-being of the children and families that they serve.
Originality/value
Leadership in children’s centres is an under-researched and under-supported area. This study makes a new contribution to this sector of leadership.
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Molly K. Buren, Austin H. Johnson, Daniel M. Maggin, Bhawandeep K. Bains, Megan R. Ledoux Galligan and Lauren K. Couch
Evidence-based practice is an essential component of special education and provides a framework for promoting the use of research to inform policy and practice. Despite the…
Abstract
Evidence-based practice is an essential component of special education and provides a framework for promoting the use of research to inform policy and practice. Despite the importance of evidence-based practice to special education, the research-to-practice gap remains a persistent challenge to the successful dissemination of effective, research-based practices. Given the underuse of research in special education, the next big thing in evidence-based special education is to develop effective mechanisms for disseminating research and practice. The purpose of this paper is, therefore, to introduce research utilization as a concept to special education and present a preliminary analysis on special education teacher perceptions of research. Results suggest that special education teachers value evidence-based practice but remain unsure of their skills to distinguish between studies with more and less rigorous methods. Moreover, we found that special education teachers tended to use sources with lower self-reported ratings of trustworthiness, such as social media and teacher exchange websites, due to time efficiency and accessibility. Respondents provided recommendations for ameliorating the research-to-practice gap and increasing the usability of research overall.
Ashley J. Maister, Caitlin McCarthy, Lee G. Ruszczyk, Rachael Evans and Megan E. Maroney
Integrated health care occurs when specialty and general care providers work together to address both the physical and mental health needs of their patients. The Substance Abuse…
Abstract
Purpose
Integrated health care occurs when specialty and general care providers work together to address both the physical and mental health needs of their patients. The Substance Abuse and Mental Health Services Administration model of integration is broken into six levels of coordinated, co-located and integrated care. Our institution offers both co-located and integrated care among eight clinic sites. The care team is typically composed of the primary care provider, nurse and medical assistant, but other professionals may be introduced based on the patient’s medical and psychiatric conditions. The purpose of this prospective, quality improvement study was to compare the rates of adherence to long-acting injectable antipsychotics (LAIAs) between both types of integrated primary care settings at our institution. The comparison of the two settings sought to determine which environment provides improved outcomes for patients with serious psychiatric illnesses. Additionally, we aimed to assess the quality of medication-related monitoring and care team composition between care settings, and the ability of pharmacists to deliver interprofessional care team training and education on LAI use in clinical practice.
Design/methodology/approach
Subjects were identified and included in the study if they had received primary care services from our institution within the previous 12 months. Patient demographic and laboratory variables were collected at baseline and when clinically indicated. The rates of adherence between care settings were assessed at intervals that align with the medication’s administration schedule (e.g. every four weeks). Medication-related monitoring parameters were collected at baseline and when clinically indicated. The interprofessional care team completed Likert scale surveys to evaluate the pharmacist’s LAIA education and training.
Findings
There was not a statistically significant difference detected between integrated primary care settings on the rates of adherence to LAIAs. Additionally, there was not a statistically significant difference between rates of adherence to medication-related monitoring parameters or the effect of the patient treatment team composition. There was a statistically significant difference between pre- and post-session survey scores following interprofessional education and training provided by a pharmacist.
Originality/value
Because overall rates of adherence were low, both primary care settings were found to be equivalent. Our study may have been underpowered to detect a difference in the primary endpoint because of the small sample size. However, our study demonstrates that interprofessional education and training may lend itself to changes in practice, which is evident by the clinically significant relative increase in adherence. The Henry J. Austin Health Center network will be implementing a standard operating procedure regarding LAIA management within the primary care setting. Further studies are needed to assess a larger number of patients between both types of primary care settings, as well as the impact of the clinical psychiatric pharmacist as a member of the treatment team.
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Liz Sattler, Megan Shreffler, Nels Popp and David Pierce
The purpose of this exploratory study was to examine the workplace experiences of current and former underrepresented ticket sales employees.
Abstract
Purpose
The purpose of this exploratory study was to examine the workplace experiences of current and former underrepresented ticket sales employees.
Design/methodology/approach
The study utilized survey methodology to answer the research questions. Purposive sampling was used to identify potential respondents: individuals who were either currently employed as sport ticket sales employees or had been previously. The researchers examined online media guides from North American major league sports teams and identified ticket sales representatives who were compiled into a database and then cross-referenced through social media platform LinkedIn. Individuals were located via LinkedIn profiles and sent an anonymous, electronic survey which included a combination of Likert scale and open-ended questions regarding respondent experiences working in ticket sales departments.
Findings
Survey responses from 511 ticket salespeople revealed negative experiences related to management and career advancement opportunities, as well as significant differences in negative experiences for underrepresented populations regarding mentorship and culture.
Originality/value
Sport sales managers desire to expand employee diversity (Wells et al., 2019) and improve overall retention rates, but if a clear understanding of organizational vision toward diversification is not established within sports teams, managers are less likely to embrace diversity initiatives. Thus, it is imperative to understand the lived experiences of underrepresented ticket salespeople in order to improve workplace culture and effectiveness.
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Thalia Anthony and Vicki Chartrand
Over the past decade, criminology in Australia, Canada and other settler colonies has increasingly engaged with activist challenges to the penal system. These anti-carceral…
Abstract
Over the past decade, criminology in Australia, Canada and other settler colonies has increasingly engaged with activist challenges to the penal system. These anti-carceral engagements have been levelled at its laws, institutions and agents. Following a long history of criminology explicating and buttressing penal institutions, the criminological gaze slowly transitioned in the 1970s to a more critical lens, shifting focus from the people who are criminalised to the harms of the apparatus that criminalises. However, the focus remained steadfastly on institutions and dominant players – until much more recently. The COVID-19 pandemic has revealed the strength of activist organisations and grassroots movements in affecting change and shaping debates in relation to the penal system. This chapter will explore the role of activism in informing criminological scholarship during the pandemic period and how criminologists, in turn, have increasingly recognised the need to build alliances and collaborations with grassroots activists and engage in their own activism. The chapter focuses primarily on Australian and Canadian criminology and its growing imbrication with the prison abolition movement, especially in the shadow of ongoing colonial violence. It considers how activist scholars, including ourselves, attempt to build movements for structural change in the criminal system and beyond.